Prevention and rehabilitation after heart transplantation: A clinical consensus statement of the European Association of Preventive Cardiology, Heart Failure Association of the ESC, and the European Cardio Thoracic Transplant Association, a section o
Little is known either about either physical activity patterns, or other lifestyle-related prevention measures in heart transplantation (HTx) recipients. The history of HTx started more than 50 years ago but there are still no guidelines or position papers highlighting the features of prevention and rehabilitation after HTx. The aims of this scientific statement are (i) to explain the importance of prevention and rehabilitation after HTx, and (ii) to promote the factors (modifiable/non-modifiable) that should be addressed after HTx to improve patients' physical capacity, quality of life and survival. All HTx team members have their role to play in the care of these patients and multidisciplinary prevention and rehabilitation programmes designed for transplant recipients. HTx recipients are clearly not healthy disease-free subjects yet they also significantly differ from heart failure patients or those who are supported with mechanical circulatory support. Therefore, prevention and rehabilitation after HTx both need to be specifically tailored to this patient population and be multidisciplinary in nature. Prevention and rehabilitation programmes should be initiated early after HTx and continued during the entire post-transplant journey. This clinical consensus statement focuses on the importance and the characteristics of prevention and rehabilitation designed for HTx recipients.
Authors
- Flavio D’Ascenzi (ORCID: https://orcid.org/0000-0002-0947-6836)
- Stefan D. Anker (ORCID: https://orcid.org/0000-0002-0805-8683)
- Carmen de Pablo Zarzosa
- Kari Nytrøen (ORCID: https://orcid.org/0000-0002-4827-4700)
- Finn Gustafsson (ORCID: https://orcid.org/0000-0003-2144-341X)
- Elena Cavarretta (ORCID: https://orcid.org/0000-0003-0221-6000)
- T. Scott Bowen (ORCID: https://orcid.org/0000-0002-1740-2474)
- Hareld Kemps (ORCID: https://orcid.org/0000-0003-0272-4355)
- Gianluigi Savarese (ORCID: https://orcid.org/0000-0001-7732-0887)
- Antoni Bayés‐Genís (ORCID: https://orcid.org/0000-0002-3044-197X)
- Amina Rakisheva (ORCID: https://orcid.org/0000-0001-9842-962X)
- Stamatis Adamopoulos
- Thomas Thum (ORCID: https://orcid.org/0000-0003-4360-1511)
- Loreena Hill (ORCID: https://orcid.org/0000-0001-5232-0936)
- Emeline M. Van Craenenbroeck (ORCID: https://orcid.org/0000-0001-7686-2668)
- Luciano Potena (ORCID: https://orcid.org/0000-0001-7388-5012)
- David R. Thompson (ORCID: https://orcid.org/0000-0001-8518-6307)
- Maurizio Volterrani (ORCID: https://orcid.org/0000-0002-2624-9213)
- Dominique Hansen (ORCID: https://orcid.org/0000-0003-3074-2737)
- Elena Osto (ORCID: https://orcid.org/0000-0001-8196-5696)
- Tiny Jaarsma (ORCID: https://orcid.org/0000-0002-4197-4026)
- Marco Ambrosetti (ORCID: https://orcid.org/0000-0002-9878-4565)
- Andrew J.S. Coats (ORCID: https://orcid.org/0000-0002-2771-4260)
- Andreas B. Gevaert (ORCID: https://orcid.org/0000-0002-1338-4133)
- Emer Joyce (ORCID: https://orcid.org/0000-0002-1241-0870)
- Mitja Lainščak (ORCID: https://orcid.org/0000-0002-5922-4098)
- Ovidiu Chioncel (ORCID: https://orcid.org/0000-0002-3197-3628)
- Maria Simonenko (ORCID: https://orcid.org/0000-0003-3228-1188)
- Giuseppe Caminiti (ORCID: https://orcid.org/0000-0001-7820-567X)
- Josef Niebauer (ORCID: https://orcid.org/0000-0002-2811-9041)
- Lars H. Lund (ORCID: https://orcid.org/0000-0003-1411-4482)
- Giuseppe Rosano (ORCID: https://orcid.org/0000-0002-6868-4248)
- Ewa A. Jankowska (ORCID: https://orcid.org/0000-0002-9202-432X)
- Brenda Moura (ORCID: https://orcid.org/0000-0001-6158-7368)
- Petar Seferović (ORCID: https://orcid.org/0000-0002-1955-4199)
- Alain Cohen‐Solal (ORCID: https://orcid.org/0000-0003-1055-2231)
- Cristiano Amarelli (ORCID: https://orcid.org/0000-0002-7949-7771)
- Massimo Piepoli (ORCID: https://orcid.org/0000-0003-1124-234X)
- Francesco Cacciatore (ORCID: https://orcid.org/0000-0003-4720-1427)
- Tuvia Ben Gal
- Nicolle Kränkel
Institutions
- University College Dublin (IE)
- University of Siena (IT)
- Linköping University (SE)
- University of Copenhagen (DK)
- Queen's University Belfast (GB)
- Oslo University Hospital (NO)
- University of Leeds (GB)
- Karolinska University Hospital (SE)
- Radboud University Nijmegen (NL)
- University of Antwerp (BE)
- Vita-Salute San Raffaele University (IT)
- Carol Davila University of Medicine and Pharmacy (RO)
- Medical University of Graz (AT)
- University of Zurich (CH)
- Instituto Cajal (ES)
- Paracelsus Medical University (AT)
- The Heart Research Institute (AU)
- Rigshospitalet (DK)
- Mater Misericordiae University Hospital (IE)
- Karolinska Institutet (SE)
- University Medical Center Utrecht (NL)
- Wroclaw Medical University (PL)
- University of Belgrade (RS)
- Institutul de Urgenţă pentru Boli Cardiovasculare "Prof.Dr. C.C. Iliescu" (RO)
- Pomurski muzej Murska Sobota (SI)
- Jessa Hospital (BE)
- Antwerp University Hospital (BE)
- CUF Porto Hospital (PT)
- Onassis Cardiac Surgery Center (GR)
- Kazakh Institute of Oncology and Radiology (KZ)
- Clinica Mediterranea (IT)
- Máxima Medisch Centrum (NL)
- Berlin-Brandenburger Centrum für Regenerative Therapien (DE)
- German Centre for Cardiovascular Research (DE)
- IRCCS Ospedale San Raffaele (IT)
- Berlin Institute of Health at Charité - Universitätsmedizin Berlin (DE)
- Ospedale Monaldi (IT)
- Hospital Universitari Germans Trias i Pujol (ES)
- University of Naples Federico II (IT)
- Eindhoven University of Technology (NL)
- Sapienza University of Rome (IT)
- University of Bologna (IT)
Publication Details
- Journal
- PubMed
- Published
- 2024-09-01
- DOI
- https://doi.org/10.1002/ejhf.3185
- Citations
- 2
- Primary Topic
- Transplantation: Methods and Outcomes
- Type
- article