心脏康复计划在接受过导管大动脉置换的老年患者中的有用性:我们应该如何做到这一点?
Vicente Arrarte Esteban1, Raquel Campuzano Ruiz2, Rosa Fernández Olmo3
1Department of Cardiology, University Hospital of Alicante, Alicante, Spain.
Journal of geriatric cardiology : JGC
|October 27, 2025
概括
心脏康复 (CR) 显著改善了经过过导管大动脉置换 (TAVR) 的患者的结果. 本综述提出了针对TAVR患者的CR计划的实用方法,解决目前的护理差距.
科学领域:
- 心脏病学 心脏病学
- 老年病的医生 老年病的医生
- 康复医学 康复医学 康复医学
背景情况:
- 过导管大动脉置换 (TAVR) 越来越常见,特别是在伴随疾病的老年人群中.
- 目前针对TAVR患者的心脏康复 (CR) 计划缺乏具体的指导方针,并具有较低的转诊率,特别是在死亡率较高的老年妇女中.
- 在整个TAVR和CR过程中,急需结构化,多学科的护理和连续性.
研究的目的:
- 审查证据支持TAVR后CR的必要性.
- 为TAVR患者护理流程提出一种实用,新的方法.
- 概述TAVR CR计划的推方面和组件.
主要方法:
- 审查关于TAVR和心脏康复的现有文献.
- 在TAVR患者群体中分析患者人口统计学,并发症和脆弱性.
- 建议一个多学科的护理模式和远程康复作为潜在的辅助.
主要成果:
- 经证实,CR项目可以提高TAVR后患者的功能能力和生活质量.
- 在CR转诊率方面存在显著差异,老年患者和女性服务不足.
- 远程康复可能会扩大选择较低风险的TAVR患者获得CR的机会.
结论:
- 实施结构化CR计划对于优化TAVR患者的治疗结果至关重要.
- 一个全面的,多学科的方法来解决伴随性疾病和脆弱性至关重要.
- 需要新的策略,包括远程康复,以改善TAVR后的CR可访问性和遵守性.
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