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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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.
