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Ранняя реабилитация пациента после ортотопической трансплантации сердца: клинический случай - Научно-практический журнал Cardioсоматика Том 16, №1 (2025)
Ранняя реабилитация пациента после ортотопической трансплантации сердца: клинический случай
Федорова Н.В., Аргунова Ю.А., Прилуцкая Е.Н., Барбараш О.Л. Ранняя реабилитация пациента после ортотопической трансплантации сердца: клинический случай // CardioСоматика. 2025. Т. 16, № 1. С. 94–101. DOI: 10.17816/CS631894 EDN: GJVPRE
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Аннотация
Обоснование. Публикации по тематике реабилитации у пациентов после трансплантации сердца до настоящего времени носили единичный характер. На данный момент эта проблема активно изучается, поскольку нет конкретных данных о сроках начала физической реабилитации, использовании нагрузочных тестов для объективизации состояния пациентов, видов физических тренировок.
Описание клинического случая. В описанном клиническом наблюдении продемонстрированы положительные эффекты ранней реабилитации у пациента после ортотопической трансплантации сердца.
Заключение. Пациенты, перенёсшие трансплантацию сердца, имеют преимущество восстановления функционального состояния сердечно-сосудистой системы по сравнению с другими категориями пациентов с сердечно-сосудистыми заболеваниями, подвергшихся оперативному лечению. С другой стороны, эти пациенты имеют и ограничивающие быстрое восстановление работоспособности и качества жизни факторы. В большинстве исследований продемонстрированы эффекты различных видов физических тренировок на амбулаторном этапе, а в представленном клиническом наблюдении отмечены положительные эффекты раннего начала кардиореабилитации у пациентов после трансплантации сердца, что позволяет изменить подходы к данной категории больных в отношении начала реабилитационных мероприятий.
Ключевые слова: сердечная недостаточность, трансплантация сердца, реабилитация, механотерапия, физические тренировки
CASE DESCRIPTION: This case study describes the positive effects of early rehabilitation in a patient after orthotopic heart transplantation.
CONCLUSION: Patients who underwent heart transplantation have a greater potential for restoring cardiovascular function compared with other categories of patients with cardiovascular diseases treated surgically. However, these patients also face factors that may limit the rapid recovery of functional capacity and quality of life. While most studies have demonstrated the effects of various types of physical training during the outpatient phase, this case report highlights the positive outcomes of initiating cardiac rehabilitation in the early postoperative period. These findings may support a revision of current approaches to the timing of rehabilitation in this patient population.
Keywords: heart failure, heart transplantation, rehabilitation, mechanotherapy, exercise therapy
Описание клинического случая. В описанном клиническом наблюдении продемонстрированы положительные эффекты ранней реабилитации у пациента после ортотопической трансплантации сердца.
Заключение. Пациенты, перенёсшие трансплантацию сердца, имеют преимущество восстановления функционального состояния сердечно-сосудистой системы по сравнению с другими категориями пациентов с сердечно-сосудистыми заболеваниями, подвергшихся оперативному лечению. С другой стороны, эти пациенты имеют и ограничивающие быстрое восстановление работоспособности и качества жизни факторы. В большинстве исследований продемонстрированы эффекты различных видов физических тренировок на амбулаторном этапе, а в представленном клиническом наблюдении отмечены положительные эффекты раннего начала кардиореабилитации у пациентов после трансплантации сердца, что позволяет изменить подходы к данной категории больных в отношении начала реабилитационных мероприятий.
Ключевые слова: сердечная недостаточность, трансплантация сердца, реабилитация, механотерапия, физические тренировки
________________________________________________
CASE DESCRIPTION: This case study describes the positive effects of early rehabilitation in a patient after orthotopic heart transplantation.
CONCLUSION: Patients who underwent heart transplantation have a greater potential for restoring cardiovascular function compared with other categories of patients with cardiovascular diseases treated surgically. However, these patients also face factors that may limit the rapid recovery of functional capacity and quality of life. While most studies have demonstrated the effects of various types of physical training during the outpatient phase, this case report highlights the positive outcomes of initiating cardiac rehabilitation in the early postoperative period. These findings may support a revision of current approaches to the timing of rehabilitation in this patient population.
Keywords: heart failure, heart transplantation, rehabilitation, mechanotherapy, exercise therapy
Полный текст
Список литературы
1. Lyasnikova EA, Fedotov PA, Trukshina MA, et al. Management of heart failure patients in Russia: perspectives and realities of the second decade of the XXI century. Russian Journal of Cardiology. 2021;26(9):88–96. doi: 10.15829/1560-4071-2021-4658 EDN: PTNIDO
2. O’Connor CM, Whellan DJ, Lee KL, et al. Efficacy and safety of exercise training in patients with chronic heart failure: HF-ACTION randomized controlled trial. JAMA. 2009;301(14):1439–1450. doi: 10.1001/jama.2009.454
3. Bozkurt B, Fonarow GC, Goldberg LR, et al. Cardiac rehabilitation for patients with Heart Failure: JACC Expert Panel. J Am Coll Cardiol. 2021;77(11):1454–1469. doi: 10.1016/j.jacc.2021.01.030
4. Buckley BJR, Harrison SL, Underhill P, et al. Exercise-based cardiac rehabilitation for cardiac implantable electronic device recipients. Eur J Prev Cardiol. 2022;29(4):153–155. doi: 10.1093/eurjpc/zwab103 EDN: LVTSYU
5. Fukuta H, Goto T, Wakami K, et al. Effects of exercise training on cardiac function, exercise capacity, and quality of life in heart failure with preserved ejection fraction: a meta-analysis of randomized controlled trials. Heart Fail Rev. 2019;24:535–547. doi: 10.1007/s10741-019-09774-5 EDN: RUCSHV
6. Anderson L, Nguyen TT, Dall CH, et al. Exercise-based cardiac rehabilitation in heart transplant recipients. Cochrane Database Syst Rev. 2017;4(4):CD012264. doi: 10.1002/14651858.CD012264
7. Squires RW, Kaminsky LA, Porcari JP, et al. Progression of Exercise Training in Early Outpatient Cardiac Rehabilitation: Аn official statement from the American Association of CArdiovascular and Pulmonary Rehabilitation. J Cardiopulm Rehabil Prev. 2018;38:139–146. doi: 10.1097/HCR.0000000000000337
8. Nytroen K, Rolid K, Andreassen AK, et al. Effect of high-intensity interval training in de novo heart transplant recipients in Scandinavia: one-year follow-up of the HIITS randomized, controlled trial. Circulation. 2019;139(19):2198–2211. doi: 10.1161/CIRCULATIONAHA.118.036747
9. Rolid K, Andreassen AK, Yardley M, et al. Long-term effects of high‑intensity training vs moderate intensity training in heart transplant recipients: a 3-year follow-up study of the randomized-controlled HITTS study. Am J Transplant. 2020;20(12):3538–3549. doi: 10.1111/ajt.16087
10. Sujayeva VA. Physical rehabilitation after heart transplantation. Bulletin of rehabilitation medicine. 2014;13(6):51–55. EDN: TJOHNR
11. EACPR; Corra U, Piepoli F, Carre F. Secondary prevention through cardiac rehabilitation: physical activity counseling and exercise training: Key components of the position paper from the Cardiac Rehabilitation Section of the European Association of Cardiovascular Prevention and Rehabilitation. Eur Heart J. 2010;31:1967–1974. doi: 10.1093/eurheartj/ehq236
12. Argunova YuA, Pomeshkina SA, Barbarash OL. Early physical rehabilitation in frail patients undergoing coronary artery bypass surgery. Bulletin of rehabilitation medicine. 2022;21(3):72–80. doi: 10.38025/2078-1962-2022-21-3-72-80 EDN: XSWRFM
13. Belkin AA, Alasheev AM, Belkin VA. Rehabilitation in the intensive care unit (rehablcu). Clinical practice recommendations of the national union of physical and rehabilitation medicine specialists of Russia and of the National Federation of Anesthesiologists and Reanimatologists. Annals of Critical Care. 2022;2:7–40. doi: 10.21320/1818-474X-2022-2-7-40 EDN: MEUVHV
14. Nytroen K, Gullestad L. Effect of exercise in heart transplant recipients. Am J Transplant. 2013;13(2):527. doi: 10.1111/ajt.12046
15. Squires RW, Leung TC, Cyr NS, et al. Partial normalization of the heart rate response to exercise after cardiac transplantation: frequency and relationship to exercise capacity. Mayo Clinic Proc. 2002;77(12):1295–1300. doi.org/10.4065/77.12.1295
16. Rosenbaum AN, Kremers WK, Schirger JA, et al. Association between early cardiac rehabilitation and long-term survival in cardiac transplant recipients. Mayo Clin Proc. 2016;91(2):149–156. doi: 10.1016/j.mayocp.2015.12.002
17. Nytroen K, Rustad LA, Erikstad I, et al. Effect of high-intensity interval training on progression of cardiac allograft vasculopathy. J Heart Lung Transplant. 2013;32(11):1073–1080. doi: 10.1016/j.healun.2013.06.023
18. Haykowsky M, Eves N, Figgures L, et al. Effect of exercise training on VO2 peak and left ventricular systolic function in recent cardiac transplant recipients. Am J Cardiol. 2005;95(8):1002–1004. doi: 10.1016/j.amjcard.2004.12.049
19. Thomas RJ, Beatty AL, Beckie TM, et al. Home-Based Cardiac Rehabilitation: A Scientific Statement from the American Association of Cardiovascular and Pulmonary Rehabilitation, the American Heart Association, and the American College of Cardiology. J Am Coll Cardiol. 2019;74(1):133–153. doi: 10.1016/j.jacc.2019.03.008
20. Uithoven KE, Smith JR, Medina-Inojosa JR, et al. The Role of Cardiac Rehabilitation in Reducing Major Adverse Cardiac Events in Heart Transplant Patients. J Card Fail. 2020;26(8):645–651. doi: 10.1016/j.cardfail.2020.01.011
21. Shaleva VA, Lyapina IN, Teplova YuE, et al. The features of early rehabilitation in patients after surgical repair of valvular heart disease. Complex Issues of Cardiovascular Diseases. 2021;10(2):99–103. doi: 10.17802/2306-1278-2021-10-2S-99-103 EDN: QXLNRV
22. Simonenko MA, Berezina AV, Fedotov PA, et al. Dynamic of physical capacity and quality of life after heart transplantation. Russian Journal of transplantology and artificial organs. 2018;20(1):32–38. doi: 10.15825/1995-1191-2018-1-32-38 EDN: YWEHKI
23. Daida H, Squires RW, Allison TG, et al. Sequential assessment of exercise tolerance in heart transplantation compared with coronary artery bypass surgery after phase II cardiac rehabilitation. Am J Cardiol. 1996;77(9):696–700. doi: 10.1016/s0002-9149(97)89202-8
2. O’Connor CM, Whellan DJ, Lee KL, et al. Efficacy and safety of exercise training in patients with chronic heart failure: HF-ACTION randomized controlled trial. JAMA. 2009;301(14):1439–1450. doi: 10.1001/jama.2009.454
3. Bozkurt B, Fonarow GC, Goldberg LR, et al. Cardiac rehabilitation for patients with Heart Failure: JACC Expert Panel. J Am Coll Cardiol. 2021;77(11):1454–1469. doi: 10.1016/j.jacc.2021.01.030
4. Buckley BJR, Harrison SL, Underhill P, et al. Exercise-based cardiac rehabilitation for cardiac implantable electronic device recipients. Eur J Prev Cardiol. 2022;29(4):153–155. doi: 10.1093/eurjpc/zwab103 EDN: LVTSYU
5. Fukuta H, Goto T, Wakami K, et al. Effects of exercise training on cardiac function, exercise capacity, and quality of life in heart failure with preserved ejection fraction: a meta-analysis of randomized controlled trials. Heart Fail Rev. 2019;24:535–547. doi: 10.1007/s10741-019-09774-5 EDN: RUCSHV
6. Anderson L, Nguyen TT, Dall CH, et al. Exercise-based cardiac rehabilitation in heart transplant recipients. Cochrane Database Syst Rev. 2017;4(4):CD012264. doi: 10.1002/14651858.CD012264
7. Squires RW, Kaminsky LA, Porcari JP, et al. Progression of Exercise Training in Early Outpatient Cardiac Rehabilitation: Аn official statement from the American Association of CArdiovascular and Pulmonary Rehabilitation. J Cardiopulm Rehabil Prev. 2018;38:139–146. doi: 10.1097/HCR.0000000000000337
8. Nytroen K, Rolid K, Andreassen AK, et al. Effect of high-intensity interval training in de novo heart transplant recipients in Scandinavia: one-year follow-up of the HIITS randomized, controlled trial. Circulation. 2019;139(19):2198–2211. doi: 10.1161/CIRCULATIONAHA.118.036747
9. Rolid K, Andreassen AK, Yardley M, et al. Long-term effects of high‑intensity training vs moderate intensity training in heart transplant recipients: a 3-year follow-up study of the randomized-controlled HITTS study. Am J Transplant. 2020;20(12):3538–3549. doi: 10.1111/ajt.16087
10. Sujayeva VA. Physical rehabilitation after heart transplantation. Bulletin of rehabilitation medicine. 2014;13(6):51–55. EDN: TJOHNR
11. EACPR; Corra U, Piepoli F, Carre F. Secondary prevention through cardiac rehabilitation: physical activity counseling and exercise training: Key components of the position paper from the Cardiac Rehabilitation Section of the European Association of Cardiovascular Prevention and Rehabilitation. Eur Heart J. 2010;31:1967–1974. doi: 10.1093/eurheartj/ehq236
12. Argunova YuA, Pomeshkina SA, Barbarash OL. Early physical rehabilitation in frail patients undergoing coronary artery bypass surgery. Bulletin of rehabilitation medicine. 2022;21(3):72–80. doi: 10.38025/2078-1962-2022-21-3-72-80 EDN: XSWRFM
13. Belkin AA, Alasheev AM, Belkin VA. Rehabilitation in the intensive care unit (rehablcu). Clinical practice recommendations of the national union of physical and rehabilitation medicine specialists of Russia and of the National Federation of Anesthesiologists and Reanimatologists. Annals of Critical Care. 2022;2:7–40. doi: 10.21320/1818-474X-2022-2-7-40 EDN: MEUVHV
14. Nytroen K, Gullestad L. Effect of exercise in heart transplant recipients. Am J Transplant. 2013;13(2):527. doi: 10.1111/ajt.12046
15. Squires RW, Leung TC, Cyr NS, et al. Partial normalization of the heart rate response to exercise after cardiac transplantation: frequency and relationship to exercise capacity. Mayo Clinic Proc. 2002;77(12):1295–1300. doi.org/10.4065/77.12.1295
16. Rosenbaum AN, Kremers WK, Schirger JA, et al. Association between early cardiac rehabilitation and long-term survival in cardiac transplant recipients. Mayo Clin Proc. 2016;91(2):149–156. doi: 10.1016/j.mayocp.2015.12.002
17. Nytroen K, Rustad LA, Erikstad I, et al. Effect of high-intensity interval training on progression of cardiac allograft vasculopathy. J Heart Lung Transplant. 2013;32(11):1073–1080. doi: 10.1016/j.healun.2013.06.023
18. Haykowsky M, Eves N, Figgures L, et al. Effect of exercise training on VO2 peak and left ventricular systolic function in recent cardiac transplant recipients. Am J Cardiol. 2005;95(8):1002–1004. doi: 10.1016/j.amjcard.2004.12.049
19. Thomas RJ, Beatty AL, Beckie TM, et al. Home-Based Cardiac Rehabilitation: A Scientific Statement from the American Association of Cardiovascular and Pulmonary Rehabilitation, the American Heart Association, and the American College of Cardiology. J Am Coll Cardiol. 2019;74(1):133–153. doi: 10.1016/j.jacc.2019.03.008
20. Uithoven KE, Smith JR, Medina-Inojosa JR, et al. The Role of Cardiac Rehabilitation in Reducing Major Adverse Cardiac Events in Heart Transplant Patients. J Card Fail. 2020;26(8):645–651. doi: 10.1016/j.cardfail.2020.01.011
21. Shaleva VA, Lyapina IN, Teplova YuE, et al. The features of early rehabilitation in patients after surgical repair of valvular heart disease. Complex Issues of Cardiovascular Diseases. 2021;10(2):99–103. doi: 10.17802/2306-1278-2021-10-2S-99-103 EDN: QXLNRV
22. Simonenko MA, Berezina AV, Fedotov PA, et al. Dynamic of physical capacity and quality of life after heart transplantation. Russian Journal of transplantology and artificial organs. 2018;20(1):32–38. doi: 10.15825/1995-1191-2018-1-32-38 EDN: YWEHKI
23. Daida H, Squires RW, Allison TG, et al. Sequential assessment of exercise tolerance in heart transplantation compared with coronary artery bypass surgery after phase II cardiac rehabilitation. Am J Cardiol. 1996;77(9):696–700. doi: 10.1016/s0002-9149(97)89202-8
2. O’Connor CM, Whellan DJ, Lee KL, et al. Efficacy and safety of exercise training in patients with chronic heart failure: HF-ACTION randomized controlled trial. JAMA. 2009;301(14):1439–1450. doi: 10.1001/jama.2009.454
3. Bozkurt B, Fonarow GC, Goldberg LR, et al. Cardiac rehabilitation for patients with Heart Failure: JACC Expert Panel. J Am Coll Cardiol. 2021;77(11):1454–1469. doi: 10.1016/j.jacc.2021.01.030
4. Buckley BJR, Harrison SL, Underhill P, et al. Exercise-based cardiac rehabilitation for cardiac implantable electronic device recipients. Eur J Prev Cardiol. 2022;29(4):153–155. doi: 10.1093/eurjpc/zwab103 EDN: LVTSYU
5. Fukuta H, Goto T, Wakami K, et al. Effects of exercise training on cardiac function, exercise capacity, and quality of life in heart failure with preserved ejection fraction: a meta-analysis of randomized controlled trials. Heart Fail Rev. 2019;24:535–547. doi: 10.1007/s10741-019-09774-5 EDN: RUCSHV
6. Anderson L, Nguyen TT, Dall CH, et al. Exercise-based cardiac rehabilitation in heart transplant recipients. Cochrane Database Syst Rev. 2017;4(4):CD012264. doi: 10.1002/14651858.CD012264
7. Squires RW, Kaminsky LA, Porcari JP, et al. Progression of Exercise Training in Early Outpatient Cardiac Rehabilitation: Аn official statement from the American Association of CArdiovascular and Pulmonary Rehabilitation. J Cardiopulm Rehabil Prev. 2018;38:139–146. doi: 10.1097/HCR.0000000000000337
8. Nytroen K, Rolid K, Andreassen AK, et al. Effect of high-intensity interval training in de novo heart transplant recipients in Scandinavia: one-year follow-up of the HIITS randomized, controlled trial. Circulation. 2019;139(19):2198–2211. doi: 10.1161/CIRCULATIONAHA.118.036747
9. Rolid K, Andreassen AK, Yardley M, et al. Long-term effects of high‑intensity training vs moderate intensity training in heart transplant recipients: a 3-year follow-up study of the randomized-controlled HITTS study. Am J Transplant. 2020;20(12):3538–3549. doi: 10.1111/ajt.16087
10. Sujayeva VA. Physical rehabilitation after heart transplantation. Bulletin of rehabilitation medicine. 2014;13(6):51–55. EDN: TJOHNR
11. EACPR; Corra U, Piepoli F, Carre F. Secondary prevention through cardiac rehabilitation: physical activity counseling and exercise training: Key components of the position paper from the Cardiac Rehabilitation Section of the European Association of Cardiovascular Prevention and Rehabilitation. Eur Heart J. 2010;31:1967–1974. doi: 10.1093/eurheartj/ehq236
12. Argunova YuA, Pomeshkina SA, Barbarash OL. Early physical rehabilitation in frail patients undergoing coronary artery bypass surgery. Bulletin of rehabilitation medicine. 2022;21(3):72–80. doi: 10.38025/2078-1962-2022-21-3-72-80 EDN: XSWRFM
13. Belkin AA, Alasheev AM, Belkin VA. Rehabilitation in the intensive care unit (rehablcu). Clinical practice recommendations of the national union of physical and rehabilitation medicine specialists of Russia and of the National Federation of Anesthesiologists and Reanimatologists. Annals of Critical Care. 2022;2:7–40. doi: 10.21320/1818-474X-2022-2-7-40 EDN: MEUVHV
14. Nytroen K, Gullestad L. Effect of exercise in heart transplant recipients. Am J Transplant. 2013;13(2):527. doi: 10.1111/ajt.12046
15. Squires RW, Leung TC, Cyr NS, et al. Partial normalization of the heart rate response to exercise after cardiac transplantation: frequency and relationship to exercise capacity. Mayo Clinic Proc. 2002;77(12):1295–1300. doi.org/10.4065/77.12.1295
16. Rosenbaum AN, Kremers WK, Schirger JA, et al. Association between early cardiac rehabilitation and long-term survival in cardiac transplant recipients. Mayo Clin Proc. 2016;91(2):149–156. doi: 10.1016/j.mayocp.2015.12.002
17. Nytroen K, Rustad LA, Erikstad I, et al. Effect of high-intensity interval training on progression of cardiac allograft vasculopathy. J Heart Lung Transplant. 2013;32(11):1073–1080. doi: 10.1016/j.healun.2013.06.023
18. Haykowsky M, Eves N, Figgures L, et al. Effect of exercise training on VO2 peak and left ventricular systolic function in recent cardiac transplant recipients. Am J Cardiol. 2005;95(8):1002–1004. doi: 10.1016/j.amjcard.2004.12.049
19. Thomas RJ, Beatty AL, Beckie TM, et al. Home-Based Cardiac Rehabilitation: A Scientific Statement from the American Association of Cardiovascular and Pulmonary Rehabilitation, the American Heart Association, and the American College of Cardiology. J Am Coll Cardiol. 2019;74(1):133–153. doi: 10.1016/j.jacc.2019.03.008
20. Uithoven KE, Smith JR, Medina-Inojosa JR, et al. The Role of Cardiac Rehabilitation in Reducing Major Adverse Cardiac Events in Heart Transplant Patients. J Card Fail. 2020;26(8):645–651. doi: 10.1016/j.cardfail.2020.01.011
21. Shaleva VA, Lyapina IN, Teplova YuE, et al. The features of early rehabilitation in patients after surgical repair of valvular heart disease. Complex Issues of Cardiovascular Diseases. 2021;10(2):99–103. doi: 10.17802/2306-1278-2021-10-2S-99-103 EDN: QXLNRV
22. Simonenko MA, Berezina AV, Fedotov PA, et al. Dynamic of physical capacity and quality of life after heart transplantation. Russian Journal of transplantology and artificial organs. 2018;20(1):32–38. doi: 10.15825/1995-1191-2018-1-32-38 EDN: YWEHKI
23. Daida H, Squires RW, Allison TG, et al. Sequential assessment of exercise tolerance in heart transplantation compared with coronary artery bypass surgery after phase II cardiac rehabilitation. Am J Cardiol. 1996;77(9):696–700. doi: 10.1016/s0002-9149(97)89202-8
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2. O’Connor CM, Whellan DJ, Lee KL, et al. Efficacy and safety of exercise training in patients with chronic heart failure: HF-ACTION randomized controlled trial. JAMA. 2009;301(14):1439–1450. doi: 10.1001/jama.2009.454
3. Bozkurt B, Fonarow GC, Goldberg LR, et al. Cardiac rehabilitation for patients with Heart Failure: JACC Expert Panel. J Am Coll Cardiol. 2021;77(11):1454–1469. doi: 10.1016/j.jacc.2021.01.030
4. Buckley BJR, Harrison SL, Underhill P, et al. Exercise-based cardiac rehabilitation for cardiac implantable electronic device recipients. Eur J Prev Cardiol. 2022;29(4):153–155. doi: 10.1093/eurjpc/zwab103 EDN: LVTSYU
5. Fukuta H, Goto T, Wakami K, et al. Effects of exercise training on cardiac function, exercise capacity, and quality of life in heart failure with preserved ejection fraction: a meta-analysis of randomized controlled trials. Heart Fail Rev. 2019;24:535–547. doi: 10.1007/s10741-019-09774-5 EDN: RUCSHV
6. Anderson L, Nguyen TT, Dall CH, et al. Exercise-based cardiac rehabilitation in heart transplant recipients. Cochrane Database Syst Rev. 2017;4(4):CD012264. doi: 10.1002/14651858.CD012264
7. Squires RW, Kaminsky LA, Porcari JP, et al. Progression of Exercise Training in Early Outpatient Cardiac Rehabilitation: Аn official statement from the American Association of CArdiovascular and Pulmonary Rehabilitation. J Cardiopulm Rehabil Prev. 2018;38:139–146. doi: 10.1097/HCR.0000000000000337
8. Nytroen K, Rolid K, Andreassen AK, et al. Effect of high-intensity interval training in de novo heart transplant recipients in Scandinavia: one-year follow-up of the HIITS randomized, controlled trial. Circulation. 2019;139(19):2198–2211. doi: 10.1161/CIRCULATIONAHA.118.036747
9. Rolid K, Andreassen AK, Yardley M, et al. Long-term effects of high‑intensity training vs moderate intensity training in heart transplant recipients: a 3-year follow-up study of the randomized-controlled HITTS study. Am J Transplant. 2020;20(12):3538–3549. doi: 10.1111/ajt.16087
10. Sujayeva VA. Physical rehabilitation after heart transplantation. Bulletin of rehabilitation medicine. 2014;13(6):51–55. EDN: TJOHNR
11. EACPR; Corra U, Piepoli F, Carre F. Secondary prevention through cardiac rehabilitation: physical activity counseling and exercise training: Key components of the position paper from the Cardiac Rehabilitation Section of the European Association of Cardiovascular Prevention and Rehabilitation. Eur Heart J. 2010;31:1967–1974. doi: 10.1093/eurheartj/ehq236
12. Argunova YuA, Pomeshkina SA, Barbarash OL. Early physical rehabilitation in frail patients undergoing coronary artery bypass surgery. Bulletin of rehabilitation medicine. 2022;21(3):72–80. doi: 10.38025/2078-1962-2022-21-3-72-80 EDN: XSWRFM
13. Belkin AA, Alasheev AM, Belkin VA. Rehabilitation in the intensive care unit (rehablcu). Clinical practice recommendations of the national union of physical and rehabilitation medicine specialists of Russia and of the National Federation of Anesthesiologists and Reanimatologists. Annals of Critical Care. 2022;2:7–40. doi: 10.21320/1818-474X-2022-2-7-40 EDN: MEUVHV
14. Nytroen K, Gullestad L. Effect of exercise in heart transplant recipients. Am J Transplant. 2013;13(2):527. doi: 10.1111/ajt.12046
15. Squires RW, Leung TC, Cyr NS, et al. Partial normalization of the heart rate response to exercise after cardiac transplantation: frequency and relationship to exercise capacity. Mayo Clinic Proc. 2002;77(12):1295–1300. doi.org/10.4065/77.12.1295
16. Rosenbaum AN, Kremers WK, Schirger JA, et al. Association between early cardiac rehabilitation and long-term survival in cardiac transplant recipients. Mayo Clin Proc. 2016;91(2):149–156. doi: 10.1016/j.mayocp.2015.12.002
17. Nytroen K, Rustad LA, Erikstad I, et al. Effect of high-intensity interval training on progression of cardiac allograft vasculopathy. J Heart Lung Transplant. 2013;32(11):1073–1080. doi: 10.1016/j.healun.2013.06.023
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Авторы
Н.В. Федорова*, Ю.А. Аргунова, Е.Н. Прилуцкая, О.Л. Барбараш
Научно-исследовательский институт комплексных проблем сердечно-сосудистых заболеваний, Кемерово, Россия
*BNatalia88@mail.ru
Research Institute for Complex Problems of Cardiovascular Diseases, Kemerovo, Russia
*BNatalia88@mail.ru
Научно-исследовательский институт комплексных проблем сердечно-сосудистых заболеваний, Кемерово, Россия
*BNatalia88@mail.ru
________________________________________________
Research Institute for Complex Problems of Cardiovascular Diseases, Kemerovo, Russia
*BNatalia88@mail.ru
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