Efficacy of exercise training-based cardiac rehabilitation programmes after transcatheter aortic valve implantation: A systematic review and meta-analysis
Background: The beneficial effects of exercise training-based cardiac rehabilitation (CR) in different cardiac conditions have been previously studied. In this meta-analysis, we focused on the potential impact of CR on patients undergoing transcatheter aortic valve implantation (TAVI). Methods: Mult...
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| Format: | Article |
| Language: | English |
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Elsevier
2024-03-01
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| Series: | International Journal of Cardiology. Cardiovascular Risk and Prevention |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2772487524000035 |
| _version_ | 1797272404603437056 |
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| author | Alireza Hosseinpour Pouria Azami Hamidreza Hosseinpour Armin Attar Maryam Koushkie Jahromi |
| author_facet | Alireza Hosseinpour Pouria Azami Hamidreza Hosseinpour Armin Attar Maryam Koushkie Jahromi |
| author_sort | Alireza Hosseinpour |
| collection | DOAJ |
| description | Background: The beneficial effects of exercise training-based cardiac rehabilitation (CR) in different cardiac conditions have been previously studied. In this meta-analysis, we focused on the potential impact of CR on patients undergoing transcatheter aortic valve implantation (TAVI). Methods: Multiple databases were searched in a systematic approach to find the eligible studies. All the studies investigating the potential impact of exercise training-based CR programmes on exercise capacity and health-related quality of life in patients undergoing TAVI were retrieved. The primary endpoint of interest was 6-min walk test (6MWT). The pooled standardized mean difference (SMD) and 95 % confidence interval (CI) were measured to compare the improvement or worsening the endpoints using a random- or fixed-effects model, as appropriate. Results: A total of eleven studies (685 patients) were considered eligible for quantitative synthesis. The results showed that performing exercise training-based CR after TAVI is associated with significant improvement in 6MWT (SMD 0.59, 95 % CI (0.48; 0.71), p < 0.01), Barthel index (SMD 0.73, 95 % CI (0.57; 0.89), p < 0.01), 12-item Short Form (SF-12) physical (SMD 0.30, 95 % CI (0.08; 0.52), p < 0.01) and mental (SMD 0.27, 95 % CI (0.05; 0.49), p = 0.02) survey scores, and hospital anxiety and depression scale – depression (HADS-D) score (SMD -0.26, 95 % CI (−0.42; −0.10), p < 0.01). Conclusion: Performing exercise training-based CR following TAVI has significant benefits regarding physical capacity and health-related quality of life irrespective of the programme duration. |
| first_indexed | 2024-03-07T14:27:50Z |
| format | Article |
| id | doaj.art-31ba65fd7eb4451d81f8c03e84e66a64 |
| institution | Directory Open Access Journal |
| issn | 2772-4875 |
| language | English |
| last_indexed | 2024-03-07T14:27:50Z |
| publishDate | 2024-03-01 |
| publisher | Elsevier |
| record_format | Article |
| series | International Journal of Cardiology. Cardiovascular Risk and Prevention |
| spelling | doaj.art-31ba65fd7eb4451d81f8c03e84e66a642024-03-06T05:29:07ZengElsevierInternational Journal of Cardiology. Cardiovascular Risk and Prevention2772-48752024-03-0120200238Efficacy of exercise training-based cardiac rehabilitation programmes after transcatheter aortic valve implantation: A systematic review and meta-analysisAlireza Hosseinpour0Pouria Azami1Hamidreza Hosseinpour2Armin Attar3Maryam Koushkie Jahromi4Department of Cardiovascular Medicine, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran; School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran; Corresponding author. Postal address: School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran.Department of Cardiovascular Medicine, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran; School of Medicine, Shiraz University of Medical Sciences, Shiraz, IranSchool of Medicine, Shiraz University of Medical Sciences, Shiraz, IranDepartment of Cardiovascular Medicine, School of Medicine, Shiraz University of Medical Sciences, Shiraz, IranDepartment of Sports Sciences, Shiraz University, Shiraz, IranBackground: The beneficial effects of exercise training-based cardiac rehabilitation (CR) in different cardiac conditions have been previously studied. In this meta-analysis, we focused on the potential impact of CR on patients undergoing transcatheter aortic valve implantation (TAVI). Methods: Multiple databases were searched in a systematic approach to find the eligible studies. All the studies investigating the potential impact of exercise training-based CR programmes on exercise capacity and health-related quality of life in patients undergoing TAVI were retrieved. The primary endpoint of interest was 6-min walk test (6MWT). The pooled standardized mean difference (SMD) and 95 % confidence interval (CI) were measured to compare the improvement or worsening the endpoints using a random- or fixed-effects model, as appropriate. Results: A total of eleven studies (685 patients) were considered eligible for quantitative synthesis. The results showed that performing exercise training-based CR after TAVI is associated with significant improvement in 6MWT (SMD 0.59, 95 % CI (0.48; 0.71), p < 0.01), Barthel index (SMD 0.73, 95 % CI (0.57; 0.89), p < 0.01), 12-item Short Form (SF-12) physical (SMD 0.30, 95 % CI (0.08; 0.52), p < 0.01) and mental (SMD 0.27, 95 % CI (0.05; 0.49), p = 0.02) survey scores, and hospital anxiety and depression scale – depression (HADS-D) score (SMD -0.26, 95 % CI (−0.42; −0.10), p < 0.01). Conclusion: Performing exercise training-based CR following TAVI has significant benefits regarding physical capacity and health-related quality of life irrespective of the programme duration.http://www.sciencedirect.com/science/article/pii/S2772487524000035Exercise trainingCardiac rehabilitationTranscatheter aortic valve implantation6-Min walk testBarthel index |
| spellingShingle | Alireza Hosseinpour Pouria Azami Hamidreza Hosseinpour Armin Attar Maryam Koushkie Jahromi Efficacy of exercise training-based cardiac rehabilitation programmes after transcatheter aortic valve implantation: A systematic review and meta-analysis International Journal of Cardiology. Cardiovascular Risk and Prevention Exercise training Cardiac rehabilitation Transcatheter aortic valve implantation 6-Min walk test Barthel index |
| title | Efficacy of exercise training-based cardiac rehabilitation programmes after transcatheter aortic valve implantation: A systematic review and meta-analysis |
| title_full | Efficacy of exercise training-based cardiac rehabilitation programmes after transcatheter aortic valve implantation: A systematic review and meta-analysis |
| title_fullStr | Efficacy of exercise training-based cardiac rehabilitation programmes after transcatheter aortic valve implantation: A systematic review and meta-analysis |
| title_full_unstemmed | Efficacy of exercise training-based cardiac rehabilitation programmes after transcatheter aortic valve implantation: A systematic review and meta-analysis |
| title_short | Efficacy of exercise training-based cardiac rehabilitation programmes after transcatheter aortic valve implantation: A systematic review and meta-analysis |
| title_sort | efficacy of exercise training based cardiac rehabilitation programmes after transcatheter aortic valve implantation a systematic review and meta analysis |
| topic | Exercise training Cardiac rehabilitation Transcatheter aortic valve implantation 6-Min walk test Barthel index |
| url | http://www.sciencedirect.com/science/article/pii/S2772487524000035 |
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