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Designing interventions for TAVI procedure pathway

Changing physical activity behaviour is one of the cornerstones of many co-morbidities, such as type 2 diabetes, hypertension and osteoarthritis. However, changing behaviour is especially challenging in ambulatory and institutionalised patients. It is likely that this group will particularly benefit from exercise interventions that improve their physical integrity, mobility and ease in performing daily living activities.

There is limited evidence of the effects of physical rehabilitation after the TAVI procedure. Exercise has been shown to improve outcomes in elderly patients with a variety of cardiac disorders, but there is scarce currently available prospective data from randomised trials on exercise after TAVI.

The limited literature in this field revealed that the procedure results in significantly improved quality of life outcomes and lower mortality in the first period after intervention. Exercise training provides a significant improvement of QoL after operation in TAVI patients and in the short-term, thereby potentially decreasing peri-operative mortality (1, 2).

References:

  1. Pressler, A. (2016). Exercise training improves exercise capacity and quality of life after transcatheter aortic valve implantation: A randomized pilot trial. American Heart Journal182, 44–53. doi:10.1016/j.ahj.2016.08.007
  2. Pressler, A., Förschner, L., Hummel, J., Haller, B., Christle, J. W., & Halle, M. (2018). Long-term effect of exercise training in patients after transcatheter aortic valve implantation: Follow-up of the SPORT:TAVI randomised pilot study. European Journal of Preventive Cardiology25(8), 794–801. doi:10.1177/2047487318765233