Prevention and rehabilitation after heart transplantation: A clinical consensus statement of the European Association of Preventive Cardiology, Heart Failure Association of the ESC, and the European Cardio Thoracic Transplant Association, a section of ESOT

Maria Simonenko, Dominique Hansen, Josef Niebauer, Maurizio Volterrani, Stamatis Adamopoulos, Cristiano Amarelli, Marco Ambrosetti, Stefan D Anker, Antonio Bayes-Genis, Tuvia Ben Gal, T Scott Bowen, Francesco Cacciatore, Giuseppe Caminiti, Elena Cavarretta, Ovidiu Chioncel, Andrew J S Coats, Alain Cohen-Solal, Flavio D'Ascenzi, Carmen de Pablo Zarzosa, Andreas B GevaertFinn Gustafsson, Hareld Kemps, Loreena Hill, Tiny Jaarsma, Ewa Jankowska, Emer Joyce, Nicolle Krankel, Mitja Lainscak, Lars H Lund, Brenda Moura, Kari Nytrøen, Elena Osto, Massimo Piepoli, Luciano Potena, Amina Rakisheva, Giuseppe Rosano, Gianluigi Savarese, Petar M Seferovic, David R Thompson, Thomas Thum, Emeline M Van Craenenbroeck

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Abstract

Little is known either about either physical activity patterns, or other lifestyle-related prevention measures in heart transplantation (HTx) recipients. The history of HTx started more than 50 years ago but there are still no guidelines or position papers highlighting the features of prevention and rehabilitation after HTx. The aims of this scientific statement are (i) to explain the importance of prevention and rehabilitation after HTx, and (ii) to promote the factors (modifiable/non-modifiable) that should be addressed after HTx to improve patients' physical capacity, quality of life and survival. All HTx team members have their role to play in the care of these patients and multidisciplinary prevention and rehabilitation programmes designed for transplant recipients. HTx recipients are clearly not healthy disease-free subjects yet they also significantly differ from heart failure patients or those who are supported with mechanical circulatory support. Therefore, prevention and rehabilitation after HTx both need to be specifically tailored to this patient population and be multidisciplinary in nature. Prevention and rehabilitation programmes should be initiated early after HTx and continued during the entire post-transplant journey. This clinical consensus.

Original languageEnglish
Pages (from-to)1385-1399
Number of pages15
JournalEuropean Journal of Preventive Cardiology
Volume31
Issue number11
Early online date19 Jun 2024
DOIs
Publication statusPublished - 22 Aug 2024

Bibliographical note

© The Authors 2024. Published by John Wiley & Sons Limited and Oxford University Press on behalf of the European Society of Cardiology, and Frontiers Media SA on behalf of the European Society for Organ Transplantation.

Keywords

  • Heart Transplantation/adverse effects
  • Humans
  • Consensus
  • Heart Failure/rehabilitation
  • Cardiac Rehabilitation
  • Quality of Life
  • Risk Factors
  • Treatment Outcome
  • Risk Reduction Behavior

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