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DYNAMIC OF PHYSICAL CAPACITY AND QUALITY OF LIFE AFTER HEART TRANSPLANTATION
- Source :
- Vestnik Transplantologii i Iskusstvennyh Organov, Vol 20, Iss 1, Pp 32-38 (2018)
- Publication Year :
- 2018
- Publisher :
- V.I. Shimakov Federal Research Center of Transplantology and Artificial Organs, 2018.
-
Abstract
- Aim:to estimate physical capacity and quality of life (QoL) and defi ne factors which impact on their dynamic in recipients after heart transplantation (HTx).Materials and methods.From January 2010 to September 2016 we performed 76 HTx (mean age – 45,4 ± 1,6 yrs). Physical activity (PA) was evaluated by IPAQ questionnaire, QoL – by SF-36 (6 months and 1 yr after HTx). Patients underwent cardiopulmonary exercise test (Oxycon Pro, Germany) before, 6 months (n = 32) and 1 yr (n = 31) after HTx.Results.In 6 months after HTx PC improved (VO2peak – 12,6 ± 0,5 and 17,3 ± 0,6 ml/min/kg, p < 0,001). One yr after HTx physically active recipients (n = 21) showed better results (VO2peak – 18,7 ± 0,9 vs. 16,7 ± 0,4 ml/min/kg, p < 0,05). Moreover, 6 months 59,4% (n = 19) and 1 yr after HTx 77,4% (n = 24) of all patients reached normal values, 20 of them were physically active. We did not fi nd any difference in results depending on heart failure severity, duration of illness and of time spent in HT waiting list. In 6 months after HTx physical health (PH) increased (32,2 ± 1,1 vs. 48,2 ± 1,6, p < 0,001), on the other hand, results of mental health (MH) were the same and remained stable in 1 yr after HTx. In addition, QoL was higher in physically active patients than in sedentary lifestyle ones. There was correlations between PH and PA duration (r = 0,4; p < 0,05), VO2peak (r = 0,3; p < 0,05), VO2 at AT (r = 0,4; p < 0,05) and VE/VCO2 (r = –0,5; p < 0,05).Conclusion.After heart transplantation physical capacity and physical health improved but physically active recipients showed better results. Factors affecting the increase in physical capacity were improvement in the functional state of the cardiovascular system and physical activity.
- Subjects :
- medicine.medical_specialty
RD1-811
quality of life (qol)
medicine.medical_treatment
Physical activity
heart failure
physical activity
physical capacity
030204 cardiovascular system & hematology
heart transplantation
03 medical and health sciences
0302 clinical medicine
Quality of life
Internal medicine
Cardiopulmonary exercise test
Immunology and Allergy
Medicine
Sedentary lifestyle
Heart transplantation
Transplantation
business.industry
Physical health
Mean age
cardiopulmonary exercise test (cpet)
medicine.disease
Heart failure
Cardiology
Surgery
business
030217 neurology & neurosurgery
Subjects
Details
- ISSN :
- 24126160 and 19951191
- Volume :
- 20
- Database :
- OpenAIRE
- Journal :
- Russian Journal of Transplantology and Artificial Organs
- Accession number :
- edsair.doi.dedup.....0842d0ffc7d67dcbce8d71bfff2e5f5f
- Full Text :
- https://doi.org/10.15825/1995-1191-2018-1-32-38