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.	中国医师协会心血管内科医师分会结构性心脏病专业委员, 中华医学会心血管病学分会结构性心脏病学组. 经导管主动脉瓣置换术中国专家共识. 中国介入心脏病学杂志, 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.	中国医师协会心血管内科医师分会结构性心脏病专业委员会. 经导管主动脉瓣置换术后运动康复专家共识. 中国介入心脏病学杂志, 2020, 28(7): 361-368.
9.	中国康复医学会心血管病专业委员会. 中国心脏康复与二级预防指南 2018 精要. 中华内科杂志, 2018, 57(11): 802-810.
10.	Butter C, Groß 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, 张存泰. 《高龄稳定性冠心病患者运动康复中国专家共识》若干要点解读. 医学新知, 2020, 30(3): 174-178.
16.	中华医学会老年医学分会, 75 岁及以上稳定性冠心病患者运动康复中国专家共识写作组. 75 岁及以上稳定性冠心病患者运动康复中国专家共识. 中国综合临床, 2018, 34(2): 97-104.
17.	中国医师协会心血管内科医师分会预防与康复专业委员会. 经皮冠状动脉介入治疗术后运动康复专家共识. 中国介入心脏病学杂志, 2016, 24(7): 361-369.
18.	齐喜玲, 许海燕, 于子凯, 等. 六分钟步行试验在经导管主动脉瓣置换术后心脏康复中的指导价值. 中华老年心脑血管病杂志, 2019, 21(7): 695-698.
19.	许海燕, 于子凯, 齐喜玲, 等. 经导管主动脉瓣置换术序贯综合康复的探索和体会. 中华老年心脑血管病杂志, 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, Förschner 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.	于子凯, 陈可冀, 吴永健. 心脏康复在经导管主动脉瓣置换术后的应用. 中西医结合心脑血管病杂志, 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. 中国医师协会心血管内科医师分会结构性心脏病专业委员, 中华医学会心血管病学分会结构性心脏病学组. 经导管主动脉瓣置换术中国专家共识. 中国介入心脏病学杂志, 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. 中国医师协会心血管内科医师分会结构性心脏病专业委员会. 经导管主动脉瓣置换术后运动康复专家共识. 中国介入心脏病学杂志, 2020, 28(7): 361-368.
9. 中国康复医学会心血管病专业委员会. 中国心脏康复与二级预防指南 2018 精要. 中华内科杂志, 2018, 57(11): 802-810.
10. Butter C, Groß 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, 张存泰. 《高龄稳定性冠心病患者运动康复中国专家共识》若干要点解读. 医学新知, 2020, 30(3): 174-178.
16. 中华医学会老年医学分会, 75 岁及以上稳定性冠心病患者运动康复中国专家共识写作组. 75 岁及以上稳定性冠心病患者运动康复中国专家共识. 中国综合临床, 2018, 34(2): 97-104.
17. 中国医师协会心血管内科医师分会预防与康复专业委员会. 经皮冠状动脉介入治疗术后运动康复专家共识. 中国介入心脏病学杂志, 2016, 24(7): 361-369.
18. 齐喜玲, 许海燕, 于子凯, 等. 六分钟步行试验在经导管主动脉瓣置换术后心脏康复中的指导价值. 中华老年心脑血管病杂志, 2019, 21(7): 695-698.
19. 许海燕, 于子凯, 齐喜玲, 等. 经导管主动脉瓣置换术序贯综合康复的探索和体会. 中华老年心脑血管病杂志, 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, Förschner 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. 于子凯, 陈可冀, 吴永健. 心脏康复在经导管主动脉瓣置换术后的应用. 中西医结合心脑血管病杂志, 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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