Recommendations Class Level References Cardiac rehabilitation is recommended for patients with long-term mechanical circulatory support. I B [345, 347, 348] Rehabilitation in a centre familiar with patients with long-term mechanical circulatory support is recommended. I C [345] Psychosocial rehabilitation should be considered. IIa C Rehabilitation including a combination of exercise and strength training is recommended. I C [352] Exercise training using a level of perceived exertion or cardiopulmonary stress testing should be considered. IIa C [350] Physiotherapy and occupational therapy, depending on the individual’s needs, should be considered. IIa C Educating patients on international normalized ratio self-monitoring should be considered. IIa C It is recommended that patients and caregivers are educated about handling long-term mechanical circulatory support peripherals and required reactions to typical alarms. I C