Transcatheter Aortic Valve Replacement

Nearly one-third of patients do not improve exercise capacity after TAVR. Aortic stenosis affects 2–5% of adults over 65 and its incidence has more than doubled over the last century. TAVI increasingly emphasises early hospital discharge, placing greater responsibility on patients to self-manage both before and after the procedure. Correcting aortic stenosis through TAVR alone may not be sufficient to restore physical activity levels. Adequate pre-hospitalisation preparation for TAVI requires patients to visit the dentist, maintain good health, adhere to medication regimes, and arrange post-discharge logistics. Although TAVR has improved survival, persistent low exercise capacity and low out-of-hospital physical activity remain important problems after the procedure. Failure to achieve at least a 20% improvement in 6-minute walk distance after TAVR is independently associated with higher risk of all-cause mortality, cardiovascular death, or readmission. TAVR is a minimally invasive catheter-based procedure used to replace a diseased aortic valve and restore valve function in patients at high or extreme surgical risk. TAVI is a minimally invasive procedure recommended for patients…