Sarcopenia Clinical Trial
Official title:
Electrostimulation of Skeletal Muscles in Patients Listed for a Heart Transplant
Heart transplantation is the best way to treat terminal heart failure, which can improve the
quality and life expectancy of patients, as well as contribute to their social and labor
rehabilitation. Actually, the procedure of heart transplantation is a complex procedure that
requires the coordinated work of cardiologists, cardiac surgeons, anesthetists, perfusionist,
nurses, as well as the administration of medical organizations. It is known that the
restriction of motor activity in patients with heart failure leads to a loss of muscle mass,
as well as a decrease in its strength and endurance. In patients with heart failure, the low
functional status of skeletal muscle is associated with poor prognosis, regardless of gender,
age, and concomitant coronary heart disease. Optimization of drug therapy and appropriate use
of resynchronization therapy can improve functional status, as can patient engagement in
exercise. Although exercise is recommended as a component of heart failure management,
adherence is consistently low. This is particularly troubling because exercise has great
potential as a low-risk, low-cost intervention to improve functional status and quality of
life while decreasing heart failure symptoms and hospitalizations in patients with heart
failure. Low adherence is due in part to inadequate strength and inability to tolerate or
sustain even low levels of activity.
In this study, we propose to use neuromuscular electrical stimulation to assist patient
initiation of quadriceps strengthening in order to progressively increase low exercise
tolerance.
n/a
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