Dr Viveka Kumar, Principal Director and Chief of Cath Labs (Pan Max) – Cardiac Sciences, Max Super Speciality Hospital Saket Delhi shares insights and the scope of aortic valve replacement
Patient-centric care revolves around the principle that medical treatment should be tailored to the individual, rather than a standardised protocol. It encompasses not just the clinical aspects of care but also the emotional, psychological, and social needs of the patient. In the context of aortic valve replacement, this approach involves shared decision-making, customised treatment plans, and a more holistic view of the patient’s overall well-being.
Understanding aortic valve replacement
Aortic valve replacement is a surgical procedure designed to treat aortic valve disease, which can lead to heart failure if left untreated. Advancements in medical technology have introduced minimally invasive options, such as transcatheter aortic valve replacement (TAVR). This groundbreaking advancement in cardiac treatment offers a minimally invasive solution for patients with aortic stenosis, a condition marked by the narrowing of the aortic valve that impedes blood flow from the heart.
TAVR involves placing a new valve within the existing, malfunctioning one using a catheter—a small, flexible tube. This approach significantly reduces hospital stays, minimises complications, and lowers procedural risks, making it an increasingly preferred option for patients.
Research consistently affirms TAVR’s ability to repair faulty aortic valves, alleviate symptoms, improve quality of life, and enhance long-term survival. It stands as a major advancement in heart care, providing a safer alternative for aortic valve replacement, especially for elderly patients, who can experience restored quality of life with fewer risks.
Originally designed for high-risk patients, TAVR has now become a viable option for those at lower risk, expanding treatment opportunities and ensuring that more patients can receive effective care without the need for traditional surgery.
Role of technology in patient-centric care
Innovations in diagnostic and imaging technology have also played a pivotal role in personalising aortic valve replacement procedures. Preoperative imaging, such as advanced CT scans and 3D modelling, helps surgeons plan the procedure with greater precision, reducing the risk of complications and improving surgical outcomes.
Significance of postoperative care
Patient-centric care doesn’t end once the surgery is complete. Postoperative care is equally important, with a focus on personalised rehabilitation and follow-up plans. For example, a younger patient may benefit from a more aggressive cardiac rehabilitation program, while an older patient may require a gentler, more gradual approach.
Telemedicine and remote monitoring are becoming integral parts of postoperative care, allowing patients to recover in the comfort of their own homes while staying connected to their healthcare team. This personalised follow-up care not only improves recovery outcomes but also reduces the likelihood of complications or hospital readmissions.
Emotional and psychological support
A key aspect of patient-centric care is addressing the emotional and psychological impact of undergoing a major procedure like aortic valve replacement. Anxiety, fear, and stress are common among patients facing heart surgery, and providing mental health support is essential for overall well-being.
Healthcare providers are increasingly integrating mental health services into their patient care models, offering counselling, support groups, and stress management resources as part of the recovery process.
Future of aortic valve replacement
The move towards patient-centric approaches in aortic valve replacement is a reflection of the broader trend in healthcare towards personalisation and patient empowerment. As medical technology continues to evolve, the future of aortic valve replacement will likely see even more personalised approaches. Advances in genomics, biomarkers, and precision medicine are expected to allow even greater customisation of treatment plans. Ultimately, the goal is to not only improve survival rates but also enhance the quality of life for patients undergoing aortic valve replacement.
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