Conventional exercise therapy including aerobic and resistance training is desirable
for cardiovascular disease, whereas it is generally considered contraindicated for
symptomatic severe aortic valve stenosis (AS). This study aimed to evaluate the safety
and efficacy of bodyweight resistance exercise training (BRET), which is low-intensity
exercise training in symptomatic patients with severe AS. A BRET program consisting
of 8 exercises was performed 3 times a week by patients with AS with physical therapists.
For the 78 symptomatic patients with severe AS, the median aortic valve area and mean
transaortic valve pressure gradient were 0.56 cm2 and 48.9 mm Hg, respectively; none showed any harmful changes in blood pressure or
heart rate in 11 sessions of the BRET program. There were no adverse events during
hospitalization. Meanwhile, Barthel's Index score significantly improved at the time
of hospital discharge. In conclusion, the BRET program in this study did not appear
to cause harmful changes in hemodynamics during the program or adverse events during
hospitalization, and it improved activities of daily living in symptomatic patients
with severe AS, allowing doctors and physical therapists to conduct it safely, with
less emotional stress, for cardiac rehabilitation for such patients.
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References
- Sarcopenia and health-related quality of life in older adults after transcatheter aortic valve replacement.Am Heart J. 2020; 224: 171-181
- Impact of skeletal muscle mass on clinical outcomes in patients with severe aortic stenosis undergoing transcatheter aortic valve replacement.Cardiovasc Interv Ther. 2021; 36: 514-522
- Prognostic value of baseline sarcopenia on 1-year mortality in patients undergoing transcatheter aortic valve implantation.Am J Cardiol. 2021; 139: 79-86
- The impact of preoperative sarcopenia, defined based on psoas muscle area, on long-term outcomes of heart valve surgery.J Thorac Cardiovasc Surg. 2019; 157 (e3): 1071-1079
- Sarcopenia as a comorbidity of cardiovascular disease.J Cardiol. 2022; 79: 596-604
- Guidelines for rehabilitation in patients with cardiovascular disease (JCS 2012).Circ J. 2014; 78: 2022-2093
- Effects of bodyweight-based exercise training on muscle functions of leg multi-joint movement in elderly individuals.Geriatr Gerontol Int. 2009; 9: 262-269
- Effects of low-intensity bodyweight training with slow movement on motor function in frail elderly patients: a prospective observational study.Environ Health Prev Med. 2018; 23: 4
JCS/JATS/JSVS/JSCS 2020 guideline on the management of valvular heart disease. Available at: https://www.j-circ.or.jp/cms/wp-content/uploads/2020/04/JCS2020_Izumi_Eishi.pdf. Accessed on June 17, 2020.
- Sarcopenia in Asia: consensus report of the Asian Working Group for Sarcopenia.J Am Med Dir Assoc. 2014; 15: 95-101
- The prevalence of sarcopenia and subtypes in cardiovascular diseases, and a new diagnostic approach.J Cardiol. 2020; 76: 266-272
- Geriatric Nutritional Risk Index: a new index for evaluating at-risk elderly medical patients.Am J Clin Nutr. 2005; 82: 777-783
- CONUT: a tool for Controlling Nutritional Status. First validation in a hospital population.Nutr Hosp. 2005; 20: 38-45
- Functional evaluation: the Barthel index.Md State Med J. 1965; 14: 61-65
- Geriatric nutritional risk index predicts all-cause mortality in patients with heart failure: a systematic review and meta-analysis.Clinics (Sao Paulo). 2021; 76: e2258
- Association with Controlling Nutritional Status (CONUT) score and in-hospital mortality and infection in acute heart failure.Sci Rep. 2020; 10: 3320
- How should very severe aortic stenosis be defined in asymptomatic individuals?.J Am Heart Assoc. 2019; 8e011724
- Syncope in aortic valvular stenosis.Lancet. 1984; 2: 1113-1116
- Effect of aortic valve replacement on syncope in patients with aortic stenosis.Br Heart J. 1993; 70: 542-543
- Patients with valvular heart disease presenting with sustained ventricular tachyarrhythmias or syncope: results of programmed ventricular stimulation and long-term follow-up.Circulation. 1997; 96: 500-508
- Reduced systemic arterial compliance impacts significantly on left ventricular afterload and function in aortic stenosis: implications for diagnosis and treatment.J Am Coll Cardiol. 2005; 46: 291-298
- Valvuloarterial impedance, but not aortic stenosis severity, predicts syncope in patients with aortic stenosis.Circ Cardiovasc Imaging. 2013; 6: 1024-1031
- Exercise training for patients with severe aortic stenosis in a convalescent rehabilitation ward - a retrospective cohort study.Circ Rep. 2021; 3: 361-367
- Neural adaptation to resistance training.Med Sci Sports Exerc. 1988; 20: S135-S145
Article Info
Publication History
Published online: October 20, 2022
Received in revised form:
September 6,
2022
Received:
May 17,
2022
Footnotes
Funding: none.
Identification
Copyright
© 2022 Elsevier Inc. All rights reserved.
