Why the study?
New device and catheter treatments in cardiology create new rehabilitation needs to prevent perioperative physical and mental functional decline, particularly in elderly and frail patients.
As minimally invasive therapies like ICD/CRTD and TAVI expand to older and frailer populations, comprehensive multidisciplinary cardiac rehabilitation becomes increasingly critical for optimizing long-term functional outcomes.
May support perioperative cardiac rehabilitation to limit decline after ICD/CRTD or TAVI; leaves open confirmation in prospective trials.
循環器領域における医療技術の進歩はめざましく,新たなデバイス治療やカテーテル治療は,リハビリテーション医療においても新たなニーズを生み出した.これらの治療は低侵襲であり,高齢患者やフレイルを有する患者にも実施可能であるが,適切なリハビリテーション治療がなければ周術期に精神・身体機能低下が進行し,退院後の生活に支障をきたす.周術期の機能低下を最小限にとどめ,長期的なアウトカムの改善を目標とした術前からの包括的心臓リハビリテーションが不可欠である.
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Neiko Ozasa (2021) conducted a review in Heart failure with reduced ejection fraction (HFrEF) and severe aortic stenosis (AS). Comprehensive cardiac rehabilitation was evaluated.
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