Exercise after heart transplantation: An overview

doi:10.5500/wjt.v3.i4.78

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World Journal of Transplantation

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2220-3230

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

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World J Transplant. Dec 24, 2013; 3(4): 78-90
Published online Dec 24, 2013. doi: 10.5500/wjt.v3.i4.78

Exercise after heart transplantation: An overview

Kari Nytrøen, Lars Gullestad

Kari Nytrøen, Lars Gullestad, Department of Cardiology, Oslo University Hospital, Rikshospitalet, 0424 Oslo, Norway

Kari Nytrøen, Lars Gullestad, Faculty of Medicine, University of Oslo, 0316 Oslo, Norway

Author contributions: Both Nytrøen K and Gullestad L contributed to this paper.

Correspondence to: Dr. Kari Nytrøen, Department of Cardiology, Oslo University Hospital, Rikshospitalet, Potbox 4950 Nydalen, 0424 Oslo, Norway. kari.nytroen@medisin.uio.no

Telephone: +47-95189935 Fax: +47-23073917

Received: June 13, 2013
Revised: July 15, 2013
Accepted: July 23, 2013
Published online: December 24, 2013
Processing time: 200 Days and 23.1 Hours

Core Tip

Core tip: It is time to rethink exercise strategies among heart transplant populations. Chronotropic incompetence is not necessarily a factor that limits exercise capacity in heart transplant recipients, and the exercise restrictions that have traditionally been applied to patients with a denervated heart can be disregarded. High-intensity, interval-based aerobic exercise is superior to moderate exercise in patients with coronary artery disease and heart failure, and the positive effects of this type of exercise seem to also be largely reproducible among heart transplant recipients.