| First experiences with outpatient care of patients with implanted axial flow pumps. | |
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MedLine Citation:
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PMID: 11403660 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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 end-stage heart disease. After recovery, regular ergometer training was performed with loads adapted 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. |
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Authors:
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G M Wieselthaler; H Schima; M Dworschak; M Quittan; M Nuhr; M Czerny; G Seebacher; L Huber; M Grimm; E Wolner |
Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Artificial organs Volume: 25 ISSN: 0160-564X ISO Abbreviation: Artif Organs Publication Date: 2001 May |
Date Detail:
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Created Date: 2001-06-13 Completed Date: 2001-07-26 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 7802778 Medline TA: Artif Organs Country: United States |
Other Details:
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Languages: eng Pagination: 331-5 Citation Subset: IM |
Affiliation:
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Department of Cardiothoracic Surgery and LBI for Cardiosurgical Research, University of Vienna, Vienna, Austria. georg.wieselthaler@akh-wien.ac.at |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Ambulatory Care* Blood Pressure Exercise Therapy Exercise Tolerance Heart Transplantation Heart-Assist Devices* / adverse effects Humans Male Middle Aged |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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