Evidence map›Paper›PMID 41566232›Full record

ArticleBMC cardiovascular disorders2026

Long-term changes in quality of life with LVAD support and after heart transplantation in advanced heart failure.

Kiyonori Kobayashi, Tomo Yoshizumi, Yoshiyuki Tokuda, Daichi Takagi, Keiko Hattori, Yasunari Hayashi, Yuji Narita, Masato Mutsuga

Abstract read
In one paragraph

Article in BMC cardiovascular disorders, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Kiyonori KobayashiDepartment of Rehabilitation, Nagoya University Hospital, 65 Tsurumai-cho, Showa-ku, Nagoya, Aichi, 466-8560, Japan. kobayashi.kiyonori.t8@f.mail.nagoya-u.ac.jp.
Tomo YoshizumiDepartment of Cardiac Surgery, Nagoya University Graduate School of Medicine, 65 Tsurumai-cho, Showa-ku, Nagoya, Aichi, 466-8560, Japan.
Yoshiyuki TokudaDepartment of Cardiac Surgery, Nagoya University Graduate School of Medicine, 65 Tsurumai-cho, Showa-ku, Nagoya, Aichi, 466-8560, Japan.
Daichi TakagiDepartment of Rehabilitation, Nagoya University Hospital, 65 Tsurumai-cho, Showa-ku, Nagoya, Aichi, 466-8560, Japan.
Keiko HattoriDepartment of Rehabilitation, Nagoya University Hospital, 65 Tsurumai-cho, Showa-ku, Nagoya, Aichi, 466-8560, Japan.
Yasunari HayashiDepartment of Cardiac Surgery, Nagoya University Graduate School of Medicine, 65 Tsurumai-cho, Showa-ku, Nagoya, Aichi, 466-8560, Japan.
Yuji NaritaDepartment of Cardiac Surgery, Nagoya University Graduate School of Medicine, 65 Tsurumai-cho, Showa-ku, Nagoya, Aichi, 466-8560, Japan.
Masato MutsugaDepartment of Cardiac Surgery, Nagoya University Graduate School of Medicine, 65 Tsurumai-cho, Showa-ku, Nagoya, Aichi, 466-8560, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundImproving quality of life (QOL) is a major therapeutic goal for patients with advanced heart failure undergoing left ventricular assist device (LVAD) therapy or heart transplantation. In Japan, prolonged LVAD support due to donor shortage makes long-term QOL outcomes uncertain.

objectiveTo evaluate longitudinal changes in QOL before and after LVAD implantation and heart transplantation, and to examine associations with physical function.

methodsFrom 2013 to 2025, 95 patients underwent LVAD implantation at our institution, of whom 23 subsequently received heart transplantation. After excluding 4 patients with incomplete data, 19 were included in the final analysis. QOL was assessed using the Short Form-36 (SF-36) at baseline, during LVAD support, and after transplantation. Physical function was evaluated by grip strength, leg strength, 6-min walk distance (6MWD), and peak oxygen uptake. Physical Component Summary (PCS) and Mental Component Summary (MCS) scores were analyzed.

resultsBaseline QOL was impaired in the physical domain but relatively preserved in the mental domain (PCS 22.9 ± 10.4; MCS 49.1 ± 15.0). During LVAD support (mean 64.1 ± 14.1 months), PCS improved significantly (40.1 ± 7.1, p = 0.008), whereas MCS remained stable (52.4 ± 6.3, p > 0.99). After transplantation (mean 33.6 ± 30.4 months), PCS further improved (46.3 ± 7.9, p = 0.006), while MCS continued to remain stable (53.3 ± 5.8, p = 0.466). Post-transplant PCS showed positive but non-significant correlations with physical function measures.

conclusionBTT-LVAD and subsequent heart transplantation markedly improve physical QOL in patients with advanced heart failure, while mental QOL, which is relatively preserved at baseline, remains stable throughout long-term follow-up. These findings suggest that, despite stable overall mental well-being, device- and transplant-specific psychological burdens may persist and should be addressed as part of comprehensive long-term care.

Indexed as

Heart-Assist DevicesHeart FailureHeart TransplantationProsthesis ImplantationQuality of LifeVentricular Function, LeftAdultAgedExercise ToleranceFemaleFunctional StatusHealth StatusHumansJapanMaleMental HealthHeart transplantationLeft Ventricular Assist Device (LVAD)Quality of Life (QOL)

Identifiers

PMID41566232
PMCPMC12905950

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.