Cardiac rehabilitation outcome after transcatheter aortic valve implantation

https://doi.org/10.4081/monaldi.2021.1621

Authors

  • Chiara Penati Cardiac/Pulmonary Rehabilitation, ASST Pini-CTO, Milan, Italy.
  • Cristoforo Incorvaia | cristoforo.incorvaia@gmail.com Cardiac/Pulmonary Rehabilitation, ASST PINI-CTO, Italy. https://orcid.org/0000-0002-3965-7988
  • Valentina Mollo Cardiac/Pulmonary Rehabilitation, ASST Pini-CTO, Milan, Italy.
  • Federica Lietti Cardiac/Pulmonary Rehabilitation, ASST Pini-CTO, Milan, Italy.
  • Gemma Gatto Cardiac/Pulmonary Rehabilitation, ASST Pini-CTO, Milan, Italy.
  • Marco Stefanelli Cardiac/Pulmonary Rehabilitation, ASST Pini-CTO, Milan, Italy.
  • Paola Centeleghe Cardiac/Pulmonary Rehabilitation, ASST Pini-CTO, Milan, Italy.
  • Giuseppe Talarico Cardiac/Pulmonary Rehabilitation, ASST Pini-CTO, Milan, Italy.
  • Ileana Mori Cardiac/Pulmonary Rehabilitation, ASST Pini-CTO, Milan, Italy.
  • Cristina Franzelli Cardiac/Pulmonary Rehabilitation, ASST Pini-CTO, Milan, Italy.
  • Fosco Ratti Cardiac/Pulmonary Rehabilitation, ASST Pini-CTO, Milan, Italy.
  • Maria Paola Ponticelli Cardiac/Pulmonary Rehabilitation, ASST Pini-CTO, Milan, Italy.
  • Ermina Ridolo Allergy and Clinical Immunology, Medicine and Surgery Department, University of Parma, Italy.
  • Oreste Carlo Febo Cardiac/Pulmonary Rehabilitation, ASST Pini-CTO, Milan, Italy.

Abstract

Patients with severe aortic stenosis are increasingly treated with transcatheter aortic valve implantation (TAVI) as a safer option to surgical aortic valve replacement (sAVR).  Similar to many other heart diseases, after the specific therapeutic intervention patients are eligible for cardiac rehabilitation (CR) for the purpose of functional recovery. Thus far, CR after both sAVR and TAVI has been used to a limited extent, as shown by the availability of only two meta-analyses including 5 studies and 6 studies, respectively. Recent observational studies reported a significant improvement in functional indexes such as the Barthel scale and the 6-minute walk test (6MWT). We evaluated the outcome of CR in patients after TAVI treatment by measuring changes in the commonly used Barthel scale and 6MWT and adding the short physical performance battery (SPPB) scale as an index to assess lower extremity function. All indexes demonstrated a significant improvement, namely p<0.001 with the Barthel scale, p=0.043 for the 6MWT, and p=0.002 for SPPB. These results confirm the significant improvement of the Barthel scale and 6MWT reported in the previous meta-analysis and suggest the utility of SPPB as a further index of efficacy of CR in patients with severe aortic stenosis treated with TAVI.  

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References

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Published
2021-04-13
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Section
Cardiology - Original Articles
Keywords:
severe aortic stenosis, transcatheter aortic valve implantation, cardiac rehabilitation, Barthel scale, 6-minute walk test, short physical performance battery scale
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How to Cite
Penati, Chiara, Cristoforo Incorvaia, Valentina Mollo, Federica Lietti, Gemma Gatto, Marco Stefanelli, Paola Centeleghe, Giuseppe Talarico, Ileana Mori, Cristina Franzelli, Fosco Ratti, Maria Paola Ponticelli, Ermina Ridolo, and Oreste Carlo Febo. 2021. “Cardiac Rehabilitation Outcome After Transcatheter Aortic Valve Implantation”. Monaldi Archives for Chest Disease 91 (2). https://doi.org/10.4081/monaldi.2021.1621.

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