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

Simonenko M. Hansen D. Niebauer J. Volterrani M. Adamopoulos S. Amarelli C. Ambrosetti M. Anker S.D. Bayes-Genis A. Gal T.B. Bowen T.S. Cacciatore F. Caminiti G. Cavarretta E. Chioncel O. Coats A.J.S. Cohen-Solal A. DAscenzi F. de Pablo Zarzosa C. Gevaert A.B. Gustafsson F. Kemps H. Hill L. Jaarsma T. Jankowska E. Joyce E. Krankel N. Lainscak M. Lund L.H. Moura B. Nytrøen K. Osto E. Piepoli M. Potena L. Rakisheva A. Rosano G. Savarese G. Seferovic P.M. Thompson D.R. Thum T. Van Craenenbroeck E.M.
September 2024 John Wiley and Sons Ltd

European Journal of Heart Failure
2024 #26 Issue 9 1876 - 1892 pp.

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 statement focuses on the importance and the characteristics of prevention and rehabilitation designed for HTx recipients.

Diabetes , Dyslipidaemia , Exercise training , Heart failure , Heart transplantation , Hypertension , Physical activity , Prevention , Primary prevention , Rehabilitation , Risk factors , Secondary prevention

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Cardiopulmonary Exercise Test Research Department, Heart Transplantation Outpatient Department, V.A. Almazov National Medical Research Centre, St. Petersburg, Russian Federation
REVAL and BIOMED Rehabilitation Research Center, Hasselt University, Hasselt, Belgium
Heart Centre Hasselt, Jessa Hospital, Hasselt, Belgium
University Institute of Sports Medicine, Prevention and Rehabilitation, Paracelsus Medical University, Salzburg, Austria
Cardio-Pulmonary Department, IRCCS San Raffaele Roma, Rome, Italy
Heart Failure and Heart Transplantation Unit, Onassis Cardiac Surgery Center, Athens, Greece
Department of Cardiac Surgery and Transplants, Monaldi Hospital, Azienda dei Colli, Naples, Italy
Cardiovascular Rehabilitation Unit, ASST Crema, Santa Marta Hospital, Rivolta dAdda (CR), Italy
Department of Cardiology (CVK), Berlin Institute of Health Center for Regenerative Therapies (BCRT), German Centre for Cardiovascular Research (DZHK) partner site Berlin, Charité Universitätsmedizin Berlin, Berlin, Germany
University Hospital Germans Trias and Pujol de Badalona, Badalona, Spain
Heart Failure Unit, Cardiology Department, Rabin Medical Center, Petah Tikva and Sackler, Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
School of Biomedical Sciences, Faculty of Biological Sciences, University of Leeds, Leeds, United Kingdom
Department of Translational Medicine, University of Naples ‘Federico II’, Naples, Italy
Department of Medical-Surgical Sciences and Biotechnologies, Sapienza University of Rome, Rome, Italy
Mediterranea Cardiocentro, Naples, Italy
Emergency Institute for Cardiovascular Diseases ‘Prof. C.C. Iliescu’, Bucharest, Romania
University of Medicine Carol Davila, Bucharest, Romania
Heart Research Institute, Sydney, NSW, Australia
Cardiology Department, University of Paris, INSERM UMRS-942, Hopital Lariboisiere, AP-HP, Paris, France
Division of Cardiology, Department of Medical Biotechnologies, University of Siena, Siena, Italy
Department of Cardiology, Ramón y Cajal University Hospital, Madrid, Spain
Research Group Cardiovascular Diseases, GENCOR, University of Antwerp, Antwerp, Belgium
Department of Cardiology, Antwerp University Hospital, Edegem, Belgium
Department of Cardiology, Rigshospitalet, University of Copenhagen, Copenhagen, Denmark
Department of Cardiology, Maxima Medical Centre, Eindhoven, Netherlands
Department of Industrial Design, Eindhoven University of Technology, Eindhoven, Netherlands
School of Nursing and Midwifery, Queens University Belfast, Belfast, United Kingdom
Department of Health, Medicine and Caring Science, Linköping University, Linköping, Sweden
Julius Center, University Medical Center Utrecht, Utrecht, Netherlands
Wroclaw Medical University, Wroclaw, Poland
Department of Cardiology, Mater University Hospital, Dublin, Ireland
School of Medicine, University College Dublin, Dublin, Ireland
Universitätsmedizin Berlin Campus Benjamin Franklin Klinik für Kardiologie Charite, Berlin, Germany
General Hospital Murska Sobota, Murska Sobota, Slovenia
Department of Medicine, Karolinska Institutet and Heart and Vascular Theme, Karolinska University Hospital, Stockholm, Sweden
Armed Forces Hospital, Porto, Portugal
Centre for Health Technologies and Services Research, Faculty of Medicine of University of Porto, Porto, Portugal
Department of Cardiology, Oslo University Hospital Rikshospitalet, Oslo, Norway
Division of Physiology and Pathophysiology, Otto Loewi Research Center for Vascular Biology, Immunology and Inflammation, Medical University of Graz, Graz, Austria
Vetsuisse Faculty, University of Zurich, Zurich, Switzerland
Dipartimento Scienze Biomediche per la Salute, Universita Degli Studi di Milan, Milan, Italy
Cardiologia Universitaria, IRCCS Policlinico San Donato, Milan, Italy
University Hospital of Bologna, Bologna, Italy
Department of Cardiology, Scientific Institution of Cardiology and Internal Diseases, Almaty, Kazakhstan
Department of Cardiology, Kapshagai City Hospital, Almaty, Kazakhstan
St. Georges Hospital NHS Trust University of London, London, United Kingdom
Division of Cardiology, Department of Medicine, Karolinska Institutet, Stockholm, Sweden
Faculty of Medicine and Heart Failure Center, University of Belgrade, Belgrade University Medical Center, Belgrade, Serbia
Institute of Molecular and Translational Therapeutic Strategies (IMTTS), Hannover Medical School and Fraunhofer Institute for Toxicology and Experimental Research, Hannover, Germany

Cardiopulmonary Exercise Test Research Department
REVAL and BIOMED Rehabilitation Research Center
Heart Centre Hasselt
University Institute of Sports Medicine
Cardio-Pulmonary Department
Heart Failure and Heart Transplantation Unit
Department of Cardiac Surgery and Transplants
Cardiovascular Rehabilitation Unit
Department of Cardiology (CVK)
University Hospital Germans Trias and Pujol de Badalona
Heart Failure Unit
School of Biomedical Sciences
Department of Translational Medicine
Department of Medical-Surgical Sciences and Biotechnologies
Mediterranea Cardiocentro
Emergency Institute for Cardiovascular Diseases ‘Prof. C.C. Iliescu’
University of Medicine Carol Davila
Heart Research Institute
Cardiology Department
Division of Cardiology
Department of Cardiology
Research Group Cardiovascular Diseases
Department of Cardiology
Department of Cardiology
Department of Cardiology
Department of Industrial Design
School of Nursing and Midwifery
Department of Health
Julius Center
Wroclaw Medical University
Department of Cardiology
School of Medicine
Universitätsmedizin Berlin Campus Benjamin Franklin Klinik für Kardiologie Charite
General Hospital Murska Sobota
Department of Medicine
Armed Forces Hospital
Centre for Health Technologies and Services Research
Department of Cardiology
Division of Physiology and Pathophysiology
Vetsuisse Faculty
Dipartimento Scienze Biomediche per la Salute
Cardiologia Universitaria
University Hospital of Bologna
Department of Cardiology
Department of Cardiology
St. Georges Hospital NHS Trust University of London
Division of Cardiology
Faculty of Medicine and Heart Failure Center
Institute of Molecular and Translational Therapeutic Strategies (IMTTS)

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