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      Psychosocial and Physical Rehabilitation after Heart Transplantation: 1-Year Follow-Up

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          Abstract

          Experience on the rehabilitation of 62 heart-transplanted patients with a mean follow-up period of 15 months and a total survival rate of 79% is reported. From the present study we may conclude that: (a) One month after surgery, oxygen consumption of transplanted patients compared to coronary artery bypass-grafted patients was statistically lower (p < 0.025). An excess ventilation was observed in transplanted patients in relation mainly to an excessive increase in blood lactates. (b) Improvement of maximal working capacity observed immediately after grafting was still enhanced after 1 year of a comprehensive rehabilitation program (p < 0.001). This improvement was more related with an improvement of the respiratory function and of the peripheral factors than with a circulatory effect, (c) Four months after transplantation 71 % of the patients still at work 6 months before operation returned to work, (d) The quality of life, well-being and heart acceptation demonstrated an immediate increase in physical items after transplantation while psychosocial items decreased postoperatively and normalized after weeks or months.

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          Author and article information

          Journal
          CRD
          Cardiology
          10.1159/issn.0008-6312
          Cardiology
          S. Karger AG
          0008-6312
          1421-9751
          1988
          1988
          11 November 2008
          : 75
          : 4
          : 311-317
          Affiliations
          Centre de Réadaptation Cardiaque et Service de Cardiologie (Pr. S. Degré), Cliniques Universitaires de Bruxelles, Hôpital Erasme, Université Libre de Bruxelles, Bruxelles, Belgique
          Article
          174391 Cardiology 1988;75:311–317
          10.1159/000174391
          3048669
          © 1988 S. Karger AG, Basel

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          Page count
          Pages: 7
          Categories
          Exercise Testing and Rehabilitation

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