Transcatheter Aortic Valve Implantation: The New Challenges of Cardiac Rehabilitation
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 mort...
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| Format: | Article |
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MDPI AG
2021-02-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/10/4/810 |
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| author | Simona Sperlongano Francesca Renon Maurizio Cappelli Bigazzi Rossella Sperlongano Giovanni Cimmino Antonello D’Andrea Paolo Golino |
| author_facet | Simona Sperlongano Francesca Renon Maurizio Cappelli Bigazzi Rossella Sperlongano Giovanni Cimmino Antonello D’Andrea Paolo Golino |
| author_sort | Simona Sperlongano |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-03-09T00:47:33Z |
| format | Article |
| id | doaj.art-5061d139349a447b874468cfef22ab5b |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-09T00:47:33Z |
| publishDate | 2021-02-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-5061d139349a447b874468cfef22ab5b2023-12-11T17:24:00ZengMDPI AGJournal of Clinical Medicine2077-03832021-02-0110481010.3390/jcm10040810Transcatheter Aortic Valve Implantation: The New Challenges of Cardiac RehabilitationSimona Sperlongano0Francesca Renon1Maurizio Cappelli Bigazzi2Rossella Sperlongano3Giovanni Cimmino4Antonello D’Andrea5Paolo Golino6Department of Translational Medical Sciences, Division of Cardiology, University of Campania Luigi Vanvitelli, Monaldi Hospital, 80131 Naples, ItalyDepartment of Translational Medical Sciences, Division of Cardiology, University of Campania Luigi Vanvitelli, Monaldi Hospital, 80131 Naples, ItalyDepartment of Translational Medical Sciences, Division of Cardiology, University of Campania Luigi Vanvitelli, Monaldi Hospital, 80131 Naples, ItalyDepartment of Experimental Sciences, University of Campania Luigi Vanvitelli, 80138 Naples, ItalyDepartment of Translational Medical Sciences, Division of Cardiology, University of Campania Luigi Vanvitelli, Monaldi Hospital, 80131 Naples, ItalyDepartment of Cardiology and Intensive Coronary Care, Umberto I Hospital, 84014 Nocera Inferiore, ItalyDepartment of Translational Medical Sciences, Division of Cardiology, University of Campania Luigi Vanvitelli, Monaldi Hospital, 80131 Naples, ItalyTranscatheter 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.https://www.mdpi.com/2077-0383/10/4/810cardiac rehabilitationaortic stenosistranscatheter aortic valve implantation |
| spellingShingle | Simona Sperlongano Francesca Renon Maurizio Cappelli Bigazzi Rossella Sperlongano Giovanni Cimmino Antonello D’Andrea Paolo Golino Transcatheter Aortic Valve Implantation: The New Challenges of Cardiac Rehabilitation Journal of Clinical Medicine cardiac rehabilitation aortic stenosis transcatheter aortic valve implantation |
| title | Transcatheter Aortic Valve Implantation: The New Challenges of Cardiac Rehabilitation |
| title_full | Transcatheter Aortic Valve Implantation: The New Challenges of Cardiac Rehabilitation |
| title_fullStr | Transcatheter Aortic Valve Implantation: The New Challenges of Cardiac Rehabilitation |
| title_full_unstemmed | Transcatheter Aortic Valve Implantation: The New Challenges of Cardiac Rehabilitation |
| title_short | Transcatheter Aortic Valve Implantation: The New Challenges of Cardiac Rehabilitation |
| title_sort | transcatheter aortic valve implantation the new challenges of cardiac rehabilitation |
| topic | cardiac rehabilitation aortic stenosis transcatheter aortic valve implantation |
| url | https://www.mdpi.com/2077-0383/10/4/810 |
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