Key result
TAVI improves quality of life across age groups, requiring shared decision-making and digital health monitoring.
Why the study?
The expansion of TAVI to younger and low-surgical-risk populations necessitates a renewed focus on health-related quality of life, cognitive function, and the return to social roles.
Comprehensive TAVI care should incorporate shared decision-making and integrate digital health monitoring to optimize psychosocial support and address age-specific challenges.
Background: Transcatheter aortic valve implantation (TAVI) has evolved from a life-saving procedure for inoperable patients into a widespread standard, increasingly encompassing younger and low-surgical-risk populations. This paradigm shift, reflected in current clinical guidelines, necessitates a renewed focus on health-related quality of life (HRQoL), cognitive function, and the return to social roles. Aim: This study aims to evaluate the psychosocial and cognitive trajectories of both geriatric and non-geriatric patients following TAVI, and to analyze the impact of digital technologies (e-Health) on long-term postoperative care and cardiac rehabilitation. Methods: A narrative literature review was conducted, incorporating recent cardiological guidelines and studies regarding clinical qualification, cognitive changes, and the application of telemedicine. Results: TAVI significantly improves patients' quality of life. However, age-dependent challenges are evident: geriatric patients require routine screening for frailty and cognitive impairment, whereas younger populations experience specific psychological stress related to valve durability and the prospect of future valve-in-valve procedures. Modern wearable technologies (e.g., smartwatches) effectively facilitate remote health management and a safe return to physical activity in both groups. Conclusion: Modern qualification for TAVI should be based on shared decision-making. Comprehensive postoperative care must extend beyond hemodynamic parameters by integrating digital health monitoring to optimize psychosocial support.
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Klaudia Jurkowska (2026) conducted a review in Aortic stenosis. Transcatheter Aortic Valve Implantation (TAVI) vs. Surgical Aortic Valve Replacement (SAVR) was evaluated. Transcatheter aortic valve implantation improves quality of life across age groups, necessitating shared decision-making and the integration of digital health monitoring to optimize psychosocial support.
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