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Published on: May 19, 2020
Early exercise training after mitral valve repair: a multicentric prospective French study
Philippe Meurin1, Marie Christine Iliou, Ahmed Ben Driss
1Les Grands Prés, Centre de Réadaptation Cardiaque de la Brie, 27 rue Sainte Christine, 77174 Villeneuve Saint Denis, France. philippemeurin@hotmail.com
Chest
|September 16, 2005
Summary
Early exercise training (ET) after mitral valve (MV) repair is safe and feasible. This intervention significantly improves exercise tolerance without negatively impacting surgical outcomes.
Area of Science:
- Cardiovascular Surgery
- Cardiac Rehabilitation
- Exercise Physiology
Background:
- Mitral valve (MV) repair is the preferred treatment for mitral regurgitation (MR).
- Postoperative exercise tolerance improvement is limited without exercise training (ET).
- The MV wound healing timeline is not well-defined, impacting early ET program feasibility.
Purpose of the Study:
- To assess the safety and feasibility of an early exercise training program (ETP) following MV repair.
Main Methods:
- A prospective study included 251 patients undergoing MV repair across 13 centers.
- Patients participated in a 3-week average ETP, starting approximately 16 days post-surgery.
- Transthoracic echocardiography and cardiopulmonary exercise tests were conducted pre- and post-ETP.
Main Results:
- No MR occurrence or worsening was observed after the ETP.
- Left ventricular ejection fraction showed a slight increase (p = 0.004).
- Peak oxygen consumption and anaerobic threshold significantly improved (22% and 16% increases, respectively; p < 0.0001).
Conclusions:
- Early exercise training post-MV repair is safe and does not worsen surgical outcomes.
- An early ETP is an efficient strategy to enhance exercise tolerance after MV repair.
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