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Exercise performance in patients with end-stage heart failure after implantation of a left ventricular assist device and after heart transplantation

An outlook for permanent assisting?

Nicolaas de Jonge, MD^a, Hans Kirkels, MD, PhD^a, Jaap R. Lahpor, MD, PhD, Corinne Klöpping, MD^a, Erik J. Hulzebos, MSc, Aart Brutel de la Rivière, MD, PhD and Etienne O. Robles de Medina, MD, PhD, FACC^a

^a Heart Failure and Heart Transplantation Unit, University Medical Center Utrecht, Utrecht, The Netherlands
Department of Cardiothoracic Surgery, University Medical Center Utrecht, Utrecht, The Netherlands
Department of Physical Therapy, Heart Lung Center Utrecht, University Medical Center Utrecht, Utrecht, The Netherlands

View larger version (20K): [in a new window]   Figure 1 Flow diagram of patients with a left ventricular assist device (LVAD) and exercise tests. HTx = heart transplantation.

View larger version (25K): [in a new window]   Figure 2 Peak O2 (ml/kg per min) in nine patients 12 weeks after LVAD implantation and then at 12 weeks and one year after HTx (p = NS by repeated measures analysis of variance). HTx = heart transplantation; LVAD = left ventricular assist device; O2 = oxygen consumption.