Prehabilitation and Heart Valve Surgery

A review stated that " the concept of prehabilitation has entered the forefront which encompasses multidisciplinary interventions to improve health and lessen the incidence of postoperative decline.

In the previous study held in pre-operative assessment clinic between March 2016 and August 2016, evaluated that PREHAB programme for frail patients undergoing CABG or Valve surgery may be able to improve functional ability and reduce hospital length of stay for those patients undergoing cardiac surgery.

previous other studies, parental study which is PREQUEL study recruitment started in July 2018 expect patient recruitment and 3 months of follow-up will be completed in June 2022 then their analysis will be done.

To improve functional and enhance the resources and postoperative recovery, prehabilitation plays a very cardial role. In some studies, it has been noticed that preoperative improvement in physical fitness, improve functional capacity all this is the part of the model for improving post-surgery recovery, this could play a vital role.

Inclusion criteria

• Patients awaiting heart valve surgery for repair or replacement
• Both gender
• Mild to moderate valvular diseases
• NYHA grade I and II
• Pre-frail to moderately frail patients with a CFS of 4-6
• Patients with an estimated 6-8 weeks of surgical waiting list time.
• Able to perform 6MWT at baseline with RPE<13

Exclusion criteria

• Patients with severe left ventricular obstructive disease (severe aortic or mitral stenosis and dynamic left ventricular outflow obstruction).
• Patients with unstable or recently unstable cardiac syndrome
• Other than valve surgeries e.g. CABG
• Hospitalization for arrhythmias/ congestive heart failure