Article

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 < 0.001) and Barthel index (0.80 (0.29, 1.30); P = 0.002)
after TAVI and 6MWD (0.79 (0.43, 1.15); P < 0.001) and Barthel index (0.93 (0.67,
1.18); P < 0.001) after sAVR. In addition, the meta-analysis showed that the
cardiac rehabilitation programme promoted a similar gain in 6MWD (4.28% (-12.73,
21.29); P = 0.62) and Barthel index (-1.52 points (-4.81, 1.76); P = 0.36) after sAVR or TAVI.
Conclusions The cardiac rehabilitation programme improved the
functional capacity and quality of life in aortic stenosis patients. Patients who
underwent TAVI benefitted with a cardiac rehabilitation programme similar to sAVR patients.

Langue : ANGLAIS