Transcatheter Aortic Valve Implantation: The New Challenges of Cardiac Rehabilitation

Overview

Journal J Clin Med

Specialty General Medicine

Date 2021 Mar 6

PMID 33671340

Citations 7

Authors

Simona Sperlongano

Francesca Renon

Maurizio Cappelli Bigazzi

Rossella Sperlongano

Giovanni Cimmino

Antonello DAndrea

Paolo Golino

Affiliations

Soon will be listed here.

Abstract

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.

Citing Articles

An Accessible Pre-Rehabilitation Bundle for Patients Undergoing Elective Heart Valve Surgery with Limited Resources: The TIME Randomized Clinical Trial.

Luo Z, Zhang X, Wang Y, Huang W, Chen M, Yang M Rev Cardiovasc Med. 2024; 24(11):308.

PMID: 39076434 PMC: 11272831. DOI: 10.31083/j.rcm2411308.

TAVR in Older Adults: Moving Toward a Comprehensive Geriatric Assessment and Away From Chronological Age: Family Series.

Damluji A, Bernacki G, Afilalo J, Lyubarova R, Orkaby A, Kwak M JACC Adv. 2024; 3(4).

PMID: 38694996 PMC: 11062620. DOI: 10.1016/j.jacadv.2024.100877.

Home-based mobile-guided exercise-based cardiac rehabilitation among patients undergoing transcatheter aortic valve replacement (REHAB-TAVR): protocol for a randomised clinical trial.

Shen Z, Mi S, Huang C, Zhou D, Pan W, Xu X BMJ Open. 2024; 14(3):e080042.

PMID: 38453208 PMC: 10921510. DOI: 10.1136/bmjopen-2023-080042.

Preprocedural muscle strength and physical performance and the association with functional decline or mortality in frail older patients after transcatheter aortic valve implementation: a systematic review and meta-analysis.

van Erck D, Dolman C, Limpens J, Scholte Op Reimer W, Henriques J, Delewi R Age Ageing. 2022; 51(9).

PMID: 36173992 PMC: 9521795. DOI: 10.1093/ageing/afac211.

Exercise-Based Real-time Telerehabilitation for Older Adult Patients Recently Discharged After Transcatheter Aortic Valve Implantation: Mixed Methods Feasibility Study.

Brocki B, Andreasen J, Aaroe J, Andreasen J, Thorup C JMIR Rehabil Assist Technol. 2022; 9(2):e34819.

PMID: 35471263 PMC: 9092235. DOI: 10.2196/34819.

References

Russo N, Compostella L, Tarantini G, Setzu T, Napodano M, Bottio T . Cardiac rehabilitation after transcatheter versus surgical prosthetic valve implantation for aortic stenosis in the elderly. Eur J Prev Cardiol. 2013; 21(11):1341-8. DOI: 10.1177/2047487313494029. View

Pressler A, Christle J, Lechner B, Grabs V, Haller B, Hettich I . Exercise training improves exercise capacity and quality of life after transcatheter aortic valve implantation: A randomized pilot trial. Am Heart J. 2016; 182:44-53. DOI: 10.1016/j.ahj.2016.08.007. View

Sumner J, Grace S, Doherty P . Predictors of Cardiac Rehabilitation Utilization in England: Results From the National Audit. J Am Heart Assoc. 2016; 5(10). PMC: 5121492. DOI: 10.1161/JAHA.116.003903. View

Szerlip M, Arsalan M, Mack M, Filardo G, Worley C, Kim R . Usefulness of Balloon Aortic Valvuloplasty in the Management of Patients With Aortic Stenosis. Am J Cardiol. 2017; 120(8):1366-1372. DOI: 10.1016/j.amjcard.2017.07.024. View

Ribeiro G, Melo R, Deresz L, Lago P, Pontes M, Karsten M . Cardiac rehabilitation programme after transcatheter aortic valve implantation versus surgical aortic valve replacement: Systematic review and meta-analysis. Eur J Prev Cardiol. 2017; 24(7):688-697. DOI: 10.1177/2047487316686442. View

Afilalo J, Lauck S, Kim D, Lefevre T, Piazza N, Lachapelle K . Frailty in Older Adults Undergoing Aortic Valve Replacement: The FRAILTY-AVR Study. J Am Coll Cardiol. 2017; 70(6):689-700. DOI: 10.1016/j.jacc.2017.06.024. View

Goldfarb M, Lauck S, Webb J, Asgar A, Perrault L, Piazza N . Malnutrition and Mortality in Frail and Non-Frail Older Adults Undergoing Aortic Valve Replacement. Circulation. 2018; 138(20):2202-2211. DOI: 10.1161/CIRCULATIONAHA.118.033887. View

Sweda R, Dobner S, Heg D, Lanz J, Malebranche D, Langhammer B . Discharge Location and Outcomes After Transcatheter Aortic Valve Implantation. Am J Cardiol. 2020; 140:95-102. DOI: 10.1016/j.amjcard.2020.10.058. View

Mack M, Leon M, Thourani V, Makkar R, Kodali S, Russo M . Transcatheter Aortic-Valve Replacement with a Balloon-Expandable Valve in Low-Risk Patients. N Engl J Med. 2019; 380(18):1695-1705. DOI: 10.1056/NEJMoa1814052. View

10.

Tarro Genta F, Tidu M, Bouslenko Z, Bertolin F, Salvetti I, Comazzi F . Cardiac rehabilitation after transcatheter aortic valve implantation compared to patients after valve replacement. J Cardiovasc Med (Hagerstown). 2016; 18(2):114-120. DOI: 10.2459/JCM.0000000000000494. View

11.

Bendayan M, Messas N, Perrault L, Asgar A, Lauck S, Kim D . Frailty and Bleeding in Older Adults Undergoing TAVR or SAVR: Insights From the FRAILTY-AVR Study. JACC Cardiovasc Interv. 2020; 13(9):1058-1068. DOI: 10.1016/j.jcin.2020.01.238. View

12.

Saia F, Moretti C, DallAra G, Ciuca C, Taglieri N, Berardini A . Balloon aortic valvuloplasty as a bridge-to-decision in high risk patients with aortic stenosis: a new paradigm for the heart team decision making. J Geriatr Cardiol. 2016; 13(6):475-82. PMC: 4987415. DOI: 10.11909/j.issn.1671-5411.2016.06.002. View

13.

Beckie T . Utility of Home-Based Cardiac Rehabilitation for Older Adults. Clin Geriatr Med. 2019; 35(4):499-516. DOI: 10.1016/j.cger.2019.07.003. View

14.

Bellmann B, Lin T, Greissinger K, Rottner L, Rillig A, Zimmerling S . The Beneficial Effects of Cardiac Rehabilitation. Cardiol Ther. 2020; 9(1):35-44. PMC: 7237601. DOI: 10.1007/s40119-020-00164-9. View

15.

Pressler A, Forschner L, Hummel J, Haller B, Christle J, Halle M . Long-term effect of exercise training in patients after transcatheter aortic valve implantation: Follow-up of the SPORT:TAVI randomised pilot study. Eur J Prev Cardiol. 2018; 25(8):794-801. DOI: 10.1177/2047487318765233. View

16.

Piepoli M, Hoes A, Agewall S, Albus C, Brotons C, Catapano A . 2016 European Guidelines on cardiovascular disease prevention in clinical practice: The Sixth Joint Task Force of the European Society of Cardiology and Other Societies on Cardiovascular Disease Prevention in Clinical Practice (constituted by.... Eur Heart J. 2016; 37(29):2315-2381. PMC: 4986030. DOI: 10.1093/eurheartj/ehw106. View

17.

DAndrea A, Sperlongano S, Pacileo M, Venturini E, Iannuzzo G, Gentile M . New Ultrasound Technologies for Ischemic Heart Disease Assessment and Monitoring in Cardiac Rehabilitation. J Clin Med. 2020; 9(10). PMC: 7599992. DOI: 10.3390/jcm9103131. View

18.

Baumgartner H, Falk V, Bax J, De Bonis M, Hamm C, Holm P . 2017 ESC/EACTS Guidelines for the management of valvular heart disease. Eur Heart J. 2017; 38(36):2739-2791. DOI: 10.1093/eurheartj/ehx391. View

19.

Voller H, Salzwedel A, Nitardy A, Buhlert H, Treszl A, Wegscheider K . Effect of cardiac rehabilitation on functional and emotional status in patients after transcatheter aortic-valve implantation. Eur J Prev Cardiol. 2014; 22(5):568-74. DOI: 10.1177/2047487314526072. View

20.

Shah R, Hirji S, Jolissaint J, Lander H, Shah P, Pelletier M . Comparison of Sex-Based Differences in Home or Nonhome Discharge Utilization of Rehabilitative Services and Outcomes Following Transcatheter Aortic Valve Implantation in the United States. Am J Cardiol. 2019; 123(12):1983-1991. DOI: 10.1016/j.amjcard.2019.03.008. View