Home-Based Cardiac Rehabilitation (HBCR) In Post-TAVR Patients: A Prospective, Single-Center, Cohort, Pilot Study
Gurjaspreet K Bhattal1, Ki E Park2,3, David E Winchester2,3
1University of Florida Health, Gainesville, FL, USA. gurjaspreet.bhattal@medicine.ufl.edu.
Cardiology and Therapy
|June 15, 2020
Summary
Home-based cardiac rehabilitation (HBCR) improved physical functioning in patients after transcatheter aortic valve replacement (TAVR). This program overcomes common barriers to traditional cardiac rehab, enhancing patient well-being.
Area of Science:
- Cardiovascular Medicine
- Rehabilitation Science
Background:
- Transcatheter aortic valve replacement (TAVR) improves patient outcomes, but access to traditional cardiac rehabilitation is often limited by barriers like transportation and cost.
- Home-based cardiac rehabilitation (HBCR) programs were developed to mitigate these barriers and increase participation.
- This study focuses on the effectiveness of an HBCR program specifically for post-TAVR patients at the Veterans Affairs Medical Center (VAMC) in Gainesville, FL.
Purpose of the Study:
- To evaluate the impact of a 12-week home-based cardiac rehabilitation (HBCR) program on the physical, functional, and emotional well-being of patients following transcatheter aortic valve replacement (TAVR).
- To assess the feasibility and effectiveness of HBCR in overcoming common barriers to traditional cardiac rehabilitation for post-TAVR patients.
Main Methods:
- A cohort of 59 patients who underwent TAVR between 2015 and 2018 at the Gainesville VA were offered the HBCR program.
- Forty-one patients enrolled, and 28 completed the 12-week program.
- Patient outcomes were assessed using pre- and post-program measures including the Duke Activity Survey Index (DASI), and the Short Form-36 (SF-36) health survey.
Main Results:
- A statistically significant improvement was observed in DASI scores (p=0.05), DASI-Mets (p=0.034), and SF-36 physical functioning scores (p=0.016) after completing the HBCR program.
- These findings indicate enhanced physical functioning and well-being among post-TAVR patients participating in the HBCR program.
- The study highlights the positive impact of HBCR on key functional metrics.
Conclusions:
- Home-based cardiac rehabilitation (HBCR) is an effective strategy for improving physical functioning in patients after transcatheter aortic valve replacement (TAVR).
- HBCR successfully addresses barriers related to transportation and access, making cardiac rehabilitation more attainable for post-TAVR patients.
- This pilot study provides valuable insights into the role of HBCR in enhancing the recovery and quality of life for TAVR recipients.
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