探索经导管主动脉瓣置换术的中国特色康复模式
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摘要
<正>心脏瓣膜病是临床非常常见的一类心血管疾病,常导致心力衰竭、心律失常、晕厥、甚至猝死,其发病、病因、诊治在发达国家和发展中国家有所不同。随着人口老龄化,瓣膜病的发病逐渐增加,构成比发生变化,老年瓣膜病在发病、治疗策略选择和康复上有其独自特点,再加上近年来新技术和器械的研发和创新,因此成为全世界关注的研究热点。1老年瓣膜病的流行病学美国人群调查研究结果显示,中度以上瓣膜病发病率为2.5%(经标化年龄和性别后),随着年龄的
引文
[1]Iung B,Vahanian A.Epidemiology of acquired valvular heart disease[J].Can J Cardiol,2014,30(9):962-970.DOI:10.1016/j.cjca.2014.03.022.
[2]Liu FZ,Xue YM,Liao HT,et al.Five-year epidemiological survey of valvular heart disease:changes in morbidity,etiological spectrum and management in a cardiovascular center of Southern China[J].J Thorac Dis,2014,6(12):1724-1730.DOI:10.3978/j.issn.2072-1439.2014.11.21.
[3]Leon MB,Smith CR,Mack M,et al.Transcatheter aorticvalve implantation for aortic stenosis in patients who cannot undergo surgery[J].N Engl J Med,2010,363(17):1597-1607.DOI:10.1056/NEJMoa1008232.
[4]Smith CR,Leon MB,Mack MJ,et al.Transcatheter versus surgical aortic-valve replacement in high-risk patients[J].NEngl J Med,2011,364(23):2187-2198.DOI:10.1056/NEJ-Moa1103510.
[5]Leon MB,Smith CR,Mack MJ,et al.Transcatheter or surgical aortic-valve replacement in intermediate-risk patients[J].NEngl J Med,2016,374(17):1609-1620.DOI:10.1056/NEJ-Moa1514616.
[6]Baumgartner H,Falk V,Bax JJ,et al.2017 ESC/EACTSguidelines for the management of valvular heart disease[J].Eur Heart J,2017,38(36):2739-2791.DOI:10.1093/eurheartj/ehx391.
[7]Nishimura RA,Otto CM,Bonow RO,et al.2017AHA/ACCfocused update of the 2014AHA/ACC guideline for the management of patients with valvular heart disease:a report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines[J].J Am Coll Cardiol,2017,70(2):252-289.DOI:10.1016/j.jacc.2017.03.011.
[8]Mack MJ,Leon MB,Thourani VH,et al.Transcatheter aortic-valve replacement with a balloon-expandable valve in lowrisk patients[J].N Engl J Med,2019,380(18):1695-1705.DOI:10.1056/NEJMoa1814052.
[9]Popma JJ,Deeb GM,Yakubov SJ,et al.Transcatheter aortic-valve replacement with a self-expanding valve in low-risk patients[J].N Engl J Med,2019,380(18):1706-1715.DOI:10.1056/NEJMoa1816885.
[10]Schoenenberger AW,Moser A,Bertschi D,et al.Improvement of risk prediction after transcatheter aortic valve replacement by combining frailty with conventional risk scores[J].JACCCardiovasc Interv,2018,11(4):395-403.DOI:10.1016/j.jcin.2017.11.012.
[11]Abdul-Jawad Altisent O,Puri R,Regueiro A,et al.Predictors and association with clinical outcomes of the changes in exercise capacity after transcatheter aortic valve replacement[J].Circulation,2017,136(7):632-643.DOI:10.1161/CIRCU-LATIONAHA.116.026349.
[12]Nakamura K,Nakamura E,Niina K,et al.Outcome after valve surgery in octogenarians and efficacy of early mobilization with early cardiac rehabilitation[J].Gen Thorac Cardiovasc Surg,2010,58(12):606-611.DOI:10.1007/s11748-010-0665-0.
[13]Ribeiro GS,Melo RD,Deresz LF,et al.Cardiac rehabilitation programme after transcatheter aortic valve implantation versus surgical aortic valve replacement:systematic review and meta-analysis[J].Eur J Prev Cardiol,2017,24(7):688-697.DOI:10.1177/2047487316686442.
[14]Pressler A,Christle JW,Lechner B,et al.Exercise training improves exercise capacity and quality of life after transcatheter aortic valve implantation:a randomized pilot trial[J].Am Heart J,2016,182:44-53.DOI:10.1016/j.ahj.2016.08.007.
[15]Butter C,GroβJ,Haase-Fielitz A,et al.Impact of rehabilitation on outcomes after TAVI:apreliminary study[J].J Clin Med,2018,7(10):E326.DOI:10.3390/jcm7100326.
[16]Waite I,Deshpande R,Baghai M,et al.Home-based preoperative rehabilitation(prehab)to improve physical function and reduce hospital length of stay for frail patients undergoing coronary artery bypass graft and valve surgery[J].J Cardiothorac Surg,2017,12(1):91.DOI:10.1186/s13019-017-0655-8.
[17]Sola M,Ramm CJ,Kolarczyk LM,et al.Application of a multidisciplinary enhanced recovery after surgery pathway to improve patient outcomes after transcatheter aortic valve implantation[J].Am J Cardiol,2016,118(3):418-423.DOI:10.1016/j.amjcard.2016.05.015.
[2]Liu FZ,Xue YM,Liao HT,et al.Five-year epidemiological survey of valvular heart disease:changes in morbidity,etiological spectrum and management in a cardiovascular center of Southern China[J].J Thorac Dis,2014,6(12):1724-1730.DOI:10.3978/j.issn.2072-1439.2014.11.21.
[3]Leon MB,Smith CR,Mack M,et al.Transcatheter aorticvalve implantation for aortic stenosis in patients who cannot undergo surgery[J].N Engl J Med,2010,363(17):1597-1607.DOI:10.1056/NEJMoa1008232.
[4]Smith CR,Leon MB,Mack MJ,et al.Transcatheter versus surgical aortic-valve replacement in high-risk patients[J].NEngl J Med,2011,364(23):2187-2198.DOI:10.1056/NEJ-Moa1103510.
[5]Leon MB,Smith CR,Mack MJ,et al.Transcatheter or surgical aortic-valve replacement in intermediate-risk patients[J].NEngl J Med,2016,374(17):1609-1620.DOI:10.1056/NEJ-Moa1514616.
[6]Baumgartner H,Falk V,Bax JJ,et al.2017 ESC/EACTSguidelines for the management of valvular heart disease[J].Eur Heart J,2017,38(36):2739-2791.DOI:10.1093/eurheartj/ehx391.
[7]Nishimura RA,Otto CM,Bonow RO,et al.2017AHA/ACCfocused update of the 2014AHA/ACC guideline for the management of patients with valvular heart disease:a report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines[J].J Am Coll Cardiol,2017,70(2):252-289.DOI:10.1016/j.jacc.2017.03.011.
[8]Mack MJ,Leon MB,Thourani VH,et al.Transcatheter aortic-valve replacement with a balloon-expandable valve in lowrisk patients[J].N Engl J Med,2019,380(18):1695-1705.DOI:10.1056/NEJMoa1814052.
[9]Popma JJ,Deeb GM,Yakubov SJ,et al.Transcatheter aortic-valve replacement with a self-expanding valve in low-risk patients[J].N Engl J Med,2019,380(18):1706-1715.DOI:10.1056/NEJMoa1816885.
[10]Schoenenberger AW,Moser A,Bertschi D,et al.Improvement of risk prediction after transcatheter aortic valve replacement by combining frailty with conventional risk scores[J].JACCCardiovasc Interv,2018,11(4):395-403.DOI:10.1016/j.jcin.2017.11.012.
[11]Abdul-Jawad Altisent O,Puri R,Regueiro A,et al.Predictors and association with clinical outcomes of the changes in exercise capacity after transcatheter aortic valve replacement[J].Circulation,2017,136(7):632-643.DOI:10.1161/CIRCU-LATIONAHA.116.026349.
[12]Nakamura K,Nakamura E,Niina K,et al.Outcome after valve surgery in octogenarians and efficacy of early mobilization with early cardiac rehabilitation[J].Gen Thorac Cardiovasc Surg,2010,58(12):606-611.DOI:10.1007/s11748-010-0665-0.
[13]Ribeiro GS,Melo RD,Deresz LF,et al.Cardiac rehabilitation programme after transcatheter aortic valve implantation versus surgical aortic valve replacement:systematic review and meta-analysis[J].Eur J Prev Cardiol,2017,24(7):688-697.DOI:10.1177/2047487316686442.
[14]Pressler A,Christle JW,Lechner B,et al.Exercise training improves exercise capacity and quality of life after transcatheter aortic valve implantation:a randomized pilot trial[J].Am Heart J,2016,182:44-53.DOI:10.1016/j.ahj.2016.08.007.
[15]Butter C,GroβJ,Haase-Fielitz A,et al.Impact of rehabilitation on outcomes after TAVI:apreliminary study[J].J Clin Med,2018,7(10):E326.DOI:10.3390/jcm7100326.
[16]Waite I,Deshpande R,Baghai M,et al.Home-based preoperative rehabilitation(prehab)to improve physical function and reduce hospital length of stay for frail patients undergoing coronary artery bypass graft and valve surgery[J].J Cardiothorac Surg,2017,12(1):91.DOI:10.1186/s13019-017-0655-8.
[17]Sola M,Ramm CJ,Kolarczyk LM,et al.Application of a multidisciplinary enhanced recovery after surgery pathway to improve patient outcomes after transcatheter aortic valve implantation[J].Am J Cardiol,2016,118(3):418-423.DOI:10.1016/j.amjcard.2016.05.015.