Supervisors info:
Αναστάσιος Φιλίππου Αναπληρωτής Καθηγητής, Ιατρική Σχολή, ΕΚΠΑ
Ελευθέριος Καρατζάνος, Διδάκτωρ, Ιατρική Σχολή, ΕΚΠΑ
Σταύρος Δημόπουλος, Διδάκτωρ, Ιατρική Σχολή, ΕΚΠΑ
Summary:
The aortic stenosis, mainly diagnosed in the elderly, represents the
more frequent valvular disease, causing obstruction of the left ventricular
outflow. The three types of stenosis, namely valvular, subcutaneous, and
hypervalvular, require various approaches of treatment, including
replacement of the aortic valve with open surgery or transdermal
replacement. The first transdermal aortic valve replacement (TAVI) took
place in 2002 and provided an alternative therapeutic method for patients
with high risk of surgical replacement. Post-TAVI rehabilitation is
reinforced by cardiac rehabilitation programs, achieving rapid recovery
and optimization of functional ability of the patient.
The present study focuses on the role of cardiac rehabilitation
programs in patients after TAVI, evaluating how they contribute to
recovery and optimization of the functional ability of the patients.
A systematic review of the literature was performed for the selection
of scientific articles in the NCBI, PubMed and Google Scholar databases
without a time limit regarding the date of publication of the articles. Of
the 360 studies identified, 15 met the criteria for their integration into the
study and were further analyzed. The Pedro scale was used to evaluate
the methodological quality of the selected studies, which showed that all
studies were of high methodological quality. The results of this systematic review have shown that TAVI certainly
improves exercise tolerance and functional independence of those
patients. However, despite the effectiveness of TAVI, there are obstacles
such as transport, cost and limited access to rehabilitation programs. An
important parameter for monitoring these patients is their continuous
participation in exercise training programs, which helps to improve the
functional capacity of patients with TAVI. Particularly, the VO2/t-slope
index is a reliable tool for monitoring patients with TAVI. In conclusion,
exercise is a vital component of cardiac rehabilitation, enhancing the longterm effectiveness and durability of the valve after TAVI.
Keywords:
Exercise, Valvular disease, Aortic valve stenosis, Rehabilitation, Transcatheter implantation
