Cardiac rehabilitation programme after transcatheter aortic valve implantation versus surgical aortic valve replacement: Systematic review and meta-analysis

Background Aortic stenosis is a valvular heart disease characterised by fixed obstruction of the left ventricular outflow. It can be managed by surgical aortic valve replacement (sAVR) or transcatheter aortic valve implantation (TAVI). This review aimed to describe the evidence supporting a cardiac...

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Bibliographic Details
Published in:European Journal of Preventive Cardiology 2017-05, Vol.24 (7), p.688-697
Main Authors: Ribeiro, Gustavo S, Melo, Rosangela D, Deresz, Luís F, Dal Lago, Pedro, Pontes, Mauro RN, Karsten, Marlus
Format: Article
Language:English
Subjects:
Aged
Aged, 80 and over
Aortic Valve Stenosis - diagnostic imaging
Aortic Valve Stenosis - mortality
Aortic Valve Stenosis - surgery
Cardiac Rehabilitation - methods
Exercise Tolerance - physiology
Female
Heart Valve Prosthesis Implantation - methods
Heart Valve Prosthesis Implantation - rehabilitation
Humans
Male
Middle Aged
Prognosis
Quality of Life
Risk Assessment
Survival Analysis
Transcatheter Aortic Valve Replacement - methods
Transcatheter Aortic Valve Replacement - rehabilitation
Treatment Outcome
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Summary:Background Aortic stenosis is a valvular heart disease characterised by fixed obstruction of the left ventricular outflow. It can be managed by surgical aortic valve replacement (sAVR) or transcatheter aortic valve implantation (TAVI). This review aimed to describe the evidence supporting a cardiac rehabilitation programme on functional capacity and quality of life in aortic stenosis patients after sAVR or TAVI. Methods The search was conducted on multiple databases from January to March 2016. All studies were eligible that evaluated the effects of a post-interventional cardiac rehabilitation programme in aortic stenosis patients. The methodological quality was assessed using the PEDro scale. Meta-analysis was performed separately by procedure and between procedures. The walked distance during the six-minute walk test (6MWD) and Barthel index were evaluated. The analysis was conducted in Review Manager. Results Five studies were included (292 TAVI and 570 sAVR patients). The meta-analysis showed that a cardiac rehabilitation programme was associated with a significant improvement in 6MWD (0.69 (0.47, 0.91); P 
ISSN:2047-4873
2047-4881
DOI:10.1177/2047487316686442