Impact of cardiac rehabilitation on pre- and post-operative transcatheter aortic valve replacement prognoses

Jieru Zou; Jie Yuan; Jingjin Liu; Qingshan Geng

doi:10.3389/fcvm.2023.1164104

Impact of cardiac rehabilitation on pre- and post-operative transcatheter aortic valve replacement prognoses

Front Cardiovasc Med. 2023 Dec 13:10:1164104. doi: 10.3389/fcvm.2023.1164104. eCollection 2023.

Authors

Jieru Zou¹, Jie Yuan^{1

2

3

4}, Jingjin Liu^#^{1

2

3

4}, Qingshan Geng^#^{1

2

3

4}

Affiliations

¹ The Second Clinical Medical College, Jinan University, Shenzhen, Guangdong, China.
² Department of Cardiology, Shenzhen People's Hospital (The Second Clinical Medical College, Jinan University; The First Affiliated Hospital, Southern University of Science and Technology), Shenzhen, Guangdong, China.
³ Department of Cardiology, Shenzhen Cardiovascular Minimally Invasive Medical Engineering Technology Research and Development Center, Shenzhen People's Hospital (The Second Clinical Medical College, Jinan University; The First Affiliated Hospital, Southern University of Science and Technology), Shenzhen, China.
⁴ Department of Geriatrics, Shenzhen People's Hospital (The Second Clinical Medical College, Jinan University, The First Affiliated Hospital, Southern University of Science and Technology), Shenzhen, Guangdong, China.

^# Contributed equally.

Abstract

Transcatheter aortic valve replacement (TAVR) is a relatively new treatment method for aortic stenosis (AS) and has been demonstrated to be suitable for patients with varying risk levels. Indeed, among high-risk patients, TAVR outcomes are comparable to, or even better, than that of the traditional surgical aortic valve replacement (SAVR) method. TAVR outcomes, with respect to post-surgical functional capacity and quality of life, have also been found to be improved, especially when combined with cardiac rehabilitation (CR). CR is a multidisciplinary system, which integrates cardiology with other medical disciplines, such as sports, nutritional, mind-body, and behavioral medicine. It entails the development of appropriate medication, exercise, and diet prescriptions, along with providing psychological support, ensuring the cessation of smoking, and developing risk factor management strategies for cardiovascular disease patients. However, even with CR being able to improve TAVR outcomes and reduce post-surgical mortality rates, it still has largely been underutilized in clinical settings. This article reviews the usage of CR during both pre-and postoperative periods for valvular diseases, and the factors involved in influencing subsequent patient prognoses, thereby providing a direction for subsequent research and clinical applications.

Keywords: aortic stenosis; cardiac rehabilitation; exercise training; frailty; transcatheter aortic valve replacement.

Publication types

Review

Grants and funding

This study was supported by National Natural Science Foundation (Project #82200315), Guangdong Basic and Applied Basic Research Foundation (2021A1515111145), Sanming Project of Medicine in Shenzhen (No. SZSM201412012), Major scientific research project of Shenzhen People’s Hospital (SYWGSJCYJ202301). All authors have reported that they have no relationships relevant to the contents of this paper to disclose.