Physical and Psychological Well-being Effects of Cardiac Rehabilitation on Patients Following Mitral Valve and Aortic Valve Procedures,Journal of Cardiopulmonary Rehabilitation and Prevention

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Physical and Psychological Well-being Effects of Cardiac Rehabilitation on Patients Following Mitral Valve and Aortic Valve Procedures
Journal of Cardiopulmonary Rehabilitation and Prevention ( IF 3.8 ) Pub Date : 2022-03-01 , DOI: 10.1097/hcr.0000000000000609
S Hammad Jafri ₁ , Pavel Hushcha , Pranav Dorbala , Gisele Bousquet , Christine Lutfy , Jodi Klein , Lauren Mellett , Lindsay Sonis , Donna Polk , Hicham Skali

Affiliation

Purpose:

Patients participating in cardiac rehabilitation (CR) following an aortic valve procedure demonstrate improvements in physical capacity and psychological well-being. The primary aim of this study is to evaluate baseline exercise capacity and psychological well-being for mitral valve patients participating in CR and to compare physical and psychological outcomes between mitral valve and aortic valve patients.

Methods:

The primary endpoint was improvement in 6-min walk test (6MWT) distance. Secondary endpoints included change in exercise min/wk, depression scores (Patient Health Questionnaire-9 [PHQ-9]), anxiety scores (General Anxiety Disorder-7 [GAD-7]), and overall quality of life (Dartmouth Cooperative Functional Assessment [COOP]) scores.

Results:

Between January 2015 and December 2019, 94 patients who underwent an aortic valve procedure and 46 patients who underwent mitral valve procedures were enrolled prospectively in CR. At the completion of their CR program, patients had similar improvements in their 6MWT (mitral valve: 173 ft [125, 238] vs aortic valve 197 ft [121, 295], P = .42); exercise min/wk (mitral valve: 90 min [45, 175] vs aortic valve: 80 min [40, 130], P = .44). Changes in anxiety (GAD-7), depression (PHQ-9), and COOP scores were smaller but similar between the two groups.

Conclusions:

CR participation resulted in similar improvements in physical activity between patients undergoing mitral valve and aortic valve procedures. Psychological well-being and quality of life scores improved minimally and similarly between the two groups.

中文翻译：

心脏康复对二尖瓣和主动脉瓣手术后患者身心健康的影响

目的：

主动脉瓣手术后参加心脏康复 (CR) 的患者表现出身体能力和心理健康的改善。本研究的主要目的是评估参与 CR 的二尖瓣患者的基线运动能力和心理健康状况，并比较二尖瓣和主动脉瓣患者的身体和心理结果。

方法：

主要终点是 6 分钟步行测试 (6MWT) 距离的改善。次要终点包括每周运动分钟数的变化、抑郁评分（患者健康问卷-9 [PHQ-9]）、焦虑评分（一般性焦虑症-7 [GAD-7]）和总体生活质量（达特茅斯合作功能评估） [COOP]）得分。

结果：

2015年1月至2019年12月期间，94名接受主动脉瓣手术的患者和46名接受二尖瓣手术的患者前瞻性入组CR。CR 计划完成后，患者的 6MWT 也有类似的改善（二尖瓣：173 英尺 [125, 238] 对比主动脉瓣 197 英尺 [121, 295]，P = .42 ）；每周运动分钟数（二尖瓣：90 分钟 [45, 175] vs 主动脉瓣：80 分钟 [40, 130]，P = .44）。两组之间的焦虑 (GAD-7)、抑郁 (PHQ-9) 和 COOP 评分变化较小，但相似。