CardioSomaticsCardioSomaticsCardioСоматика2221-71852658-5707Eco-Vector63189410.17816/CS631894GJVPRECase reportsКлинические случаиResearch ArticleEarly rehabilitation after orthotopic heart transplantation: a case studyРанняя реабилитация пациента после ортотопической трансплантации сердца: клинический случайhttps://orcid.org/0000-0002-3841-85396170-1332FedorovaNatalya V.ФедороваНаталья Васильевна
Russian Federation

MD, Cand. Sci. (Medicine)

канд. мед. наук

BNatalia88@mail.ruhttps://orcid.org/0000-0002-8079-53975754-5353ArgunovaYulia A.АргуноваЮлия Александровна
Russian Federation

MD, Dr. Sci. (Medicine)

д-р мед. наук

argunova_u@mail.ruPrilutskayaEkaterina N.ПрилуцкаяЕкатерина Николаевна
Russian Federation
prilen@kemcardio.ruhttps://orcid.org/0000-0002-4642-36105373-7620BarbarashOlga L.БарбарашОльга Леонидовна
Russian Federation

MD, Dr. Sci. (Medicine), Professor, Academician of the Russian Academy of Sciences

д-р мед. наук, профессор, академик РАН

barbol@kemcardio.ruResearch Institute for Complex Problems of Cardiovascular DiseasesНаучно-исследовательский институт комплексных проблем сердечно-сосудистых заболеваний1504202515032025161941011305202420022025Copyright ©; 2025, Eco-VectorCopyright ©; 2025, ООО "Эко-Вектор"2025Eco-VectorООО "Эко-Вектор"https://creativecommons.org/licenses/by-nc-nd/4.0https://cardiosomatics.ru/2221-7185/article/view/631894

BACKGROUND: Publications on rehabilitation in patients following heart transplantation remain limited. This issue is currently being actively investigated, as there is a lack of clear data on the optimal timing for initiating physical rehabilitation, the use of exercise testing for objective assessment of patient condition, or the types of physical training.

CASE DESCRIPTION: This case study describes the positive effects of early rehabilitation in a patient after orthotopic heart transplantation.

CONCLUSION: Patients who underwent heart transplantation have a greater potential for restoring cardiovascular function compared with other categories of patients with cardiovascular diseases treated surgically. However, these patients also face factors that may limit the rapid recovery of functional capacity and quality of life. While most studies have demonstrated the effects of various types of physical training during the outpatient phase, this case report highlights the positive outcomes of initiating cardiac rehabilitation in the early postoperative period. These findings may support a revision of current approaches to the timing of rehabilitation in this patient population.

Обоснование. Публикации по тематике реабилитации у пациентов после трансплантации сердца до настоящего времени носили единичный характер. На данный момент эта проблема активно изучается, поскольку нет конкретных данных о сроках начала физической реабилитации, использовании нагрузочных тестов для объективизации состояния пациентов, видов физических тренировок.

Описание клинического случая. В описанном клиническом наблюдении продемонстрированы положительные эффекты ранней реабилитации у пациента после ортотопической трансплантации сердца.

Заключение. Пациенты, перенёсшие трансплантацию сердца, имеют преимущество восстановления функционального состояния сердечно-сосудистой системы по сравнению с другими категориями пациентов с сердечно-сосудистыми заболеваниями, подвергшихся оперативному лечению. С другой стороны, эти пациенты имеют и ограничивающие быстрое восстановление работоспособности и качества жизни факторы. В большинстве исследований продемонстрированы эффекты различных видов физических тренировок на амбулаторном этапе, а в представленном клиническом наблюдении отмечены положительные эффекты раннего начала кардиореабилитации у пациентов после трансплантации сердца, что позволяет изменить подходы к данной категории больных в отношении начала реабилитационных мероприятий.

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