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ORIGINAL ARTICLE
Year : 2019  |  Volume : 6  |  Issue : 1  |  Page : 24-29

The effect of rehabilitation training and total checkup as a noninvasive method on hemodynamic parameters in patients who candidate for heart transplantation


1 Cardiothoracic Surgeon, Cardiovascular Research Center Surgical and Exercise Rehabilitation Clinic, Tehran, Iran
2 Department of Physical Education, Pardis Branch, Islamic Azad University, Pardis, Iran
3 Cardiovascular Research Center Surgical and Exercise Rehabilitation Clinic, Tehran, Iran
4 Department of Physical Education, Mahallat Branch, Islamic Azad University, Mahallat, Iran

Correspondence Address:
Dr. Mohammad Javad Maleki
Sport Medicine Center of Doctor Maleki, Second Stratum, Third Unit, No. 7, Edge of Padidar, Jahan Kodak St, Higher than Jahan Kodak Intersection, Africa Highway, Tehran
Iran
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/iahs.iahs_56_18

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Aims: Heart transplantation is a valuable technique but the side effects of this surgery should be considered. The purpose of this study was to investigate the effect of rehabilitation training in patients who candidate for heart transplantation. Materials and Methods: This study was done by semi-experimental clinical trial method. Participants were selected from people who refer to the clinic (2010–2018). The information of the patients who candidate for heart transplantation (4 women, 14 men) were obtained (age: 60 ± 13, body mass index: 26.7 ± 3.7). Hemodynamic parameters were measured before and after the treatments. Training setting was at least 3 months and based on the exercise test of patients. Pharmacological and nutritional control and lifestyle education were also carried out. Results: The hemodynamic parameters were improved significantly (P ≤ 0.05). In some cases improvement in Pro Brain natriuretic peptide and homocysteine were observed. Conclusion: Along with other surgical techniques, it was possible to change the lifestyle as much as possible and encourage patients to noninvasive treatment. Patients should follow strict discipline, nutritional and drug policies. Patients should continue this lifestyle and positive thinking regularly. Probably the most important reason for patients undergoing heart transplant is sarcomeropathy. For this reason, regular exercise with effects on genetic signaling pathways can improve this condition if diagnosed early. Despite all the medical controls, it is likely that the most important point that improves patient's reliance is the patient's trust in the treatment method and the existence of a human relationship between the patients and the physician.


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