Medicine and Sport Science / Physical Work Capacity in Organ Transplantation

1;Contents;6
2;Preface;8
3;Acknowledgments;9
4;General View of Cardiocirculatory Adjustments to Dynamic Exercise after Orthotopic Heart Transplantation;10
4.1;Rest;11
4.2;Submaximal Exercise;11
4.3;The Variations of Physiological Parameters with Exercise Intensity;14
4.4;Limiting Factors of Maximal Aerobic Power;17
4.5;Conclusions;21
4.6;References;21
5;Exercise-Induced Diastolic Left Ventricular Dysfunction after Heart Transplantation;26
5.1;Left Ventricular Exercise Hemodynamics of the Cardiac Allograft;27
5.2;Determinants of the Blunted Acceleration of Left Ventricular Relaxation during Exercise after Heart Transplantation;28
5.3;Comparative Effects of Exercise and Dobutamine on Left Ventricular Relaxation of the Cardiac Allograft;29
5.4;Left Ventricular Exercise Hemodynamics of the Cardiac Allograft following Pretreatment with Intravenous Dobutamine;32
5.5;Conclusions;33
5.6;References;34
6;Neuroendocrine Responses during Exercise in Heart Transplant Recipients;35
6.1;Cardiac Natriuretic System Response during Exercise in Heart Transplant Recipients;36
6.2;Antinatriuretic and/or Vasoconstrictive System Response during Exercise in Heart Transplant Recipients;41
6.3;Conclusion;48
6.4;References;48
7;Physical Training in Heart Transplant Recipients;54
7.1;Responses to an Incremental Exercise Test;56
7.2;Responses to an Endurance Exercise Program;58
7.3;Conclusions: Peripheral Limitations to Exercise and Training Reversal;69
7.4;References;71
8;Rehabilitation after Heart Transplantation;76
8.1;Background;76
8.2;Rehabilitation Program Prescription;78
8.3;Training Organization;84
8.4;The Benefits of Training;88
8.5;Conclusions;91
8.6;References;92
9;Alternatives to Heart Transplantation;94
9.1;How to Limit Indications of Transplantation?;94
9.2;Alternatives to Transplantation;98
9.3;Other Transplantation Techniques;104
9.4;Conclusion;105
9.5;References;106
10;Physical Work Rehabilitation in Patients with Chronic Heart Failure;109
10.1;Exercise Intolerance in Chronic Heart Failure;109
10.2;Selection of Patients for Rehabilitation;111
10.3;Practical Aspects of Rehabilitation in Patients with Chronic Heart Failure;112
10.4;Results of Initial Studies;113
10.5;Mechanisms of Improvement in Exercise Capacity with Training;114
10.6;Unresolved Questions;116
10.7;Conclusion;117
10.8;References;118
11;Responses to Exercise and Limiting Factors in Hemodialysis and Renal Transplant Patients;122
11.1;Limitations of Chronic Renal Failure to Active Life;123
11.2;Kidney Transplant and Active Life;130
11.3;Exercise Training;133
11.4;Conclusions, Perspectives and Suggestions;136
11.5;Acknowledgments;137
11.6;References;137
12;Work Capacity, Metabolism and Hepatosplanchnic Blood Flow Responses to Exercise in Liver-Transplanted Patients;143
12.1;Hormonal and Metabolic Responses to Exercise in Liver-Transplanted Individuals;144
12.2;Hepatosplanchnic Flow during Exercise after Liver Transplantation;147
12.3;Physical Training and Performance after Liver Transplantation;147
12.4;References;148
13;Skeletal Muscle Abnormalities after Organ Transplantation;150
13.1;Indicators of Skeletal Muscle Abnormalities after Organ Transplantation;151
13.2;Pretransplantation Skeletal Muscle Abnormalities;153
13.3;Detrimental Effects of Triple-Drug Immunosuppressive Therapy on Skeletal Muscle;155
13.4;References;158
14;Transplanted Organs: Autonomous Reinnervation or Not?;162
14.1;Organization of the Autonomous Nervous System;162
14.2;Heart Transplantation;163
14.3;Lung Transplantation;178
14.4;Kidney Transplantation;180
14.5;Liver Transplantation;181
14.6;Pancreas Transplantation;182
14.7;Conclusions;182
14.8;References;183
15;Author Index;191
16;Subject Index;193