Experiences With Aggressive Cardiac Rehabilitation in Pediatric Patients Receiving Mechanical Circulatory Supports

被引:9
作者
Amao, Rie [1 ]
Imamura, Teruhiko [2 ]
Sawada, Yusuke [1 ]
Endo, Sachiko [1 ]
Ozaki, Shinichi [3 ]
Okamura, Kenichi [3 ]
Masuzawa, Akihiro [3 ]
Takaoka, Tetsuhiro [3 ]
Hirata, Yasutaka [3 ]
Shindo, Takahiro [4 ]
Ono, Minoru [3 ]
Haga, Nobuhiko [1 ]
机构
[1] Univ Tokyo, Grad Sch Med, Dept Rehabil, Tokyo, Japan
[2] Univ Tokyo, Grad Sch Med, Dept Cardiovasc Med, Tokyo, Japan
[3] Univ Tokyo, Grad Sch Med, Dept Cardiac Surg, Tokyo, Japan
[4] Univ Tokyo, Grad Sch Med, Dept Pediat, Tokyo, Japan
关键词
Heart failure; Ventricular assist device; Extracorporeal membrane oxygenation; EXTRACORPOREAL MEMBRANE-OXYGENATION; ACTIVE REHABILITATION; FAILURE; MOBILIZATION; HEART;
D O I
10.1536/ihj.16-067
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Although some patients with fulininant myocarditis can be rescued owing to the improvements in mechanical circulatory support therapy, there are few reports providing evidence of cardiac rehabilitation during mechanical circulatory supports, particularly among pediatric patients. We treated two pediatric patients who underwent aggressive cardiac rehabilitation during mechanical support. Five days after the initiation of extracorporeal membrane oxygenation therapy aggressive cardiac rehabilitation was started in a 10-year-old girl with fulminant myocarditis. After explantation of the device, she was discharged on postoperative day 23. A 6-year-old girl with fulminant myocarditis started receiving cardiac rehabilitation two days after the initiation of an extracorporeal left ventricular assist device, despite having hemiplegia due to a recent broad stroke. She achieved an exercise capacity of supported walking for 280 meters after 127 days of cardiac rehabilitation and then went abroad to undergo heart transplantation when she was in the best physical condition possible. Early initiation of cardiac rehabilitation may be safe and effective for successful pediatric mechanical circulatory support therapy; this acts as a bridge to explantation or heart transplantation.
引用
收藏
页码:769 / 772
页数:4
相关论文
共 17 条
[1]   Early mobilization of patients receiving extracorporeal membrane oxygenation: a retrospective cohort study [J].
Abrams, Darryl ;
Javidfar, Jeffrey ;
Farrand, Erica ;
Mongero, Linda B. ;
Agerstrand, Cara L. ;
Ryan, Patrick ;
Zemmel, David ;
Galuskin, Keri ;
Morrone, Theresa M. ;
Boerem, Paul ;
Bacchetta, Matthew ;
Brodie, Daniel .
CRITICAL CARE, 2014, 18 (01)
[2]   Outcomes of Acute Inpatient Rehabilitation of Patients With Left Ventricular Assist Devices [J].
Chu, Samuel K. ;
McCormick, Zachary ;
Hwang, Sarah ;
Sliwa, James A. ;
Rydberg, Leslie .
PM&R, 2014, 6 (11) :1008-1012
[3]   Active rehabilitation with venovenous extracorporeal membrane oxygenation as a bridge to lung transplantation in a pediatric patient [J].
Hayes, Don, Jr. ;
McConnell, Patrick I. ;
Preston, Thomas J. ;
Yates, Andrew R. ;
Kirkby, Stephen ;
Galantowicz, Mark .
WORLD JOURNAL OF PEDIATRICS, 2013, 9 (04) :373-374
[4]   An inpatient rehabilitation program utilizing standardized care pathways after paracorporeal ventricular assist device placement in children [J].
Hollander, Seth A. ;
Hollander, Amanda J. ;
Rizzuto, Sandra ;
Reinhartz, Olaf ;
Maeda, Katsuhide ;
Rosenthal, David N. .
JOURNAL OF HEART AND LUNG TRANSPLANTATION, 2014, 33 (06) :587-592
[5]   Novel Risk Scoring System With Preoperative Objective Parameters Gives a Good Prediction of 1-Year Mortality in Patients With a Left Ventricular Assist Device [J].
Imamura, Teruhiko ;
Kinugawa, Koichiro ;
Shiga, Taro ;
Endo, Miyoko ;
Kato, Naoko ;
Inaba, Toshiro ;
Maki, Hisataka ;
Hatano, Masaru ;
Yao, Atsushi ;
Nishimura, Takashi ;
Hirata, Yasunobu ;
Kyo, Shunei ;
Ono, Minoru ;
Nagai, Ryozo .
CIRCULATION JOURNAL, 2012, 76 (08) :1895-1903
[6]   Seventh INTERMACS annual report: 15,000 patients and counting [J].
Kirklin, James K. ;
Naftel, David C. ;
Pagani, Francis D. ;
Kormos, Robert L. ;
Stevenson, Lynne W. ;
Blume, Elizabeth D. ;
Myers, Susan L. ;
Miller, Marissa A. ;
Baldwin, J. Timothy ;
Young, James B. .
JOURNAL OF HEART AND LUNG TRANSPLANTATION, 2015, 34 (12) :1495-1504
[7]   Feasibility and Safety of Early Physical Therapy and Active Mobilization for Patients on Extracorporeal Membrane Oxygenation [J].
Ko, YoungJun ;
Cho, Yang Hyun ;
Park, Yun Hee ;
Lee, Hyun ;
Suh, Gee Young ;
Yang, Jeong Hoon ;
Park, Chi-Min ;
Jeon, Kyeongman ;
Chung, Chi Ryang .
ASAIO JOURNAL, 2015, 61 (05) :564-568
[8]   CURRENT STATUS OF PROLONGED EXTRACORPOREAL MEMBRANE OXYGENATION FOR ACUTE RESPIRATORY FAILURE [J].
LEFRAK, EA ;
STEVENS, PM ;
NOON, GP ;
DEBAKEY, ME .
CHEST, 1973, 63 (05) :773-782
[9]   Cannulation strategies for percutaneous extracorporeal membrane oxygenation in adults [J].
Napp, L. Christian ;
Kuehn, Christian ;
Hoeper, Marius M. ;
Vogel-Claussen, Jens ;
Haverich, Axel ;
Schaefer, Andreas ;
Bauersachs, Johann .
CLINICAL RESEARCH IN CARDIOLOGY, 2016, 105 (04) :283-296
[10]   Venoarterial extracorporeal membrane oxygenation support for neonatal and pediatric refractory septic shock [J].
Rambaud, Jerome ;
Guellec, Isabelle ;
Leger, Pierre-Louis ;
Renolleau, Sylvain ;
Guilbert, Julia .
INDIAN JOURNAL OF CRITICAL CARE MEDICINE, 2015, 19 (10) :600-605