| Peripheral adaptation mechanisms in physical training and cardiac rehabilitation: the case of a patient supported by a cardiowest total artificial heart. | |
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MedLine Citation:
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PMID: 21807329 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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BACKGROUND: The benefits of exercise training in patients with chronic heart failure (CHF) are due to a combination of cardiac and peripheral adaptations. Separating these 2 components is normally impossible, except for patients implanted with total artificial heart (TAH), where cardiac adaptation cannot occur. METHODS AND RESULTS: We report the case of a patient implanted with a CardioWest-TAH who underwent a comprehensive strength and endurance training program and was evaluated by repeated peak cardiopulmonary exercise tests. The patient experienced a 24% increase of peak oxygen consumption and an improvement in recovery kinetics during the training period of 29 months. CONCLUSION: This unique situation of a patient with a TAH, and therefore a fixed peak cardiac output, allows us to isolate training-induced changes in the periphery, that suggest greater oxygen extraction and more efficient metabolic gas kinetics during the exercise and recovery phases. |
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Authors:
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Fabio Bellotto; Leonida Compostella; Piergiuseppe Agostoni; Gianluca Torregrossa; Tiziana Setzu; Antonio Gambino; Nicola Russo; Giuseppe Feltrin; Vincenzo Tarzia; Gino Gerosa |
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Publication Detail:
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Type: Journal Article Date: 2011-05-28 |
Journal Detail:
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Title: Journal of cardiac failure Volume: 17 ISSN: 1532-8414 ISO Abbreviation: J. Card. Fail. Publication Date: 2011 Aug |
Date Detail:
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Created Date: 2011-08-02 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9442138 Medline TA: J Card Fail Country: United States |
Other Details:
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Languages: eng Pagination: 670-5 Citation Subset: IM |
Copyright Information:
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Copyright © 2011 Elsevier Inc. All rights reserved. |
Affiliation:
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Department of Cardiac, Thoracic and Vascular Sciences, University of Padua, Padua, Italy; Preventive Cardiology and Rehabilitation, Codivilla-Putti Institute, Cortina d'Ampezzo (BL), Italy. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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