{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T18:16:10Z","timestamp":1788459370708,"version":"build-2803163510"},"reference-count":54,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2017,6,16]],"date-time":"2017-06-16T00:00:00Z","timestamp":1497571200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Artificial Organs"],"published-print":{"date-parts":[[2018,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:label\/><jats:p>Adequate physical and functional performance is an important prerequisite for renewed participation and integration in self\u2010determined private and (where appropriate) professional lives following left ventricular assist device (LVAD) implantation. During cardiac rehabilitation (CR), individually adapted exercise programs aim to increase exercise capacity and functional performance. A retrospective analysis of cardiopulmonary exercise capacity and functional performance in LVAD patients at discharge from a cardiac rehabilitation program was conducted. The results from 68 LVAD patients (59 males, 9 females; 55.9\u2009\u00b1\u200911.7 years; 47 HVAD, 2 MVAD, 15 HeartMate II, 4 HeartMate 3, and 4 different implanting centers) were included in the analysis. Exercise capacity was assessed using a cardiopulmonary exercise test on a bicycle ergometer (ramp protocol; 10 W\/min). The 6\u2010min walk test was used to determine functional performance. At discharge from CR (53\u2009\u00b1\u200917 days after implantation), the mean peak work load achieved was 62.2\u2009\u00b1\u200919.3 W (38% of predicted values) or 0.79\u2009\u00b1\u20090.25 W\/kg body weight. The mean cardiopulmonary exercise capacity (relative peak oxygen uptake) was 10.6\u2009\u00b1\u20095.3 mL\/kg\/min (37% of predicted values). The 6\u2010min walk distance improved significantly during CR (325\u2009\u00b1\u2009106 to 405\u2009\u00b1\u200977 m; <jats:italic>P<\/jats:italic>\u2009&lt;\u20090.01). No adverse events were documented during CR. The results show that, even following LVAD implantation, cardiopulmonary exercise capacity remains considerably restricted. In contrast, functional performance, measured by the 6\u2010min walk distance, reaches an acceptable level. Light everyday tasks seem to be realistically surmountable for patients, making discharge from inpatient rehabilitation possible. Long\u2010term monitoring is required in order to evaluate the situation and how it develops further.<\/jats:p><\/jats:sec>","DOI":"10.1111\/aor.12936","type":"journal-article","created":{"date-parts":[[2017,6,16]],"date-time":"2017-06-16T13:32:36Z","timestamp":1497619956000},"page":"22-30","source":"Crossref","is-referenced-by-count":34,"title":["Exercise Capacity and Functional Performance in Heart Failure Patients Supported by a Left Ventricular Assist Device at Discharge From Inpatient Rehabilitation"],"prefix":"10.1111","volume":"42","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4977-8414","authenticated-orcid":false,"given":"Thomas","family":"Schmidt","sequence":"first","affiliation":[{"name":"Department for Cardiac Rehabilitation, Sch\u00fcchtermann\u2010Klinik Bad Rothenfelde, Bad Rothenfelde, Germany"},{"name":"Department of Preventive and Rehabilitative Sport and Exercise Medicine, Institute for Cardiology and Sports Medicine, German Sports University Cologne, Cologne, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Birna","family":"Bjarnason\u2010Wehrens","sequence":"additional","affiliation":[{"name":"Department of Preventive and Rehabilitative Sport and Exercise Medicine, Institute for Cardiology and Sports Medicine, German Sports University Cologne, Cologne, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Petra","family":"Bartsch","sequence":"additional","affiliation":[{"name":"Department for Cardiac Rehabilitation, Sch\u00fcchtermann\u2010Klinik Bad Rothenfelde, Bad Rothenfelde, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ezin","family":"Deniz","sequence":"additional","affiliation":[{"name":"Department for Cardiothoracic, Transplantation and Vascular Surgery, Hannover Medical School, Hannover, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jan","family":"Schmitto","sequence":"additional","affiliation":[{"name":"Department for Cardiothoracic, 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