{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,26]],"date-time":"2026-03-26T12:10:07Z","timestamp":1774527007919,"version":"3.50.1"},"reference-count":15,"publisher":"Oxford University Press (OUP)","issue":"3","license":[{"start":{"date-parts":[[2026,3,26]],"date-time":"2026-03-26T00:00:00Z","timestamp":1774483200000},"content-version":"vor","delay-in-days":25,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,3,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Left ventricular assist devices (LVADs) are a well-established therapy for advanced heart failure (HF) used either as a bridge-to-transplant or destination therapy. While cardiac rehabilitation programmes (CRPs) are guideline-recommended in other HF stages, specific data on their role in LVAD recipients remains limited. We present a case of tailored CRP in a LVAD-supported patient highlighting the importance of understanding the device\u2019s intrinsic limitations to ensure safe and effective exercise prescription.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case summary<\/jats:title>\n                    <jats:p>A 56-year-old man with cardiovascular risk factors presented with anterior ST-elevation myocardial infarction developing severe left ventricular dysfunction, INTERMACS III, and recurrent ventricular arrhythmias, leading to HeartMate 3 (HM3) LVAD implantation as a bridge-to-transplant. Persistent smoking led to discontinuation of prehabilitation and removal from the transplant waitlist. A destination therapy strategy was considered and referred to the CRP. Baseline and final assessments included a CPET-ESE, clinical-functional evaluation, and PROMs. The rehabilitation physician, as part of the multidisciplinary team, adapted the exercise prescription to manage neuropathic pain due to a suspected spinal cord injury. Doppler-MAP and HM3 LVAD parameters were monitored before and after each session. The patient completed a tailored 12-week CRP with high adherence and no major adverse events. Improvements were observed in submaximal CPET parameters: VO\u2082 at VT1, OUES and VE\/VCO\u2082 slope, right ventricle contractility, muscular efficiency, and QoL. Persistent smoking remained the main management challenge.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>Tailored CRP with careful haemodynamic monitoring is safe, feasible, and effective in patients with HM3 LVAD. A multidisciplinary approach is essential to optimize functional outcomes and long-term prognosis.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/ehjcr\/ytag092","type":"journal-article","created":{"date-parts":[[2026,3,26]],"date-time":"2026-03-26T11:08:20Z","timestamp":1774523300000},"source":"Crossref","is-referenced-by-count":0,"title":["A multicomponent cardiac rehabilitation programme as a safe, feasible, and beneficial approach, including patients with left ventricular assist devices: a case report"],"prefix":"10.1093","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-0636-7823","authenticated-orcid":false,"given":"Raquel","family":"Salinas-Gonzalez","sequence":"first","affiliation":[{"name":"Physical Medicine and Rehabilitation Department, Hospital Cl\u00ednic de Barcelona , C\/ Casanova 160 bis, Barcelona 08036 ,","place":["Spain"]},{"name":"Universitat de Barcelona, Doctoral Program in Medicine and Translational Research, C\/ Casanova 143, Barcelona 08036 ,","place":["Spain"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Margarita Calvo","family":"L\u00f3pez","sequence":"additional","affiliation":[{"name":"Cardiology Department, Cardiovascular Institute, Hospital Cl\u00ednic de Barcelona , C\/ Villarroel 170, Barcelona 08036 ,","place":["Spain"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carlos","family":"Bola\u00f1os","sequence":"additional","affiliation":[{"name":"Cardiology Department, Cardiac Rehabilitation Unit, Hospital San Juan de Dios, Paseo Col\u00f3n Avenue , San Jos\u00e9 ,","place":["Costa Rica"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mar\u00eda \u00c1ngeles Castel","family":"Lavilla","sequence":"additional","affiliation":[{"name":"Cardiology Department, Cardiovascular Institute, Hospital Cl\u00ednic de Barcelona , C\/ Villarroel 170, Barcelona 08036 ,","place":["Spain"]},{"name":"August Pi i Sunyer Biomedical Research Institute (IDIBAPS), Biopathology and Treatment of Cardiac Arrhythmias Research Group , C\/ Rossell\u00f3 149-153, Barcelona 08036 ,","place":["Spain"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mar\u00eda Sanz","family":"de la Garza","sequence":"additional","affiliation":[{"name":"Cardiology Department, Cardiovascular Institute, Hospital Cl\u00ednic de Barcelona , C\/ Villarroel 170, Barcelona 08036 ,","place":["Spain"]},{"name":"August Pi i Sunyer Biomedical Research Institute (IDIBAPS), Biopathology and Treatment of Cardiac Arrhythmias Research Group , C\/ Rossell\u00f3 149-153, Barcelona 08036 ,","place":["Spain"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2026,3,26]]},"reference":[{"key":"2026032607081316600_ytag092-B1","doi-asserted-by":"crossref","first-page":"2252","DOI":"10.1002\/ejhf.3032","article-title":"Supervised exercise training in patients with advanced heart failure and left ventricular assist device: a multicentre randomized controlled trial (ex-VAD trial)","volume":"25","author":"Feuerstein","year":"2023","journal-title":"Eur J Heart Fail"},{"key":"2026032607081316600_ytag092-B2","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1002\/ejhf.1352","article-title":"Exercise training in patients with ventricular assist devices: a review of the evidence and practical advice. 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