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Effects of Intense Physical Exercise In Rehabilitation of Patients Submitted to Heart Transplant

Gustavo D Ferreira*

Federal University of Pampa, Brazil

Submission: April 20, 2018; Published: May 30, 2018

*Corresponding author: Gustavo D Ferreira, St. Andrade Neves, Federal University of Pampa, 3631 Postal Code 96020-080, Pelotas, Brazil, Email: gusdiasferreira@gmail.com

How to cite this article: Gustavo D Ferreira, Effects of Intense Physical Exercise In Rehabilitation of Patients Submitted to Heart Transplant. JOJ scin. 2018; 1(2): 555560. DOI: 10.19080/JOJS.2018.01.555560

Introduction

Cardiovascular diseasesaccount for 17.3 milliondeaths per year and it is estimated that by 2030 this number will reach 23.6 million [1]. Despite the constant therapeutic advances of the last decades, heart failures still a reserve dprognosis, and heart transplantation is a widely accepted surgical alternative in cases where drug therapy is not sufficient to maintain the quality of life of patients with the form most severe disease [2]. Post-transplant cardiacre habilitation with physical exercise has proven benefits for thepatienttoreturntodailyactivities, improving fitness, and reduce some complications such as obesity, hypertension and depressio[3,4].

This comment describe the effects of intense physical exercise on rehabilitation of patients undergoing heart transplantation. Descriptorssuch as “exercise, heart transplantation, rehabilitation” were used to search in MEDLINE (via PubMed), PEDro and periodicals CAPES. Individually supervised and prescribed exercise can start at any time. Both in the programs introduced in the hospital stay 5, and in those introduced after 6 months 6, 1 year7, 2 years 8, 4 years9, 10 years 11the efficacyof intense exercise training results in an improvement in there habilitation of transplant patients.

Most studies compare the use of exercise programs in there habilitation of transplant patients with there patients who did not use exercis eprograms. The most frequently used parameter was the evaluation of peak oxygen consumption (VO2). However, other parameters such as chronotropic response, blood pressure, musclemass are alsoused to evaluate patientre habilitation.

The studies use a stationary bicycle and treadmill for aerobic training programs[5-9]. Supervised train in programs are significantly more effective when compared to the unsupervised exercise control group 7. The peak VO2 of transplanted patients who participated in intense exercise training programs shows a significant increase in most of the studies analyzed [5-8,10-12]. In addition, high-intensity exercises showed abeneficial chronotropic effect [7], not yet understood, but which may be due to anincrease in auto nomicnervous control.

A significant reduction in blood pressure is observed in the group safter high intensity exercises[5,6]. There is also a significant increase in strength and musclemass, with a consequent improvement in the quality of life and in the execution of routine tasks [6-8,10,13-16]. Cardiacre habilitation programs based on intense exerciseare beneficial to patients undergoing heart transplant as improve the quality of life, help there turn to daily activities and avoid common clinical complications in the postoperative period.