Evidence map›Paper›PMID 41907868›Full record

ArticleEuropean heart journal. Case reports2026

A multicomponent cardiac rehabilitation programme as a safe, feasible, and beneficial approach, including patients with left ventricular assist devices: a case report.

Raquel Salinas-Gonzalez, Margarita Calvo López, Carlos Bolaños, María Ángeles Castel Lavilla, María Sanz de la Garza

Abstract readCase Reports
In one paragraph

Article in European heart journal. Case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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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

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3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

5 authors.

Raquel Salinas-GonzalezPhysical Medicine and Rehabilitation Department, Hospital Clínic de Barcelona, C/ Casanova 160 bis, Barcelona 08036, Spain.ORCID https://orcid.org/0009-0003-0636-7823
Margarita Calvo LópezCardiology Department, Cardiovascular Institute, Hospital Clínic de Barcelona, C/ Villarroel 170, Barcelona 08036, Spain.
Carlos BolañosCardiology Department, Cardiac Rehabilitation Unit, Hospital San Juan de Dios, Paseo Colón Avenue, San José, Costa Rica.
María Ángeles Castel LavillaCardiology Department, Cardiovascular Institute, Hospital Clínic de Barcelona, C/ Villarroel 170, Barcelona 08036, Spain.
María Sanz de la GarzaCardiology Department, Cardiovascular Institute, Hospital Clínic de Barcelona, C/ Villarroel 170, Barcelona 08036, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Left ventricular assist devices (LVADs) are a well-established therapy for advanced heart failure (HF) used either as a bridge-to-transplant or destination therapy. While cardiac rehabilitation programmes (CRPs) are guideline-recommended in other HF stages, specific data on their role in LVAD recipients remains limited. We present a case of tailored CRP in a LVAD-supported patient highlighting the importance of understanding the device's intrinsic limitations to ensure safe and effective exercise prescription. Case summary: A 56-year-old man with cardiovascular risk factors presented with anterior ST-elevation myocardial infarction developing severe left ventricular dysfunction, INTERMACS III, and recurrent ventricular arrhythmias, leading to HeartMate 3 (HM3) LVAD implantation as a bridge-to-transplant. Persistent smoking led to discontinuation of prehabilitation and removal from the transplant waitlist. A destination therapy strategy was considered and referred to the CRP. Baseline and final assessments included a CPET-ESE, clinical-functional evaluation, and PROMs. The rehabilitation physician, as part of the multidisciplinary team, adapted the exercise prescription to manage neuropathic pain due to a suspected spinal cord injury. Doppler-MAP and HM3 LVAD parameters were monitored before and after each session. The patient completed a tailored 12-week CRP with high adherence and no major adverse events. Improvements were observed in submaximal CPET parameters: VO₂ at VT1, OUES and VE/VCO₂ slope, right ventricle contractility, muscular efficiency, and QoL. Persistent smoking remained the main management challenge. Discussion: Tailored CRP with careful haemodynamic monitoring is safe, feasible, and effective in patients with HM3 LVAD. A multidisciplinary approach is essential to optimize functional outcomes and long-term prognosis.

Indexed as

Cardiac rehabilitationExercise trainingFunctional capacityHeartMate 3Left ventricular assist devicesMultidisciplinary approach

Identifiers

PMID41907868
PMCPMC13019305

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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.