Long-term effects of cardiac rehabilitation after heart valve surgery - results from the randomised CopenHeart
            <sub>VR</sub>
            trial

Sibilitz, Kirstine Lærum; Tang, Lars Hermann; Berg, Selina Kikkenborg; Thygesen, Lau Caspar; Risom, Signe Stelling; Rasmussen, Trine Bernholdt; Schmid, Jean‐Paul; Borregaard, Britt; Hassager, Christian; Køber, Lars; Taylor, Rod S; Zwisler, Ann-Dorthe

doi:10.1080/14017431.2022.2095432

Cited by 8 publications

(10 citation statements)

References 26 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The sternotomy is immobilized using wires, bands, or plates to allow sternal union around 12 weeks after surgery . The invasiveness of sternotomy is associated with delayed return to presurgery physical function levels and an increase in postoperative complications …”

Section: Introductionmentioning

confidence: 99%

Minithoracotomy vs Conventional Sternotomy for Mitral Valve Repair

Kasim

2023

JAMA

View full text Add to dashboard Cite

ImportanceThe safety and effectiveness of mitral valve repair via thoracoscopically-guided minithoracotomy (minithoracotomy) compared with median sternotomy (sternotomy) in patients with degenerative mitral valve regurgitation is uncertain.ObjectiveTo compare the safety and effectiveness of minithoracotomy vs sternotomy mitral valve repair in a randomized trial.Design, Setting, and ParticipantsA pragmatic, multicenter, superiority, randomized clinical trial in 10 tertiary care institutions in the UK. Participants were adults with degenerative mitral regurgitation undergoing mitral valve repair surgery.InterventionsParticipants were randomized 1:1 with concealed allocation to receive either minithoracotomy or sternotomy mitral valve repair performed by an expert surgeon.Main Outcomes and MeasuresThe primary outcome was physical functioning and associated return to usual activities measured by change from baseline in the 36-Item Short Form Health Survey (SF-36) version 2 physical functioning scale 12 weeks after the index surgery, assessed by an independent researcher masked to the intervention. Secondary outcomes included recurrent mitral regurgitation grade, physical activity, and quality of life. The prespecified safety outcomes included death, repeat mitral valve surgery, or heart failure hospitalization up to 1 year.ResultsBetween November 2016 and January 2021, 330 participants were randomized (mean age, 67 years, 100 female [30%]); 166 were allocated to minithoracotomy and 164 allocated to sternotomy, of whom 309 underwent surgery and 294 reported the primary outcome. At 12 weeks, the mean between-group difference in the change in the SF-36 physical function T score was 0.68 (95% CI, −1.89 to 3.26). Valve repair rates (≈ 96%) were similar in both groups. Echocardiography demonstrated mitral regurgitation severity as none or mild for 92% of participants at 1 year with no difference between groups. The composite safety outcome occurred in 5.4% (9 of 166) of patients undergoing minithoracotomy and 6.1% (10 of 163) undergoing sternotomy at 1 year.Conclusions and relevanceMinithoracotomy is not superior to sternotomy in recovery of physical function at 12 weeks. Minithoracotomy achieves high rates and quality of valve repair and has similar safety outcomes at 1 year to sternotomy. The results provide evidence to inform shared decision-making and treatment guidelines.Trial Registrationisrctn.org Identifier: ISRCTN13930454

show abstract

Section: Introductionmentioning

confidence: 99%

Minithoracotomy vs Conventional Sternotomy for Mitral Valve Repair

Kasim

2023

JAMA

View full text Add to dashboard Cite

show abstract

“…The collaboration between healthcare professionals guarantees that patients receive complete and individualized assistance, encompassing cardiovascular health's physical, psychological, and social aspects throughout every phase of their rehabilitation process [ 36 ]. By strategically aligning with these aims and harnessing the specialized knowledge of multidisciplinary teams, cardiac rehabilitation emerges as a crucial element of contemporary healthcare, facilitating optimal recovery and mitigating the likelihood of recurring cardiovascular incidents [ 37 ].…”

Section: Reviewmentioning

confidence: 99%

“…The foundation of successful cardiac rehabilitation lies in conducting a thorough examination of patients, which involves a comprehensive assessment of several aspects, including medical, psychological, and social elements that impact an individual's cardiovascular well-being [ 37 ]. The significance of these assessments cannot be overemphasized, as they serve as the fundamental basis for developing individualized rehabilitation strategies.…”

Section: Reviewmentioning

confidence: 99%

“…Risk stratification tools play a crucial role in optimizing the accuracy of rehabilitation plans by selecting suitable therapies and determining the level of monitoring required. For instance, people classified as high-risk may necessitate more regular evaluations, specific therapies, and closer monitoring [ 37 ]. In contrast, low-risk individuals may experience advantages from less rigorous surveillance.…”

Section: Reviewmentioning

confidence: 99%

“…These therapies are designed to address risk factors and enhance the management of cardiovascular illnesses. This part focuses on discussing dietary advice, lifestyle adjustments, weight management, smoking cessation, and stress reduction, emphasizing their importance in cardiac rehabilitation [ 37 ].…”

Section: Reviewmentioning

confidence: 99%

See 2 more Smart Citations

Cardiac Rehabilitation in the Modern Era: Optimizing Recovery and Reducing Recurrence

Zaree,

Dev,

Yaseen Khan

et al. 2023

Cureus

View full text Add to dashboard Cite

Cardiovascular diseases (CVDs) continue to be a prominent issue in global health, emphasizing the necessity for efficient cardiac rehabilitation programs. This narrative review provides a detailed analysis of the current state of cardiac rehabilitation, focusing on maximizing recovery and minimizing the likelihood of recurrence. This paper examines the historical progression of cardiac rehabilitation, explores the epidemiological background of cardiovascular disease (CVD), and provides an overview of the many stages of the rehabilitation process. The assessment of patients plays a crucial role in healthcare, serving as a fundamental basis that incorporates medical, psychological, and social aspects. The utilization of risk stratification techniques further enhances this process. The present study investigates exercise training, particularly emphasizing the current recommendations and the mutually beneficial effects of aerobic and resistance regimens. In addition to physical therapies, this study emphasizes the importance of nutrition, lifestyle adjustments, and the significant effects of medication. Psychosocial assistance is a crucial element that addresses the significant psychological effects of cardiac disease and provides comprehensive techniques for overall well-being. Technological advancements are significantly transforming the domain of cardiac rehabilitation, encompassing the integration of wearable technologies and telemedicine solutions. The convergence of artificial intelligence and data analytics can enhance the customization of healthcare services. Through a comprehensive rehabilitation program, patients can achieve an improved quality of life and enhanced functional outcomes. However, it is essential to acknowledge that obstacles still hinder individuals from accessing and completing educational programs. Therefore, it is crucial to engage in a discourse on potential tactics that may be employed to address these issues, considering the various cultural and socioeconomic aspects that contribute to them. The analysis focuses on the economic dimension, examining the cost-effectiveness of rehabilitation programs and their congruence with healthcare policies. In anticipation of future developments, the study provides valuable perspectives on the prospective trajectory of cardiac rehabilitation. It delves into nascent patterns and examines the potential ramifications of precision medicine and genetics for tailoring treatment strategies to individual patients. In brief, this narrative review comprehensively examines the various dimensions of contemporary cardiac rehabilitation. It offers a comprehensive perspective on its significance in enhancing recuperation and mitigating the likelihood of the recurrence of cardiovascular ailments. The significance of this review lies in its ability to enhance patient outcomes, thereby making a valuable contribution to the worldwide endeavor to address the burden of cardiovascular disease.

show abstract

Impact of Cardiac Rehabilitation Programs Post Primary Percutaneous Coronary Intervention on Functional Capacity and Metabolic Profile Through Different Age Groups

Elsayegh

Karim

Shabana

2023

High Blood Press Cardiovasc Prev

View full text Add to dashboard Cite

Long-term effects of cardiac rehabilitation after heart valve surgery - results from the randomised CopenHeart _VR trial

Cited by 8 publications

References 26 publications

Minithoracotomy vs Conventional Sternotomy for Mitral Valve Repair

Minithoracotomy vs Conventional Sternotomy for Mitral Valve Repair

Cardiac Rehabilitation in the Modern Era: Optimizing Recovery and Reducing Recurrence

Impact of Cardiac Rehabilitation Programs Post Primary Percutaneous Coronary Intervention on Functional Capacity and Metabolic Profile Through Different Age Groups

Contact Info

Product

Resources

About

Long-term effects of cardiac rehabilitation after heart valve surgery - results from the randomised CopenHeart VR trial

Cited by 8 publications

References 26 publications

Minithoracotomy vs Conventional Sternotomy for Mitral Valve Repair

Minithoracotomy vs Conventional Sternotomy for Mitral Valve Repair

Cardiac Rehabilitation in the Modern Era: Optimizing Recovery and Reducing Recurrence

Impact of Cardiac Rehabilitation Programs Post Primary Percutaneous Coronary Intervention on Functional Capacity and Metabolic Profile Through Different Age Groups

Contact Info

Product

Resources

About

Long-term effects of cardiac rehabilitation after heart valve surgery - results from the randomised CopenHeart _VR trial