Early exercise training feasibility after aortic valve repair: A multicentre prospective French survey on behalf of the Aortic Valve repair International Registry (AVIATOR)

Tabet, Jean-Yves; Meurin, Philippe; Driss, Ahmed Ben; Weber, Hannelore; Dumaine, Raphaelle; Renaud, Nathalie; Grosdemouge, Anne; Defrance, C.; Peyrot, Sandrine; Debauchez, Mathieu; Lansac, Emmanuel

doi:10.1016/j.acvd.2019.11.006

Cited by 6 publications

(15 citation statements)

References 25 publications

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“…After screening by title and abstract, 18 records were eligible for full-text assessment. Five studies remained available for qualitative synthesis after assessment of the eligibility criteria 23–27. The study by Zhou et al27 was identified by forward citation searching (ie, identified through other sources).…”

Section: Resultsmentioning

confidence: 99%

“…Ten patients participated in exercise-based CR and completed the exercise test, three of whom had Marfan syndrome. Tabet et al26 included data from 54 patients with surgically treated aortic root aneurysm or ascending aorta aneurysm with a mean age of 50 ± 13 yr. Zhou et al27 included data from 75 patients with surgically treated type A aortic dissection with a mean age of 62 ± 13 yr.…”

Section: Resultsmentioning

confidence: 99%

“…Three studies were scored “serious risk of bias”23–25 and two studies “moderate risk of bias”26,27 (see Supplemental Digital Content 4, available at: http://links.lww.com/JCRP/A482). In total 26 items were scored “low risk of bias,” three items “moderate,” and six items “serious.” Confounding was scored “moderate risk of bias” in three studies: none of the studies provided information about additional treatment or daily physical activities besides the CR program.…”

Section: Resultsmentioning

confidence: 99%

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Improved Maximal Workload and Systolic Blood Pressure After Cardiac Rehabilitation Following Thoracic Aortic Repair

Koenders

Zetten

Smulders

et al. 2023

Journal of Cardiopulmonary Rehabilitation and Prevention

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Purpose: It is of clinical importance to gain more knowledge about the risks and benefits of exercise in patients recovering from thoracic aortic repair. Therefore, the aim of this review was to perform a meta-analysis on changes in cardiorespiratory fitness, blood pressure, and the incidence of adverse events during cardiac rehabilitation (CR) in patients recovering from thoracic aortic repair. Review Methods: We performed a systematic review and random-effects meta-analysis of outcomes before versus after outpatient CR in patients recovering from thoracic aortic repair. The study protocol was registered (PROSPERO CRD42022301204) and published. MEDLINE, EMBASE, and CINAHL were systematically searched for eligible studies. Overall certainty of evidence was scored with Grading of Recommendations Assessment, Development, and Evaluation (GRADE). Summary: We included five studies with data from in total 241 patients. Data from one study could not be used in our meta-analysis because they were provided in a different unit of measure. Four studies with data of 146 patients were included in the meta-analysis. The mean maximal workload increased with 28.7 W (95% CI: 21.8-35.6 W, n = 146, low certainty of evidence). The mean systolic blood pressure during exercise testing increased with 25.4 mm Hg (95% CI: 16.6-34.3, n = 133, low certainty of evidence). No exercise-induced adverse events were reported. These outcomes indicate that CR seems beneficial and safe to improve exercise tolerance in patients recovering from thoracic aortic repair, although outcomes were based on data from a small, heterogeneous group of patients.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Improved Maximal Workload and Systolic Blood Pressure After Cardiac Rehabilitation Following Thoracic Aortic Repair

Koenders

Zetten

Smulders

et al. 2023

Journal of Cardiopulmonary Rehabilitation and Prevention

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“…Безопасность физических тренировок, начатых в течение первого месяца после операции, а также их положительное влияние на функциональный статус пациентов продемонстрированы результатами одноцентровых наблюдательных и рандомизированных клинических исследований [10,[22][23][24][25][26][27][28][29] на примере пациентов после хирургической коррекции аортальных [24] и митральных пороков сердца [26,29]. Однако в представленных публикациях нет единообразия сроков начала реабилитации с ФТ и их интенсивности, характера физических упражнений, а также единообразия ко-горты пациентов, перенесших хирургическую коррекцию ППС.…”

Section: Discussionunclassified

Effect of early postoperative rehabilitation with aerobic exercise on functional status and cardiac remodeling in patients after heart valve surgery

Lyapina

Shaleva

Teplova

et al. 2023

Cardiovasc Ther Prev

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Aim. To develop a program for early physical rehabilitation of inpatients after heart valve surgery and to evaluate its effectiveness and safety.Material and methods. The study included 80 patients with valvular heart disease (VHD) after elective on pump valve surgery. Patients in the control group (n=47) underwent standard cardiac rehabilitation after surgery; patients of the main group (n=33) additionally, starting from the 8th day after the intervention, had 14-day treadmill training with the program selection, taking into account the results of cycle ergometry spirometry (CES). A week after the operation and at the end of the training course (median, 24 days after the operation), cardiac remodeling and functional status was assessed according to echocardiography and CE, respectively.Results. For 7 days after surgery, patients of both groups were comparable. During physical training in the main group, there were no lifethreatening cardiac arrhythmias, episodes of ischemia, desaturation, as well as intracardiac hemodynamics deterioration. With a 14-day training, CES showed a significant increase in exercise tolerance (ET) in the main group from a median of 50 to 75 W (p=0,002), peak oxygen uptake (VO2peak) from 11,7 to 13,4 ml/kg/min (p=0,001). For 24 days after surgery in the control group, there was a trend towards improvement in ET and VO2peak, but without significant changes (p=0,09/p=0,08).Conclusion. Early inhospital rehabilitation, including physical training of moderate intensity with an individual treadmill speed and incline angle, starting from day 8 after surgery, showed effectiveness and safety in the form of an increase in ET and VO2peak, while not worsening hemodynamic parameters.

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“…However, studies have found that it was feasible, safe, and effective to use an evaluation-based cardiac rehabilitation program to enhance the independence and mobility of patients after transcatheter aortic valve replacement [ 19 ]. A multicenter study found that early exercise training program can significantly increase left ventricular ejection fraction and activity endurance in patients undergoing transcatheter aortic valve repair [ 20 ].…”

Section: Discussionmentioning

confidence: 99%

A multidisciplinary team nursing model in the treatment of patients undergoing transapical mitral valve clamping: a prospective study

Zhang

Chen

et al. 2021

J Cardiothorac Surg

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Background As a new surgical method for older adults with cardiac insufficiency, transapical mitral valve clamp surgery requires the cooperation of practitioners across multiple disciplines to ensure appropriate treatment and nursing care. This study aimed to explore the utility of a multidisciplinary team nursing model in the clinical treatment and nursing care of patients undergoing transapical mitral valve clamping. Methods Our sample of ten patients included four men (40%) and six women (60%), with a mean age of 71.4 ± 5.2 years. The multidisciplinary team comprised nurses that specialized in severe illness, cardiac health, rehabilitation, psychology, nutrition, and pain. The team engaged in comprehensive discussions regarding problems specific to the patients undergoing transapical mitral valve surgery, allowing them to formulate individualized nursing measures and implement precise policies. Results No serious postoperative complications occurred in any of the ten patients included in this study, and a significant improvement was noted in the cardiac status of all the patients. Color ultrasound findings at discharge indicated that the degree of reflux of all the patients was ≤2+. Among the ten patients, the Activity of Daily Living Scale scores at discharge were significantly higher than before the operation (69.0 ± 4.6 vs. 55.0 ± 5.8). In addition, the 6-min walking test results at discharge were significantly better than those observed before the operation (318.0 ± 21.7 m vs. 295.2 ± 18.4 m). Conclusions Utilization of a multidisciplinary team allows nurses across various specialties to provide more comprehensive and systematic care for patients undergoing a mitral valve clamping operation, thus promoting patient recovery.

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Early exercise training feasibility after aortic valve repair: A multicentre prospective French survey on behalf of the Aortic Valve repair International Registry (AVIATOR)

Cited by 6 publications

References 25 publications

Improved Maximal Workload and Systolic Blood Pressure After Cardiac Rehabilitation Following Thoracic Aortic Repair

Improved Maximal Workload and Systolic Blood Pressure After Cardiac Rehabilitation Following Thoracic Aortic Repair

Effect of early postoperative rehabilitation with aerobic exercise on functional status and cardiac remodeling in patients after heart valve surgery

A multidisciplinary team nursing model in the treatment of patients undergoing transapical mitral valve clamping: a prospective study

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