Sleep Quality in Patients Undergoing Transcatheter Aortic Valve Implantation (TAVI)

Giulia Lorenzoni; Danila Azzolina; Chiara Fraccaro; Caterina Zoccarato; Clara Minto; Sabino Iliceto; Dario Gregori; Giuseppe Tarantini

doi:10.3390/ijerph18168889

Sleep Quality in Patients Undergoing Transcatheter Aortic Valve Implantation (TAVI)

Int J Environ Res Public Health. 2021 Aug 23;18(16):8889. doi: 10.3390/ijerph18168889.

Authors

Giulia Lorenzoni¹, Danila Azzolina^{1

2}, Chiara Fraccaro³, Caterina Zoccarato¹, Clara Minto¹, Sabino Iliceto⁴, Dario Gregori¹, Giuseppe Tarantini³

Affiliations

¹ Unit of Biostatistics, Epidemiology and Public Health, Department of Cardiac, Thoracic, Vascular Sciences and Public Health, University of Padova, 35131 Padova, Italy.
² Department of Medical Sciences, University of Ferrara, 44121 Ferrara, Italy.
³ Interventional Cardiology Unit, Department of Cardiac, Thoracic, Vascular Sciences and Public Health, University of Padova, 35128 Padova, Italy.
⁴ Cardiology Unit, Department of Cardiac, Thoracic, Vascular Sciences and Public Health, University of Padova, 35128 Padova, Italy.

Abstract

The present study aimed to analyze sleep quality and quality of Life (QoL) in patients undergoing Transcatheter Aortic Valve Implantation (TAVI). It was conducted at the Interventional Cardiology Unit of the Department of Cardiac, Thoracic, Vascular Sciences and Public Health of the University of Padova on 27 adult patients who underwent TAVI via the transfemoral approach. Patients completed two validated instruments, i.e., the Pittsburgh Sleep Quality Index (PSQI) and the EuroQoL (EQ-5D-5L), on the day of discharge and one month after the hospital discharge. Twenty-seven patients were enrolled with a severe aortic stenosis diagnosis, treated with transfemoral TAVI procedure. The study population included seventeen poor sleepers and ten good sleepers with a median age of 81.92 years overall. The global PSQI evaluation revealed a small significant improvement at follow-up (p-value 0.007). Small positive changes were detected in the Self-care and Usual activity domains of the EQ-5D-5L and the EQ-VAS. No correlation was detected between EQ-5D-5L and sleep quality. The present study confirms the importance of sleep quality monitoring in patients who undergo TAVI procedure for aortic stenosis treatment.

Keywords: Transcatheter Aortic Valve Implantation (TAVI); quality of life; sleep quality.

MeSH terms

Aged, 80 and over
Aortic Valve Stenosis* / surgery
Humans
Quality of Life
Sleep
Transcatheter Aortic Valve Replacement* / adverse effects
Treatment Outcome