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EUROPEAN JOURNAL OF PHYSICAL AND REHABILITATION MEDICINE

A Journal on Physical Medicine and Rehabilitation after Pathological Events


Official Journal of the Italian Society of Physical and Rehabilitation Medicine (SIMFER), European Society of Physical and Rehabilitation Medicine (ESPRM), European Union of Medical Specialists - Physical and Rehabilitation Medicine Section (UEMS-PRM), Mediterranean Forum of Physical and Rehabilitation Medicine (MFPRM), Hellenic Society of Physical and Rehabilitation Medicine (EEFIAP)
In association with International Society of Physical and Rehabilitation Medicine (ISPRM)
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  CARDIAC REHABILITATION


Europa Medicophysica 2005 March;41(1):67-74

language: English

Exercise rehabilitation in cardiac transplantation patients: a comprehensive review

Kavanagh T.

Faculty of Medicine and Graduate School of Exercise Science Faculty of Physical Education and Health University of Toronto, Toronto, ON, Canada


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Cardiac transplant recipients are often severely deconditioned, the result of their presurgical disease state, and as a consequence are prime candidates for exercise-based rehabilitation. The training regimen, however, needs to take into account the patient’s atypical central and peripheral responses to exercise. This review deals with these changes, describes typical exercise testing and training protocols, with some reference to the Toronto practice, and summarizes training-induced benefits as well as long-term residual effects. The evidence for sympathetic reinnervation is reviewed, with the conclusion that while it may occur over time, it is inconsistent, and partial in nature.

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