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Titolo:
First experiences with outpatient care of patients with implanted axial flow pumps
Autore:
Wieselthaler, GM; Schima, H; Dworschak, M; Quittan, M; Nuhr, M; Czerny, M; Seebacher, G; Huber, L; Grimm, M; Wolner, E;
Indirizzi:
Univ Vienna, Dept Cardiothorac Surg, Vienna, Austria Univ Vienna Vienna Austria nna, Dept Cardiothorac Surg, Vienna, Austria Univ Vienna, LBI Cardiosurg Res, Vienna, Austria Univ Vienna Vienna Austria Vienna, LBI Cardiosurg Res, Vienna, Austria Univ Vienna, Dept Cardiac Anesthesiol, Vienna, Austria Univ Vienna Vienna Austria a, Dept Cardiac Anesthesiol, Vienna, Austria Univ Vienna, Dept Phys Med & Rehabil, Vienna, Austria Univ Vienna ViennaAustria na, Dept Phys Med & Rehabil, Vienna, Austria
Titolo Testata:
ARTIFICIAL ORGANS
fascicolo: 5, volume: 25, anno: 2001,
pagine: 331 - 335
SICI:
0160-564X(200105)25:5<331:FEWOCO>2.0.ZU;2-T
Fonte:
ISI
Lingua:
ENG
Soggetto:
MECHANICAL CIRCULATORY SUPPORT; LEFT-HEART BYPASS; NONPULSATILE;
Keywords:
MicroMed-DeBakey ventricular assist device monitoring; physical training; hospital discharge;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
10
Recensione:
Indirizzi per estratti:
Indirizzo: Wieselthaler, GM AKH, Dept Cardiothorac Res, Waehringer Guertel 18, A-1090Vienna, Austria AKH Waehringer Guertel 18 Vienna Austria A-1090 Austria
Citazione:
G.M. Wieselthaler et al., "First experiences with outpatient care of patients with implanted axial flow pumps", ARTIF ORGAN, 25(5), 2001, pp. 331-335

Abstract

As known from patients with pulsatile ventricular assist devices (VADs), early mobilization, physical exercise, and return to normal life are essential for optimal recovery. Recently, implantable rotary pumps became available for extended left ventricular support as bridges to transplantation. Modified procedures are essential for patient training and hospital discharge. The MicroMed-DeBakey VAD was implanted in 10 patients with endstage heart disease. After recovery, regular ergometer training was performed with loadsadapted to the patient's condition. Procedures for patient observation under outdoor conditions and a blood pressure measuring device for low pulse pressure conditions were developed. Improvement of physical condition was achieved in 8 patients. In the first 2 patients, exercise capacity was limited due to flow obstruction. In the following patients, an increase of workload on the ergometer up to 120 W was observed. Correlated with training, lactate/load relationship and heart rate decreased. Three patients were discharged from the hospital during support. The DeBakey-VAD system can support patients for extended time periods and is suitable for recovery and exercise. Under optimal patient and environmental conditions, discharge from the hospital can be obtained.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 04/07/20 alle ore 15:01:51