Usefulness of cardiac rehabilitation programs among older patients undergoing transcatheter aortic valve replacement:how should we do it?
Vicente Arrarte Esteban1
Raquel Campuzano Ruiz2
Rosa Fernández Olmo3
Armando Oterino4
Pablo Diez-Villanueva5
Miryam González Cebrián6
Lucía Matute-Blanco7
1.Department of Cardiology,University Hospital of Alicante,Alicante,Spain2.Department of Cardiology,University Hospital Foundation of Alcorcón,Alcorcón,Madrid,Spain3.Department of Cardiology,University Hospital of Jaén,Jaén,Spain4.Department of Cardiology,University Hospital of Salamanca,Salamanca,Spain5.Department of Cardi-ology,University Hospital La Princesa,Madrid,Spain6.Department of Cardiology,University Hospital of Salamanca,37007 Salamanca,Spain7.Department of Cardiology,University Hospital Arnau de Villanova de Lleida,25198 Lleida,Spain.IRBLleida
摘要：Severe aortic stenosis has increased exponentially as a result of the aging of the population.Transcatheter aortic valve replace-ment(TAVR)procedures increase by 20％-30％per year in Spain.Referred patients are increasingly older,have comorbidities,and frailty.TAVR cardiac rehabilitation(CR)programs significantly improve both functional capacity and quality of life of pa-tients.However,there are no guidelines on how to carry out them and few elderly patients are referred to CR.Furthermore,mor-tality in women who undergo TAVR is higher than in men and even fewer are referred to CR programs.Multidisciplinary pa-tient care,including comorbidities and frailty,is essential.It is necessary to ensure exquisite continuity of care during TAVR,CR,and the rest of the patient's life.Telerehabilitation could be an option in some lower-risk patients to include more patients in CR programs after TAVR,given the high demand.This article reviews the evidence on why CR should be performed in post-TAVR patients and proposes a practical and novel approach to the care process and the recommended aspects and components of the CR program.
机标关键词：rehabilitationshouldamongaorticcardiacolderpatientsprograms
论文发表日期：2025-09-30
在线出版日期：2025-11-14（本平台首次上网日期，不代表文献的发表时间）
页数：10( 818-827 )