Login
Search
Search
0 Dates
2026
2025
2024
2023
2022
2021
2020
2019
2018
0 Events
CPC 2018
CPC 2019
Curso de Atualização em Medicina Cardiovascular 2019
Reunião Anual Conjunta dos Grupos de Estudo de Cirurgia Cardíaca, Doenças Valvulares e Ecocardiografia da SPC
CPC 2020
CPC 2021
CPC 2022
CPC 2023
CPC 2024
CPC 2025
CPC 2026
0 Topics
A. Basics
B. Imaging
C. Arrhythmias and Device Therapy
D. Heart Failure
E. Coronary Artery Disease, Acute Coronary Syndromes, Acute Cardiac Care
F. Valvular, Myocardial, Pericardial, Pulmonary, Congenital Heart Disease
G. Aortic Disease, Peripheral Vascular Disease, Stroke
H. Interventional Cardiology and Cardiovascular Surgery
I. Hypertension
J. Preventive Cardiology
K. Cardiovascular Disease In Special Populations
L. Cardiovascular Pharmacology
M. Cardiovascular Nursing
N. E-Cardiology / Digital Health, Public Health, Health Economics, Research Methodology
O. Basic Science
P. Other
0 Themes
01. History of Cardiology
02. Clinical Skills
03. Imaging
04. Arrhythmias, General
05. Atrial Fibrillation
06. Supraventricular Tachycardia (non-AF)
07. Syncope and Bradycardia
08. Ventricular Arrhythmias and Sudden Cardiac Death (SCD)
09. Device Therapy
10. Chronic Heart Failure
11. Acute Heart Failure
12. Coronary Artery Disease (Chronic)
13. Acute Coronary Syndromes
14. Acute Cardiac Care
15. Valvular Heart Disease
16. Infective Endocarditis
17. Myocardial Disease
18. Pericardial Disease
19. Tumors of the Heart
20. Congenital Heart Disease and Pediatric Cardiology
21. Pulmonary Circulation, Pulmonary Embolism, Right Heart Failure
22. Aortic Disease
23. Peripheral Vascular and Cerebrovascular Disease
24. Stroke
25. Interventional Cardiology
26. Cardiovascular Surgery
27. Hypertension
28. Risk Factors and Prevention
29. Rehabilitation and Sports Cardiology
30. Cardiovascular Disease in Special Populations
31. Pharmacology and Pharmacotherapy
32. Cardiovascular Nursing
33. e-Cardiology / Digital Health
34. Public Health and Health Economics
35. Research Methodology
36. Basic Science
37. Miscellanea
0 Resources
Abstract
Slides
Vídeo
Report
CLEAR FILTERS
Beyond The Valve: Home-Based Rehabilitation and Functional Recovery After TAVI
Session:
Sessão de Posters 36 - Reabilitação para todos: equidade, inovação e impacto a longo prazo
Speaker:
Raquel Fernandes da Silva
Congress:
CPC 2026
Topic:
J. Preventive Cardiology
Theme:
29. Rehabilitation and Sports Cardiology
Subtheme:
29.2 Cardiovascular Rehabilitation
Session Type:
Posters Eletrónicos
FP Number:
---
Authors:
Raquel Fernandes da Silva; Marta Paralta de Figueiredo; Rúben Almeida Pinto; Teresa Costa; Ana Narra; Humberto Marreiros; Madalena Rangel; João Pais; Rita Caldeira da Rocha; Filipa Pisa; Manuel Trinca; Lino Patrício
Abstract
<p style="text-align:justify"><span style="font-size:11pt"><span style="font-family:Arial,sans-serif"><span style="color:#000000"><strong>Background:</strong></span></span></span><br /> <span style="font-size:11pt"><span style="font-family:Arial,sans-serif"><span style="color:#000000">Transcatheter aortic valve implantation (TAVI) has markedly improved prognosis in elderly patients with severe aortic stenosis; however, persistent frailty and functional limitation remain frequent, negatively impacting autonomy and quality of life. Participation in conventional centre-based cardiac rehabilitation may be limited in this population, highlighting the relevance of structured home-based rehabilitation strategies.</span></span></span></p> <p style="text-align:justify"><span style="font-size:11pt"><span style="font-family:Arial,sans-serif"><span style="color:#000000"><strong>Objectives:</strong></span></span></span><br /> <span style="font-size:11pt"><span style="font-family:Arial,sans-serif"><span style="color:#000000">To evaluate the safety, feasibility and clinical effectiveness of a structured Vivifrail-guided home-based exercise programme on functional, muscular and psychosocial outcomes in patients following TAVI.</span></span></span></p> <p style="text-align:justify"><span style="font-size:11pt"><span style="font-family:Arial,sans-serif"><span style="color:#000000"><strong>Methods:</strong></span></span></span><br /> <span style="font-size:11pt"><span style="font-family:Arial,sans-serif"><span style="color:#000000">A prospective cohort study included consecutive patients undergoing TAVI enrolled in a 12-week personalised home-based cardiac rehabilitation programme, initiated one month after the procedure. Assessments were performed before TAVI, at programme initiation and after completion of the intervention. Functional capacity was evaluated using the 6-minute walk test and Short Physical Performance Battery (SPPB). Secondary outcomes included handgrip strength, quality of life (HeartQoL) and psychological status (HADS).</span></span></span></p> <p style="text-align:justify"><span style="font-size:11pt"><span style="font-family:Arial,sans-serif"><span style="color:#000000"><strong>Results:</strong></span></span></span><br /> <span style="font-size:11pt"><span style="font-family:Arial,sans-serif"><span style="color:#000000">Twenty-one patients were included (mean age 82.6 ± 4.1 years; 71.4% female). The programme demonstrated a favourable safety profile, with no major exercise-related adverse events. Significant improvements were observed in functional capacity: 6MWT distance increased from 263 ± 99 m to 308 ± 116 m (p<0.001) and SPPB scores improved from 7.8 ± 2.1 to 9.2 ± 2.0 (p<0.001). Handgrip strength increased significantly (p=0.02). HeartQoL global scores improved (p=0.01), and HADS total scores decreased from 11.9 ± 5.4 to 8.3 ± 4.6 (p<0.001), with reductions in both anxiety (p=0.003) and depression (p<0.001). No significant changes were observed in cognitive function (MMSE, p=0.14) or independence in activities of daily living (Katz, p=0.06; Lawton–Brody, p=0.59).</span></span></span></p> <p><span style="font-size:11pt"><span style="font-family:Arial,sans-serif"><span style="color:#000000"><strong>Conclusion:</strong></span></span></span><br /> <span style="font-size:11pt"><span style="font-family:Arial,sans-serif"><span style="color:#000000">A structured Vivifrail-guided home-based cardiac rehabilitation programme following TAVI is safe, feasible and associated with significant improvements in functional performance, muscle strength and quality of life. These findings support its role as an effective strategy to optimise recovery and promote functional independence in frail elderly patients after TAVI.</span></span></span></p>
Slides
Our mission: To reduce the burden of cardiovascular disease
Visit our site