Cardiac rehabilitation for elderly, weak patients who undergo transcatheter edge-To-edge repair: A case report

Zou，Jieru1; Zhang，Xiaoxin2,3,4; Yuan，Jie1,2,3,4; Geng，Qingshan1,2,3,4; Liu，Jingjin1,2,3,4

2024

10.1093/ehjcr/ytad621

European Heart Journal - Case Reports   影响因子和分区

2514-2119

Background: The positive role of rehabilitation programmes for some cardiac patient populations (e.g. coronary artery disease, heart failure, transcatheter aortic valve replacement, and heart transplantation) is now well-known. However, the feasibility and outcomes of rehabilitation, prior to or immediately after percutaneous mitral valve reconstruction, using a clamping procedure have been poorly reported, especially among frail elderly patients. Case summary: An 85-year-old woman with acute heart failure symptoms (New York Heart Association functional class III), who had acute myocardial infarction 3 months ago, was hospitalized. An ultrasound cardiogram showed severe mitral regurgitation, and after a multidisciplinary discussion, transcatheter edge-To-edge repair (TEER) was considered the safest treatment option. Even then, though, due to her poor health status, it was still too risky for the patient to undergo without significant prior preparation. Thus, we decided to begin pre-And post-surgery cardiac rehabilitation (CR) to prepare her for TEER, comprising medicinal, nutritional, and psychological support, as well as exercise and smoking cessation. After pre-operative assessment and rehabilitation, the patient underwent TEER, followed by post-operative reassessment, and continued rehabilitation. Discussion: Our case study demonstrates that CR, both pre-And post-TEER, aids in improving the conditions of elderly patients with poor health, to minimize their risk for developing TEER-related complications. This case provides one possible CR regimen for those patients.

Cardiac rehabilitation Case report Mitral regurgitation Transcatheter edge-To-edge repair

ESCI

英语

通讯

National Natural Science Foundation[82200315] ; Guangdong Basic and Applied Basic Research Foundation[2021A1515111145] ; Sanming Project of Medicine in Shenzhen[SZSM201412012] ; Major Scientific Research Project of Shenzhen People's Hospital[SYWGSJCYJ202301]

Cardiovascular System & Cardiology

Cardiac & Cardiovascular Systems

WOS:001133008300003

OXFORD UNIV PRESS

2-s2.0-85183137786

Scopus

1.The Second Clinical Medical College,Jinan University,Guangdong,1017 Dongmen North Road, Shenzhen,518020,China
2.Department of Cardiology Shenzhen People's Hospital,The Second Clinical Medical College Jinan University,The First Affiliated Hospital,Southern University of Science and Technology,Guangdong,1017 Dongmen North Road, Shenzhen,518020,China
3.Department of Geriatrics,Shenzhen People's Hospital,the Second Clinical Medical College,Jinan University,the First Affiliated Hospital,Southern University of Science and Technology,Guangdong,1017 Dongmen North Road, Shenzhen,518020,China
4.Shenzhen Key Laboratory of Stem Cell Research and Clinical Transformation,Shenzhen People's Hosp.,the Second Clin. Med. Coll.,Jinan Univ.; the First Affiliated Hospital,Southern University of Science and Technology,Guangdong,1017 Dongmen North Road, Shenzhen,518020,China

Zou，Jieru,Zhang，Xiaoxin,Yuan，Jie,et al. Cardiac rehabilitation for elderly, weak patients who undergo transcatheter edge-To-edge repair: A case report[J]. European Heart Journal - Case Reports,2024,8(1).

Zou，Jieru,Zhang，Xiaoxin,Yuan，Jie,Geng，Qingshan,&Liu，Jingjin.(2024).Cardiac rehabilitation for elderly, weak patients who undergo transcatheter edge-To-edge repair: A case report.European Heart Journal - Case Reports,8(1).

Zou，Jieru,et al."Cardiac rehabilitation for elderly, weak patients who undergo transcatheter edge-To-edge repair: A case report".European Heart Journal - Case Reports 8.1(2024).