{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,23]],"date-time":"2026-04-23T20:39:56Z","timestamp":1776976796843,"version":"3.51.4"},"reference-count":5,"publisher":"Texas Heart Institute Journal","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2018,2]]},"abstract":"<jats:p>Nonischemic dilated cardiomyopathy is deadly and costly, and treatment options are limited. Cardiac rehabilitation has proved safe and beneficial for adults with various types of heart failure. Therefore, we retrospectively evaluated the hypothesis that rehabilitation is safe and improves cardiometabolic health in young patients with nonischemic dilated cardiomypathy.<\/jats:p>\n        <jats:p>From 2011 through 2015, 8 patients (4 males) (mean age, 20.6 \u00b1 6.6 yr; range, 10\u201331 yr) underwent rehabilitation at our institution. They were in American Heart Association class C or D heart failure and were on maximal medical therapy. Their mean left ventricular ejection fraction at baseline was 0.26 \u00b1 0.15. Two patients had a left ventricular assist device, and 2 were inpatients. To evaluate safety, we documented adverse events during rehabilitation sessions. Clinical endpoints were measured at baseline, immediately after completing rehabilitation, and after one year.<\/jats:p>\n        <jats:p>Patients attended 120 of 141 possible sessions (85%), with no adverse events. There were no marked changes in mean left ventricular ejection fraction or body mass index. The patients' mean waist circumference decreased by 1.37 \u00b1 0.6 in (n=5; 95% CI, \u22122.1 to \u22120.63). Their 6-minute walk distance increased by a mean of 111 \u00b1 75 m (n=5; 95% CI, 18\u2013205).<\/jats:p>\n        <jats:p>In our small sample of young patients with nonischemic dilated cardiomyopathy, cardiac rehabilitation was feasible and was associated with minimal risk. Our findings suggest that prospective studies in this population are warranted.<\/jats:p>","DOI":"10.14503\/thij-17-6249","type":"journal-article","created":{"date-parts":[[2018,2,28]],"date-time":"2018-02-28T20:24:50Z","timestamp":1519849490000},"page":"27-30","source":"Crossref","is-referenced-by-count":18,"title":["Cardiac Rehabilitation Improves Cardiometabolic Health in Young Patients with Nonischemic Dilated Cardiomyopathy"],"prefix":"10.14503","volume":"45","author":[{"given":"Samuel G.","family":"Wittekind","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yvette","family":"Gerdes","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wayne","family":"Mays","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Clifford","family":"Chin","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John L.","family":"Jefferies","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"5628","reference":[{"issue":"9716","key":"i1526-6702-45-1-27-b1","series-title":"Lancet","first-page":"752","article-title":"Dilated cardiomyopathy","volume":"375","year":"2010","unstructured":"Jefferies\n              JL\n            , TowbinJA.\n          Dilated cardiomyopathy. Lancet2010;375( 9716):752\u201362."},{"issue":"3","key":"i1526-6702-45-1-27-b2","series-title":"Eur J Heart Fail","first-page":"247","article-title":"Prognostic value of 6-minute walk corridor test in patients with mild to moderate heart failure: comparison with other methods of functional evaluation","volume":"5","year":"2003","unstructured":"Rostagno\n              C\n            , OlivoG, ComeglioM, BoddiV, BanchelliM, GalantiG, GensiniGF.\n          Prognostic value of 6-minute walk corridor test in patients with mild to moderate heart failure: comparison with other methods of functional evaluation. Eur J Heart Fail2003;5(3):247\u201352."},{"issue":"3","key":"i1526-6702-45-1-27-b3","series-title":"JACC Heart Fail","first-page":"234","article-title":"The \u201cobesity paradox\u201d is not a paradox: time to focus on effective treatments","volume":"4","year":"2016","unstructured":"Shrier\n              I.\n            \n          \n          The \u201cobesity paradox\u201d is not a paradox: time to focus on effective treatments. JACC Heart Fail2016;4( 3):234."},{"issue":"5","key":"i1526-6702-45-1-27-b4","series-title":"Cardiol Young","first-page":"885","article-title":"Health-related quality of life in children with heart failure as perceived by children and parents","volume":"26","year":"2016","unstructured":"Wilmot\n              I\n            , CephusCE, CassedyA, KudelI, MarinoBS, JefferiesJL.\n          Health-related quality of life in children with heart failure as perceived by children and parents. Cardiol Young2016;26( 5):885\u201393."},{"issue":"14","key":"i1526-6702-45-1-27-b5","series-title":"JAMA","first-page":"1439","article-title":"Efficacy and safety of exercise training in patients with chronic heart failure: HF-ACTION randomized controlled trial","volume":"301","year":"2009","unstructured":"O'Connor\n              CM\n            , WhellanDJ, LeeKL, KeteyianSJ, CooperLS, EllisSJ, \n          et al. Efficacy and safety of exercise training in patients with chronic heart failure: HF-ACTION randomized controlled trial. JAMA2009;301( 14):1439\u201350."}],"container-title":["Texas Heart Institute Journal"],"original-title":[],"link":[{"URL":"https:\/\/thij.kglmeridian.com\/view\/journals\/thij\/45\/1\/article-p27.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/meridian.allenpress.com\/thij\/article-pdf\/45\/1\/27\/1968611\/thij-17-6249.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/thij.kglmeridian.com\/downloadpdf\/journals\/thij\/45\/1\/article-p27.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/thij.kglmeridian.com\/downloadpdf\/journals\/thij\/45\/1\/article-p27.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,11,7]],"date-time":"2024-11-07T15:34:40Z","timestamp":1730993680000},"score":1,"resource":{"primary":{"URL":"https:\/\/thij.kglmeridian.com\/view\/journals\/thij\/45\/1\/article-p27.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,2]]},"references-count":5,"journal-issue":{"issue":"1"},"URL":"https:\/\/doi.org\/10.14503\/thij-17-6249","relation":{},"ISSN":["0730-2347","1526-6702"],"issn-type":[{"value":"0730-2347","type":"print"},{"value":"1526-6702","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,2]]}}}