Key result
Cardiac rehabilitation safely improves functional independence, exercise tolerance, and quality of life after TAVI.
Why the study?
No major guidelines currently recommend cardiac rehabilitation after TAVI despite potential benefits in vulnerable patients.
Does cardiac rehabilitation improve clinical outcomes and quality of life in patients undergoing transcatheter aortic valve implantation?
Does cardiac rehabilitation improve clinical outcomes and quality of life in patients undergoing transcatheter aortic valve implantation?
Cardiac rehabilitation after TAVI is a promising strategy that improves functional capacity and quality of life in frail elderly patients.
May support post-TAVI rehabilitation in frail patients; extends SAVR data but leaves open need for RCTs.
Transcatheter aortic valve implantation (TAVI) is an increasingly widespread percutaneous intervention of aortic valve replacement (AVR). The target population for TAVI is mainly composed of elderly, frail patients with severe aortic stenosis (AS), multiple comorbidities, and high perioperative mortality risk for surgical AVR (sAVR). These vulnerable patients could benefit from cardiac rehabilitation (CR) programs after percutaneous intervention. To date, no major guidelines currently recommend CR after TAVI. However, emerging scientific evidence shows that CR in patients undergoing TAVI is safe, and improves exercise tolerance and quality of life. Moreover, preliminary data prove that a CR program after TAVI has the potential to reduce mortality during follow-up, even if randomized clinical trials are needed for confirmation. The present review article provides an overview of all scientific evidence concerning the potential beneficial effects of CR after TAVI, and suggests possible fields of research to improve cardiac care after TAVI.
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Sperlongano et al. (2021) conducted a review in Severe aortic stenosis post-TAVI. Cardiac rehabilitation vs. Usual care was evaluated. Cardiac rehabilitation after transcatheter aortic valve implantation appears safe and improves exercise tolerance, functional independence, and quality of life.
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