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

Cardiac rehabilitation outcome after transcatheter aortic valve implantation

Vol. 91 No. 2 (2021)
Submitted: September 24, 2020
Accepted: December 2, 2020
Published: April 13, 2021
severe aortic stenosis, transcatheter aortic valve implantation, cardiac rehabilitation, Barthel scale, 6-minute walk test, short physical performance battery scale
Abstract Views: 2097
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Authors

Chiara Penati
Cardiac/Pulmonary Rehabilitation, ASST Pini-CTO, Milan, Italy.
Cristoforo Incorvaia
cristoforo.incorvaia@gmail.com
https://orcid.org/0000-0002-3965-7988
Cardiac/Pulmonary Rehabilitation, ASST PINI-CTO, Italy.
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.

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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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.
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