Course Director：刘然、谢慕蓉

主席

主持人

讨论嘉宾

学习目标： 1. 理解瓣膜病患者术前—术后运动生理变化及康复获益机制。 2. 掌握结构性心脏病围术期康复的安全评估、启动时机和运动处方核心要点。 3. 认识虚弱、营养不良与肌少症对介入瓣膜病术后恢复轨迹和预后的影响，学习如何纳入康复分层管理。

讨论定位： 建议围绕“如何把瓣膜病心脏康复从理念转化为可执行处方”展开，重点讨论术前—术后功能评估、康复启动时机、运动强度设定、安全监测，以及衰弱、营养不良、肌少症等因素如何纳入康复分层管理。

建议讨论问题 1.介入瓣膜病患者术后启动心脏康复前，最低限度需要完成哪些安全性评估？ What minimum safety assessments should be completed before initiating cardiac rehabilitation after transcatheter valvular intervention? 2.TAVR、M-TEER、T-TEER/K-Clip 等不同术式患者，康复启动时机和运动强度是否应有所区别？ Should the timing and intensity of rehabilitation differ among patients undergoing TAVR, M-TEER, T-TEER/K-Clip and other transcatheter valve interventions? 3.如何将运动生理指标转化为临床可执行的运动处方，例如心率、Borg 评分、6MWT 或 CPET 指标？ How can exercise physiology parameters be translated into clinically feasible prescriptions using heart rate, Borg scale, 6MWT or CPET-derived indicators? 4.对于合并衰弱、营养不良或肌少症的患者，应优先进行运动训练，还是先进行营养和抗阻训练干预？ For patients with frailty, malnutrition or sarcopenia, should aerobic training be prioritized, or should nutritional support and resistance training be initiated first? 5.如何建立适合我国介入瓣膜病患者的标准化康复流程：院内评估—出院处方—居家管理—门诊随访？ How can we establish a standardized rehabilitation pathway for Chinese patients after transcatheter valvular intervention, covering in-hospital assessment, discharge prescription, home-based management and outpatient follow-up?

瓣膜病合并左心功能不全的心脏康复——从运动生理到临床实践 Cardiac Rehabilitation in Valvular Heart Disease with left heart failure: From Exercise Physiology to Clinical Practice

讨论

结构性心脏病围术期康复的疗效 Effectiveness of Perioperative Rehabilitation in Structural Heart Disease

讨论

虚弱、营养不良与肌少症：瓣膜介入术后恢复与预后的再分层 Frailty, Malnutrition and Sarcopenia: Re-stratifying Recovery and Prognosis After Transcatheter Valvular Intervention

讨论