The first experience of electrical myostimulation for early rehabilitation of the heart transplant recipient with complicated postoperative period
https://doi.org/10.17802/2306-1278-2018-7-4S-146-150
Abstract
The prognosis of a patient suffering from severe chronic heart failure is determined by the impairment of cardiac and skeletal muscles. More evidence has recently emerged on the use of electrical muscle stimulation (EMS) as a method of rehabilitation in patients admitted to the intensive care units. Nevertheless, evidences on the use of this type of rehabilitation in patients after heart transplantation are still limited. This article presents the first experience of using EMS in the patient who underwent heart transplantation. Sessions of electric muscle stimulation of the quadriceps allowed maintaining muscle mass according to the ultrasound findings, as well as muscle strength and endurance. The EMC was safe, had no proarrhythmogenic effect and did not affect the pacing of the temporary pacemaker. Further data accumulation, systematization and analysis on the use of EMC in this group of patients is required.
About the Authors
A. V. BezdenezhnykhRussian Federation
Bezdenezhnykh Andrey V. - MD, PhD, senior researcher at the Laboratory of Reconstructive Surgery of Multivessel and Polyvascular Diseases.
6, Sosnoviy Blvd., Kemerovo, 650002
Competing Interests: Нет конфликта интересов
A. N. Sumin
Russian Federation
Sumin Alexei N. - MD, PhD, the Head of the Department of Multivessel and Polyvascular Diseases.
6, Sosnoviy Blvd., Kemerovo, 650002
Competing Interests: Нет конфликта интересов
P. A. Olejnik
Russian Federation
Oleinik Pavel A. - PhD student.
6, Sosnoviy Blvd., Kemerovo, 650002
Competing Interests: Нет конфликта интересов
References
1. Yusen R.D., Edwards L.B., Kucheryavaya A.Y., Benden C., Dipchand A.I., Goldfarb S.B., Levvey B.J., Lund L.H., Meiser B., Rossano J.W., Stehlik J. The Registry of the International Society for Heart and Lung Transplantation: Thirty-second Official Adult Lung and Heart-Lung Transplantation Report-2015; Focus Theme: Early Graft Failure. J Heart Lung Transplant. 2015 Oct;34(10):1264-77. doi: 10.1016/j.healun.2015.08.014.
2. von Haehling S., Ebner N., Dos Santos M.R., Springer J., Anker S.D. Muscle wasting and cachexia in heart failure: mechanisms and therapies. Nat Rev Cardiol. 2017 Jun;14(6):323-341. doi: 10.1038/nrcardio.2017.51.
3. Morris PE., Goad A., Thompson C., Taylor K., Harry B., Passmore L. et al. Early intensive care unit mobility therapy in the treatment of acute respiratory failure. Crit Care Med. 2008;36(8): 2238-43. doi: 10.1097/ccm.0b013e318180b90e
4. LipshutzA.K., GropperM.A.Acquiredneuromuscularweakness and early mobilization in the intensive care unit. Anesthesiology. 2013;118(1): 202-15 doi: 10.1097/aln.0b013e31826be693
5. Dirks M.L., Hansen D., Van Assche A., Dendale P, Van Loon L.J. Neuromuscular electrical stimulation prevents muscle wasting in critically ill comatose patients. Clin Sci (Lond). 2015 Mar 1;128(6):357-65. doi: 10.1042/CS20140447.
6. Kho M.E., Truong A.D., Zanni J.M. Ciesla N.D., Brower R.G., Palmer J.B., Needham D.M. Neuromuscular electrical stimulation in mechanically ventilated patients: A randomized, sham-controlled pilot trial with blinded outcome assessment. Journal of Critical Care. 2015 Feb;30(1):32-9. doi: 10.1016/j.jcrc.2014.09.014
7. Iwatsu K., Yamada S., Iida Y Sampei H., Kobayashi K., Kainuma M., Usui A. Feasibility of neuromuscular electrical stimulation immediately after cardiovascular surgery. Arch Phys Med Rehabil. 2015 Jan;96(1):63-8. doi: 10.1016/j.apmr.2014.08.012.
8. Iwatsu K, Iida Y, Kono Y, Yamazaki T, Usui A, Yamada S. Neuromuscular electrical stimulation may attenuate muscle proteolysis after cardiovascular surgery: A preliminary study. J Thorac Cardiovasc Surg. 2017 Feb;153(2):373-379.e1. doi: 10.1016/j.jtcvs.2016.09.036
9. Quittan M., Wiesinger G.F., Sturm B., Puig S., Mayr W, Sochor A., Paternostro T., Resch K.L., Pacher R., Fialka-Moser V Improvement of thigh muscles by neuromuscular electrical stimulation in patients with refractory heart failure: a single-blind, randomized, controlled trial. Am J Phys Med Rehabil. 2001 Mar;80(3):206-14; quiz 215-6, 224.
Review
For citations:
Bezdenezhnykh A.V., Sumin A.N., Olejnik P.A. The first experience of electrical myostimulation for early rehabilitation of the heart transplant recipient with complicated postoperative period. Complex Issues of Cardiovascular Diseases. 2018;7(4S):146-150. (In Russ.) https://doi.org/10.17802/2306-1278-2018-7-4S-146-150