https://doi.org/10.4081/monaldi.2021.1621
Cardiac rehabilitation outcome after transcatheter aortic valve implantation
Submitted: September 24, 2020
Accepted: December 2, 2020
Published: April 13, 2021
Accepted: December 2, 2020
Abstract Views: 2038
PDF: 1166
Publisher's note
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
Authors
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.
Perera S, Wijesinghe N, Ly E, et al. Outcome of patients with untreated severe aortic stenosis in real-world practice. N Zeal Med J 2011;124:40-8.
Strange G, Stewart S, Celermajer D, et al. Poor long-term survival in patients with moderate aortic stenosis. J Am Coll Cardiol 2019;74:1851-63.
DOI: https://doi.org/10.1016/j.jacc.2019.08.004
Cribier AG. The odyssey of TAVR from concept to clinical reality. Tex Heart Inst J 2014;41:125-30.
DOI: https://doi.org/10.14503/THIJ-14-4137
Rostagno C. Heart valve disease in elderly. World J Cardiol 2019;11:71-83.
DOI: https://doi.org/10.4330/wjc.v11.i2.71
Randall MH, Bavry AA. Update on transcatheter aortic valve replacement. Cardiol Ther 2020;9:75-84.
DOI: https://doi.org/10.1007/s40119-020-00167-6
Liu Z, Kidney E, Bem D, et al. Transcatheter aortic valve implantation for aortic stenosis in high surgical risk patients: a systematic review and meta-analysis. PLoS One 2018;13:e0196877.
DOI: https://doi.org/10.1371/journal.pone.0196877
Nishimura RA, Otto CM, Bonow RO, et al. 2017 AHA/ACC Focused Update of the 2014 AHA/ACC Guideline for the management of patients with valvular heart disease: a report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines. Circulation 2017;135:e1159-95.
Haude M. [Management of valvular heart disease: ESC/EACTS guidelines 2017].[Article in German]. Herz 2017;42:715-20.
DOI: https://doi.org/10.1007/s00059-017-4643-5
Epstein E, Rosander A, Pazargadi A, et al. Cardiac rehab for functional improvement. Curr Heart Fail Rep 2020;17:161-70.
DOI: https://doi.org/10.1007/s11897-020-00462-2
Thomas RJ, Balady G, Banka G, et al. 2018 ACC/AHA Clinical Performance and Quality Measures for Cardiac Rehabilitation: A report of the American College of Cardiology/American Heart Association Task Force on performance measures. Am Coll Cardiol 2018;71:1814-37.
DOI: https://doi.org/10.1016/j.jacc.2018.01.004
Ribeiro GS, Melo RD, Deresz LF, et al. Cardiac Rehabilitation programme after transcatheter aortic valve implantation versus surgical aortic valve replacement: systematic review and meta-analysis. Eur J Prev Cardiol 2017;24:688-97.
DOI: https://doi.org/10.1177/2047487316686442
Anayo L, Rogers P, Long L, et al. Exercise-based cardiac rehabilitation for patients following open surgical aortic valve replacement and transcatheter aortic valve implant: a systematic review and meta-analysis. Open Heart 2019;6:e000922.
Mahoney FI, Bartel DW. Functional evaluation: the Barthel index. Md State Med J 1965;14:61-5.
Guralnik, JM, Simonsick EM, Ferrucci L, et al. A short physical performance battery assessing lower extremity function: Association with self-reported disability and prediction of mortality and nursing home admission. J Gerontol 1994;49:M85-94.
DOI: https://doi.org/10.1093/geronj/49.2.M85
Enright PL, McBurnie MA, Bittner V, et al. The 6-min walk test: A quick measure of functional status in elderly adults. Chest 2003;123:387-98.
DOI: https://doi.org/10.1378/chest.123.2.387
Carnero-Alcazar, Maloto LM, Cobiella-Carnicer J, et al. Transcatheter versus surgical aortic valve replacement in moderate and high-risk patients: a meta-analysis. Eur Cardiothorac Surg 2017;51:644-52.
Panoulas VF, Francis DP, Ruparelia N, et al. Female-specific survival advantage from transcatheter aortic valve implantation over surgical aortic valve replacement: meta-analysis of the gender subgroups of randomized controlled trials including 3718 patients. Int J Cardio. 2018;250:66-72.
DOI: https://doi.org/10.1016/j.ijcard.2017.05.047
Eichler S, Salzwedel A, Reibis R, et al. Multicomponent cardiac rehabilitation in patients after transcatheter aortic valve implantation: Predictors of functional and psychocognitive recovery. Eur J Prev Cardiol 2017;24:257-64.
DOI: https://doi.org/10.1177/2047487316679527
Tarro Genta F, Tidu M, Bouslenko Z, et al. Cardiac rehabilitation after transcatheter aortic valve implantation compared to patients after valve replacement. J Cardiovasc Med (Hagerstown). 2017;18:114-20.
DOI: https://doi.org/10.2459/JCM.0000000000000494
Molino-Lova R, Pasquini G, Vannetti F, et al. Effects of a structured physical activity intervention on measures of physical performance in frail elderly patients after cardiac rehabilitation: a pilot study with 1-year follow-up. Intern Emerg Med 2013;8:581-9.
DOI: https://doi.org/10.1007/s11739-011-0654-z
Rengo JL, Savage PD, Shaw JC, et al. Ades PA. Directly measured physical function in cardiac rehabilitation. J Cardiopulm Rehabil Prev 2017;37:175-181.
DOI: https://doi.org/10.1097/HCR.0000000000000231
Giallauria F, Vigorito C. Editorial to 'Comparison of phase 2 cardiac rehabilitation outcomes between patients after transcatheter versus surgical aortic valve replacement'. Eur J Prev Cardiol 2018;25:1575-6.
DOI: https://doi.org/10.1177/2047487318798900
Ashikaga K, Saji M, Takanashi S, et al. Physical performance as a predictor of midterm outcome after mitral valve surgery. Heart Vessels 2019;34:1665-73.
DOI: https://doi.org/10.1007/s00380-019-01397-y
How to Cite
Penati, Chiara, Cristoforo Incorvaia, Valentina Mollo, Federica Lietti, Gemma Gatto, Marco Stefanelli, Paola Centeleghe, et al. 2021. “Cardiac Rehabilitation Outcome After Transcatheter Aortic Valve Implantation”. Monaldi Archives for Chest Disease 91 (2). https://doi.org/10.4081/monaldi.2021.1621.
Copyright (c) 2021 The Author(s)
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
PAGEPress has chosen to apply the Creative Commons Attribution NonCommercial 4.0 International License (CC BY-NC 4.0) to all manuscripts to be published.
Similar Articles
- Bruno Amato, Mario Santoro, Raffaele Izzo, Giuseppe Servillo, Rita Compagna, Lorenza Di Domenico, Veronica Di Nardo, Giuseppe Giugliano, Evolution of surgical techniques for a progressive risk reduction , Monaldi Archives for Chest Disease: Vol. 87 No. 2 (2017)
- Hussein Soleimantabar, Sofia Sabouri, Leila Khedmat, Samira Salajeghe, Behzad Memari, Bahareh Heshmat Ghahderijani, Assessment of CT angiographic findings in comparison with echocardiography findings of chest among patients with aortic arch anomalies , Monaldi Archives for Chest Disease: Vol. 89 No. 3 (2019)
- Tommaso Diaco, Oreste Febo, Marco Ambrosetti, Claudio Malinverni, Continued care in patients with cardiac failure in Regione Lombardia: central role of Cardiac Rehabilitation reaffirmed , Monaldi Archives for Chest Disease: Vol. 74 No. 2 (2010): Cardiac series
- Francesco Giallauria, Neil Andrew Smart, Antonio Cittadini, Carlo Vigorito, Exercise training modalities in chronic heart failure: does high intensity aerobic interval training make the difference? , Monaldi Archives for Chest Disease: Vol. 86 No. 1-2 (2016): Cardiac series
- Martina Rafanelli, Andrea Ungar, High blood pressure and syncope: orthostatic hypotension as a link , Monaldi Archives for Chest Disease: Vol. 84 No. 1-2 (2015): Cardiac series
- F. Novelli, F. Costa, M. Latorre, L. Malagrinò, A. Celi, B. Vagaggini, P. Paggiaro, Tiotropium: a new therapeutic option in asthma , Monaldi Archives for Chest Disease: Vol. 79 No. 3-4 (2013): Pulmonary series
- Giulia Mattesi, Maria Teresa Savo, Morena De Amicis, Filippo Amato, Elena Cozza, Simone Corradin, Stefano Da Pozzo, Marco Previtero, Riccardo Bariani, Giorgio De Conti, Ilaria Rigato, Valeria Pergola, Raffaella Motta, Coronary artery calcium score: we know where we are but not where we may be , Monaldi Archives for Chest Disease: Vol. 94 No. 1 (2024)
- Francesco Vetta, Giampaolo Vetta, Sonia Bracchitta, Maria Mignano, Antonella Mattatelli, Cardiac resynchronization therapy in the elderly. How much is it safe and beneficial? , Monaldi Archives for Chest Disease: Vol. 89 No. 1 (2019)
- Valentina Barletta, Giulio Zucchelli, Matteo Parollo, Mario Giannotti Santoro, Silvio Tolve, Andrea Di Cori, Luca Segreti, Raffaele De Lucia, Maria Grazia Bongiorni, Leadless pacing in the elderly: never too old for something new , Monaldi Archives for Chest Disease: Vol. 90 No. 4 (2020)
- Laura Sciarroni, Paola Gremigni, Luciano Pedrini, Psychological impact of carotid endarterectomy: A review of the studies , Monaldi Archives for Chest Disease: Vol. 68 No. 3 (2007): Cardiac series
<< < 18 19 20 21 22 23 24 25 26 27 > >>
You may also start an advanced similarity search for this article.
