在接受心脏门干预的脆弱患者的预康复
Luigi Cutore1, Davide Capodanno1
1Division of Cardiology, AOU Policlinico G. Rodolico-San Marco, University of Catania, Catania, Italy.
Progress in cardiovascular diseases
|February 26, 2026
概括
预康复,一种结合运动,营养和心理支持的策略,可以改善经过过导管干预的膜心脏病患者的治疗结果. 这种方法可以增强功能恢复并减轻脆弱性,从而带来更好的长期效益.
科学领域:
- 心脏病学 心脏病学
- 老年病的医生 老年病的医生
- 干预心脏病学 干预心脏病学
背景情况:
- 膜心脏病 (VHD) 的管理越来越多地使用过导管干预 (TAVR,M-TEER,TMVR,TTVI).
- 虚弱性在VHD患者中很普遍,影响死亡率,并发症和恢复,但目前的指导方针为其修改提供了有限的策略.
- 虚弱是一种动态的,可逆的综合症,受到萨科佩尼亚,脱水,营养不良,炎症和心理因素的影响.
研究的目的:
- 探索预康复作为一种优化患者在VHD.transcatheter干预之前的战略.
- 审查多模式预康复改善VHD患者功能能力和结果的证据.
- 突出预康复的潜力,以加强恢复和门干预后的长期益处.
主要方法:
- 对心脏手术和透导管干预中预康复现有证据的审查.
- 分析多式预康复组件:有氧/抵抗运动,呼吸训练,营养和心理支持.
- 对TAVR,M-TEER,TMVR和TTVI候选人的早期数据和正在进行的预康复试验的检查.
主要成果:
- 多模式预康复改善功能能力,减少并发症,缩短住院时间在各种心脏设置.
- 过导管大动脉置换 (TAVR) 候选人的早期数据表明,预康复可以提高表现并减少不良事件.
- 对M-TEER,TMVR和TTVI的证据有限,但正在进行的研究探索各种干预措施,包括远程医疗和家庭模型.
结论:
- 随着手术风险的降低,生理储备成为VHD患者长期益处的关键.
- 预康复提供了一个可扩展的策略,以改善解剖学正后的功能恢复.
- 通过预康复优化患者的性,对于最大限度地发挥跨导管干预的好处至关重要.
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