Interpretation of <i>Expert Consensus on Motor Rehabilitation after Transeatheter Aortic Valve Replacement</i>_West China Medical Journal

Authors：

LIU Jiani ^1,2 , LI Xiang ³ ,  CHEN Mao ³

1. Department of Rehabilitation Medicine, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;
2. Key Laboratory of Rehabilitation Medicine in Sichuan Province, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;
3. Department of Cardiology, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding?author：

CHEN Mao, Email: hmaochen@vip.sina.com

Keywords：

Transeatheter aortic valve replacement; Cardiac rehabilitation; Elderly

DOI：

10.7507/1002-0179.202107284

Video：

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At present, transeatheter aortic valve replacement is an effective treatment for elderly patients with severe aortic valve stenosis. Cardiac rehabilitation after transeatheter aortic valve replacement can effectively improve cardiopulmonary endurance and exercise capacity, and improve the quality of life. In order to better carry out cardiac rehabilitation for patients undergoing transeatheter aortic valve replacement, the Structural Heart Disease Professional Committee of Chinese College of Cardiovascular Physicians has drawn up Expert Consensus on Motor Rehabilitation after Transeatheter Aortic Valve Replacement. This consensus mainly elaborates the specific implementation process and methods of cardiac rehabilitation from three time periods of perioperative rehabilitation, outpatient rehabilitation and home rehabilitation. This article will interpret the main content of the consensus.

Citation： LIU Jiani, LI Xiang, CHEN Mao. Interpretation of Expert Consensus on Motor Rehabilitation after Transeatheter Aortic Valve Replacement. West China Medical Journal, 2021, 36(9): 1196-1200. doi: 10.7507/1002-0179.202107284 Copy

1.	Grimard BH, Safford RE, Burns EL. Aortic stenosis: diagnosis and treatment. Am Fam Physician, 2016, 93(5): 371-378.
2.	Pereira E, Silva G, Caeiro D, et al. What has changed in surgical treatment of severe aortic stenosis with the advent of percutaneous intervention?. Rev Port Cardiol, 2013, 32(10): 749-756.
3.	Waksman R, Craig PE, Torguson R, et al. Transcatheter aortic valve replacement in low-risk patients with symptomatic severe bicuspid aortic valve stenosis. JACC Cardiovasc Interv, 2020, 13(9): 1019-1027.
4.	Mack MJ, Leon MB, Thourani VH, et al. Transcatheter aortic-valve replacement with a balloon-expandable valve in low-risk patients. N Engl J Med, 2019, 380(18): 1695-1705.
5.	Eggebrecht H, Vaquerizo B, Moris C, et al. Incidence and outcomes of emergent cardiac surgery during transfemoral transcatheter aortic valve implantation (TAVI): insights from the European Registry on Emergent Cardiac Surgery during TAVI (EuRECS-TAVI). Eur Heart J, 2018, 39(8): 676-684.
6.	中國醫師協會心血管內科醫師分會結構性心臟病專業委員, 中華醫學會心血管病學分會結構性心臟病學組. 經導管主動脈瓣置換術中國專家共識. 中國介入心臟病學雜志, 2015, 23(12): 661-667.
7.	Otto CM, Kumbhani DJ, Alexander KP, et al. 2017 ACC expert consensus decision pathway for transcatheter aortic valve replacement in the management of adults with aortic stenosis: a report of the American College of Cardiology Task Force on clinical expert consensus documents. J Am Coll Cardiol, 2017, 69(10): 1313-1346.
8.	中國醫師協會心血管內科醫師分會結構性心臟病專業委員會. 經導管主動脈瓣置換術后運動康復專家共識. 中國介入心臟病學雜志, 2020, 28(7): 361-368.
9.	中國康復醫學會心血管病專業委員會. 中國心臟康復與二級預防指南 2018 精要. 中華內科雜志, 2018, 57(11): 802-810.
10.	Butter C, Gro? J, Haase-Fielitz A, et al. Impact of rehabilitation on outcomes after TAVI: a preliminary study. J Clin Med, 2018, 7(10): 326.
11.	Boreskie KF, Hay JL, Kehler DS, et al. Prehabilitation: the right medicine for older frail adults anticipating transcatheter aortic valve replacement, coronary artery bypass graft, and other cardiovascular care. Clin Geriatr Med, 2019, 35(4): 571-585.
12.	Devlin JW, Skrobik Y, Gélinas C, et al. Clinical practice guidelines for the prevention and management of pain, agitation/sedation, delirium, immobility, and sleep disruption in adult patients in the ICU. Crit Care Med, 2018, 46(9): e825-e873.
13.	Rogers P, Al-Aidrous S, Banya W, et al. Cardiac rehabilitation to improve health-related quality of life following trans-catheter aortic valve implantation: a randomised controlled feasibility study: RECOVER-TAVI Pilot, ORCA 4, for the optimal restoration of cardiac activity group. Pilot Feasibility Stud, 2018, 4: 185.
14.	Nechwatal RM, Bestehorn K, Leuschner F, et al. Postacute care after transcatheter aortic valve implantation (TAVI). Herz, 2021, 46(Suppl 1): 41-47.
15.	王冠, 張存泰. 《高齡穩定性冠心病患者運動康復中國專家共識》若干要點解讀. 醫學新知, 2020, 30(3): 174-178.
16.	中華醫學會老年醫學分會, 75 歲及以上穩定性冠心病患者運動康復中國專家共識寫作組. 75 歲及以上穩定性冠心病患者運動康復中國專家共識. 中國綜合臨床, 2018, 34(2): 97-104.
17.	中國醫師協會心血管內科醫師分會預防與康復專業委員會. 經皮冠狀動脈介入治療術后運動康復專家共識. 中國介入心臟病學雜志, 2016, 24(7): 361-369.
18.	齊喜玲, 許海燕, 于子凱, 等. 六分鐘步行試驗在經導管主動脈瓣置換術后心臟康復中的指導價值. 中華老年心腦血管病雜志, 2019, 21(7): 695-698.
19.	許海燕, 于子凱, 齊喜玲, 等. 經導管主動脈瓣置換術序貫綜合康復的探索和體會. 中華老年心腦血管病雜志, 2019, 21(7): 699-702.
20.	Anayo L, Rogers P, Long L, et al. Exercise-based cardiac rehabilitation for patients following open surgical aortic valve replacement and transcatheter aortic valve implant: a systematic review and meta-analysis. Open Heart, 2019, 6(1): e000922.
21.	Squires RW, Kaminsky LA, Porcari JP, et al. Progression of exercise training in early outpatient cardiac rehabilitation: an official statement from the American Association of Cardiovascular and Pulmonary Rehabilitation. J Cardiopulm Rehabil Prev, 2018, 38(3): 139-146.
22.	Pressler A, F?rschner L, Hummel J, et al. 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.
23.	Eichler S, Salzwedel A, Reibis R, et al. Multicomponent cardiac rehabilitation in patients after transcatheter aortic valve implantation: Predictors of functional and psychocognitive recovery. Eur J Prev Cardiol, 2017, 24(3): 257-264.
24.	于子凱, 陳可冀, 吳永健. 心臟康復在經導管主動脈瓣置換術后的應用. 中西醫結合心腦血管病雜志, 2020, 18(5): 763-766.

1. Grimard BH, Safford RE, Burns EL. Aortic stenosis: diagnosis and treatment. Am Fam Physician, 2016, 93(5): 371-378.
2. Pereira E, Silva G, Caeiro D, et al. What has changed in surgical treatment of severe aortic stenosis with the advent of percutaneous intervention?. Rev Port Cardiol, 2013, 32(10): 749-756.
3. Waksman R, Craig PE, Torguson R, et al. Transcatheter aortic valve replacement in low-risk patients with symptomatic severe bicuspid aortic valve stenosis. JACC Cardiovasc Interv, 2020, 13(9): 1019-1027.
4. Mack MJ, Leon MB, Thourani VH, et al. Transcatheter aortic-valve replacement with a balloon-expandable valve in low-risk patients. N Engl J Med, 2019, 380(18): 1695-1705.
5. Eggebrecht H, Vaquerizo B, Moris C, et al. Incidence and outcomes of emergent cardiac surgery during transfemoral transcatheter aortic valve implantation (TAVI): insights from the European Registry on Emergent Cardiac Surgery during TAVI (EuRECS-TAVI). Eur Heart J, 2018, 39(8): 676-684.
6. 中國醫師協會心血管內科醫師分會結構性心臟病專業委員, 中華醫學會心血管病學分會結構性心臟病學組. 經導管主動脈瓣置換術中國專家共識. 中國介入心臟病學雜志, 2015, 23(12): 661-667.
7. Otto CM, Kumbhani DJ, Alexander KP, et al. 2017 ACC expert consensus decision pathway for transcatheter aortic valve replacement in the management of adults with aortic stenosis: a report of the American College of Cardiology Task Force on clinical expert consensus documents. J Am Coll Cardiol, 2017, 69(10): 1313-1346.
8. 中國醫師協會心血管內科醫師分會結構性心臟病專業委員會. 經導管主動脈瓣置換術后運動康復專家共識. 中國介入心臟病學雜志, 2020, 28(7): 361-368.
9. 中國康復醫學會心血管病專業委員會. 中國心臟康復與二級預防指南 2018 精要. 中華內科雜志, 2018, 57(11): 802-810.
10. Butter C, Gro? J, Haase-Fielitz A, et al. Impact of rehabilitation on outcomes after TAVI: a preliminary study. J Clin Med, 2018, 7(10): 326.
11. Boreskie KF, Hay JL, Kehler DS, et al. Prehabilitation: the right medicine for older frail adults anticipating transcatheter aortic valve replacement, coronary artery bypass graft, and other cardiovascular care. Clin Geriatr Med, 2019, 35(4): 571-585.
12. Devlin JW, Skrobik Y, Gélinas C, et al. Clinical practice guidelines for the prevention and management of pain, agitation/sedation, delirium, immobility, and sleep disruption in adult patients in the ICU. Crit Care Med, 2018, 46(9): e825-e873.
13. Rogers P, Al-Aidrous S, Banya W, et al. Cardiac rehabilitation to improve health-related quality of life following trans-catheter aortic valve implantation: a randomised controlled feasibility study: RECOVER-TAVI Pilot, ORCA 4, for the optimal restoration of cardiac activity group. Pilot Feasibility Stud, 2018, 4: 185.
14. Nechwatal RM, Bestehorn K, Leuschner F, et al. Postacute care after transcatheter aortic valve implantation (TAVI). Herz, 2021, 46(Suppl 1): 41-47.
15. 王冠, 張存泰. 《高齡穩定性冠心病患者運動康復中國專家共識》若干要點解讀. 醫學新知, 2020, 30(3): 174-178.
16. 中華醫學會老年醫學分會, 75 歲及以上穩定性冠心病患者運動康復中國專家共識寫作組. 75 歲及以上穩定性冠心病患者運動康復中國專家共識. 中國綜合臨床, 2018, 34(2): 97-104.
17. 中國醫師協會心血管內科醫師分會預防與康復專業委員會. 經皮冠狀動脈介入治療術后運動康復專家共識. 中國介入心臟病學雜志, 2016, 24(7): 361-369.
18. 齊喜玲, 許海燕, 于子凱, 等. 六分鐘步行試驗在經導管主動脈瓣置換術后心臟康復中的指導價值. 中華老年心腦血管病雜志, 2019, 21(7): 695-698.
19. 許海燕, 于子凱, 齊喜玲, 等. 經導管主動脈瓣置換術序貫綜合康復的探索和體會. 中華老年心腦血管病雜志, 2019, 21(7): 699-702.
20. Anayo L, Rogers P, Long L, et al. Exercise-based cardiac rehabilitation for patients following open surgical aortic valve replacement and transcatheter aortic valve implant: a systematic review and meta-analysis. Open Heart, 2019, 6(1): e000922.
21. Squires RW, Kaminsky LA, Porcari JP, et al. Progression of exercise training in early outpatient cardiac rehabilitation: an official statement from the American Association of Cardiovascular and Pulmonary Rehabilitation. J Cardiopulm Rehabil Prev, 2018, 38(3): 139-146.
22. Pressler A, F?rschner L, Hummel J, et al. 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.
23. Eichler S, Salzwedel A, Reibis R, et al. Multicomponent cardiac rehabilitation in patients after transcatheter aortic valve implantation: Predictors of functional and psychocognitive recovery. Eur J Prev Cardiol, 2017, 24(3): 257-264.
24. 于子凱, 陳可冀, 吳永健. 心臟康復在經導管主動脈瓣置換術后的應用. 中西醫結合心腦血管病雜志, 2020, 18(5): 763-766.

West China Medical Journal

Interpretation of Expert Consensus on Motor Rehabilitation after Transeatheter Aortic Valve Replacement

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