Course Director：刘然、谢慕蓉

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讨论嘉宾

学习目标： 1. 识别低流速低压差AS患者TAVR术后EF仍减低时的康复风险与监护需求。 2. 理解继发性二尖瓣反流TEER术后康复反应的异质性，关注残余反流、肺高压、右心功能、心衰表型和长期低活动状态。 3. 明确不同程度三尖瓣反流患者科学运动的风险边界、容量管理和症状监测要点。

讨论定位： 本 Session 建议聚焦“高危、复杂、异质性瓣膜病患者如何安全康复”。重点讨论低流速低压差 AS 患者 TAVR 后 EF 仍减低、继发性二尖瓣反流 TEER 术后心衰表型差异、三尖瓣反流患者右心功能和容量负荷等临床难点。

建议讨论问题 1.低流速低压差 AS 患者 TAVR 后 EF 仍未恢复时，是否可以开展运动康复？应采用何种监护级别？ Can exercise-based rehabilitation be initiated in patients with persistent reduced EF after TAVR for low-flow, low-gradient aortic stenosis? What level of monitoring is appropriate? 2.对于术后仍存在低心排、心衰症状或 NT-proBNP 持续升高的患者，康复处方应如何调整？ How should rehabilitation prescriptions be adjusted for patients with persistent low output, heart-failure symptoms or elevated NT-proBNP after intervention? 3.继发性二尖瓣反流 TEER 术后，如何区分“瓣膜获益不足”与“心肌/外周功能恢复不足”？ After TEER for secondary mitral regurgitation, how can we distinguish insufficient valve-related benefit from inadequate myocardial or peripheral functional recovery? 4.三尖瓣反流患者运动训练时，如何平衡改善运动耐量与避免右心负荷加重？ In patients with tricuspid regurgitation, how can clinicians improve exercise tolerance while avoiding aggravation of right-heart loading? 5.对于合并肺高压、右心衰、容量淤血或下肢水肿的患者，运动训练的禁忌证和暂停标准应如何设定？ For patients with pulmonary hypertension, right-heart failure, venous congestion or peripheral edema, how should contraindications and stopping criteria for exercise training be defined?

低流速低压差TAVR术后仍合并EF减低的患者，心脏康复的要点 Key Considerations for Cardiac Rehabilitation in Patients with Persistent Reduced EF After TAVR for Low-Flow, Low-Gradient Aortic Stenosis

讨论

继发性二尖瓣反流TEER术后心脏康复的异质性 Heterogeneity of Cardiac Rehabilitation After TEER for Secondary Mitral Regurgitation

讨论

不同程度（低/中/大量）三尖瓣反流患者，科学运动的要点 Principles of Evidence-Based Exercise for Patients with Mild, Moderate and Severe Tricuspid Regurgitation

讨论