摘要
主动脉瓣狭窄(aortic stenosis,AS)是常见的瓣膜性心脏病,随着社会老龄化进程的加剧,老年患者AS发病率迅速上升,严重影响生活质量和寿命。经导管主动脉瓣置换术(transcatheter aortic valve replacement,TAVR)作为老年高危症状性AS患者的治疗手段正在普及,其适应证也覆盖至外科手术中危和低危患者。由于接受TAVR的AS患者多为高龄、衰弱、存在多种合并症等原因,及时科学的心脏康复(cardiac rehabilitation,CR)尤其重要,各国指南均将CR列为心血管疾病防治的Ⅰ级推荐。本文旨在对目前国内外TAVR患者心脏康复方案进行梳理,特别是在新冠疫情防控的背景下探索适合我国医疗模式的康复优化方案。
Aortic stenosis(AS)is the most common primary valve lesion requiring surgery or transcatheter intervention in modern era.Its prevalence is rising rapidly as a consequence of the aging population.Transcatheter aortic valve replacement(TAVR)as a therapy option for older high-risk symptomatic severe AS patients has emerged and is currently extending its indications towards surgery intermediate-and low-risk subjects.Considering the common characteristics of frailty and high comorbidity among AS patients,cardiac rehabilitation(CR)has been proven to improve not only survival but also quality of life in previous reports.CR as a classⅠrecommendation in guidelines for the prevention and treatment of cardiovascular disease has been widely used in clinical practice.The purpose of this article is to sort out the current CR programs for TAVR patients in global medical management,and explore the CR optimization program fit for China medical model in post COVID-19 pandemic era.
作者
刘然
严婷婷
陈琪
姚晶
刘新民
罗太阳
苑飞
吴文辉
阴頳茜
卢志南
宋光远
LIU Ran;YAN Tingting;CHEN Qi;YAO Jing;LIU Xinmin;LUO Taiyang;YUAN Fei;WU Wenhui;YIN Chengqian;LU Zhinan;SONG Guangyuan(Department of Interventional Center of Valvular Heart Disease,Beijing Anzhen Hospital,Capital Medical University,Beijing,100029,P.R.China)
出处
《中国胸心血管外科临床杂志》
CSCD
北大核心
2022年第12期1567-1573,共7页
Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
基金
首都临床诊疗技术研究及转化应用(Z201100005520068)。
关键词
主动脉瓣狭窄
经导管主动脉瓣置换术
心脏康复
Aortic stenosis
transcatheter aortic valve replacement
cardiac rehabilitation
