Cardiac Rehabilitation After Mitral Valve Intervention: Tailored Assessment, Management, and Exercise Training

TL;DR

This review discusses the importance of cardiac rehabilitation after mitral valve surgery, emphasizing tailored assessments and exercise training to improve patient outcomes.

Contribution

The paper provides a comprehensive and updated review on tailored cardiac rehabilitation for patients after mitral valve interventions.

Findings

Physical exercise improves cardiorespiratory fitness and reduces rehospitalization and mortality.

Tailored assessment is crucial for determining appropriate exercise training in these patients.

Cardiac rehabilitation positively impacts physical capacity and psychosocial function.

Abstract

Cardiac rehabilitation should be suggested after mitral valve intervention. Physical exercise is associated with improved cardiorespiratory fitness and clinical outcome and reduced rehospitalization and mortality in patients after heart valve surgery. Tailored assessment is the first step before starting a cardiac rehabilitation program. Physical examination, electrocardiogram, echocardiography, and peak exercise capacity stratify the risk of these patients when prescribing appropriate supervised aerobic and resistance exercise training. Cardiac rehabilitation participation impacts physical capacity, psychosocial function, and prognosis in patients after mitral valve surgery and transcatheter edge-to-edge repair. However, further evidence is needed on the efficacy and safety of cardiac rehabilitation programs, as well as standardization. In this review, we provide a contemporary and comprehensive update on the role of cardiac rehabilitation in patients after mitral valve intervention, after both mitral valve surgery and transcatheter mitral valve implantation. Specifically, we focus our review on the tailored assessment and management of these patients from post-operative to cardiac rehabilitation.

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