Przegl Lek. 1997;54(11):822-4.
Przeglad lekarski
[Article in Polish] J Nessler
PMID: 9501697
Rehabilitation--a useful therapeutic method after cardiac surgery--plays an important role in managing of pts before and after cardiac transplantation (HTX). Among a lot of factors influencing the course of rehabilitation most importance are postoperative complications such as: acute graft rejection, susceptibility to infections and often appearance of hypertension. The fact, that pts have a low efficiency of skeletal muscles, caused by their atrophy, because of both the long term immobilisation before the operation and corticosteroids therapy is very important. The final effect of the rehabilitation is also modified by different transplanted hearts response physical stress. It is caused by the anatomical heart denervation, the immunosuppression and evolving vasculopathy. Thus the rehabilitation programme in pts after HTX is more difficult that in other ones. But the correct rehabilitation allows these pts to achieve the physical and mental efficiency after HTX.