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Usefulness of cardiac rehabilitation programs among older patients undergoing transcatheter aortic valve replacement:how should we do it?

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.

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作者 Vicente Arrarte Esteban [1] Raquel Campuzano Ruiz [2] Rosa Fernández Olmo [3] Armando Oterino [4] Pablo Diez-Villanueva [5] Miryam González Cebrián [6] Lucía Matute-Blanco [7] 学术成果认领
作者单位 Department of Cardiology,University Hospital of Alicante,Alicante,Spain [1] Department of Cardiology,University Hospital Foundation of Alcorcón,Alcorcón,Madrid,Spain [2] Department of Cardiology,University Hospital of Jaén,Jaén,Spain [3] Department of Cardiology,University Hospital of Salamanca,Salamanca,Spain [4] Department of Cardi-ology,University Hospital La Princesa,Madrid,Spain [5] Department of Cardiology,University Hospital of Salamanca,37007 Salamanca,Spain [6] Department of Cardiology,University Hospital Arnau de Villanova de Lleida,25198 Lleida,Spain.IRBLleida [7]
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DOI 10.26599/1671-5411.2025.09.009
发布时间 2025-11-14(万方平台首次上网日期,不代表论文的发表时间)
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老年心脏病学杂志(英文版)

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