Document Detail


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

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