TY  - CHAP
A1  - Völler, Heinz
A1  - Salzwedel, Annett
A1  - Reibis, Rona Katharina
A1  - Eichler, Sarah
A1  - Buhlert, Hermann
A1  - Kaminski, Stefan
A1  - Wegscheider, Karl
T1  - Cardiopulmonary exercise testing is predictive of return to work in cardiac patients after multicomponent rehabilitation
T2  - European heart journal
Y1  - 2015
SN  - 0195-668X
SN  - 1522-9645
VL  - 36
SP  - 635
EP  - 636
PB  - Oxford Univ. Press
CY  - Oxford
ER  - 
TY  - JOUR
A1  - Völler, Heinz
A1  - Salzwedel, Annett
A1  - Nitardy, Aischa
A1  - Buhlert, Hermann
A1  - Treszl, Andras
A1  - Wegscheider, Karl
T1  - Effect of cardiac rehabilitation on functional and emotional status in patients after transcatheter aortic-valve implantation
JF  - European journal of preventive cardiology : the official ESC journal for primary & secondary cardiovascular prevention, rehabilitation and sports cardiology
N2  - Background Transcatheter aortic-valve implantation (TAVI) is an established alternative therapy in patients with severe aortic stenosis and a high surgical risk. Despite a rapid growth in its use, very few data exist about the efficacy of cardiac rehabilitation (CR) in these patients. We assessed the hypothesis that patients after TAVI benefit from CR, compared to patients after surgical aortic-valve replacement (sAVR).
 Methods From September 2009 to August 2011, 442 consecutive patients after TAVI (n=76) or sAVR (n=366) were referred to a 3-week CR. Data regarding patient characteristics as well as changes of functional (6-min walk test. 6-MWT), bicycle exercise test), and emotional status (Hospital Anxiety and Depression Scale) were retrospectively evaluated and compared between groups after propensity score adjustment.
 Results Patients after TAVI were significantly older (p<0.001), more female (p<0.001), and had more often coronary artery disease (p=0.027), renal failure (p=0.012) and a pacemaker (p=0.032). During CR, distance in 6-MWT (both groups p0.001) and exercise capacity (sAVR p0.001, TAVI p0.05) significantly increased in both groups. Only patients after sAVR demonstrated a significant reduction in anxiety and depression (p0.001). After propensity scores adjustment, changes were not significantly different between sAVR and TAVI, with the exception of 6-MWT (p=0.004).
 Conclusions Patients after TAVI benefit from cardiac rehabilitation despite their older age and comorbidities. CR is a helpful tool to maintain independency for daily life activities and participation in socio-cultural life.
KW  - Cardiac rehabilitation
KW  - emotional status
KW  - functional capacity
KW  - surgical aortic valve replacement (sAVR)
KW  - transcatheter aortic valve implantation (TAVI)
Y1  - 2015
U6  - https://doi.org/10.1177/2047487314526072
SN  - 2047-4873
SN  - 2047-4881
VL  - 22
IS  - 5
SP  - 568
EP  - 574
PB  - Sage Publ.
CY  - London
ER  -