{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,12]],"date-time":"2026-09-12T23:34:00Z","timestamp":1789256040666,"version":"build-2803163510"},"reference-count":38,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2025,3,25]],"date-time":"2025-03-25T00:00:00Z","timestamp":1742860800000},"content-version":"vor","delay-in-days":24,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Cardiology"],"published-print":{"date-parts":[[2025,3]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>This systematic review and evidence mapping study aims to assess the effects of exercise\u2010based cardiac rehabilitation on clinical outcomes in patients after heart valve surgery. By consolidating and visualizing existing evidence, the study seeks to identify gaps in knowledge, evaluate the quality and breadth of current research, and provide guidance for clinical practice and future research. The evidence mapping will highlight under\u2010researched areas and inform healthcare providers on effective strategies to enhance postoperative recovery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A comprehensive search was performed across multiple databases, including PubMed, Embase, Cochrane CENTRAL, Web of Science, CNKI, and Wanfang, up to May 2024. Two reviewers independently screened the articles, extracted relevant data, and assessed study quality. Study characteristics and outcomes were visualized using bubble plots.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Ten systematic reviews\/meta\u2010analyses met the inclusion criteria. Based on AMSTAR\u20102, two were rated \u201chigh quality,\u201d two \u201clow quality,\u201d and six \u201cvery low quality.\u201d Using the GRADE system, of the 48 pieces of evidence across 10 outcomes, 1 was \u201chigh quality,\u201d 8 \u201cmoderate,\u201d 19 \u201clow,\u201d and 20 \u201cvery low.\u201d<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Current evidence indicates that exercise\u2010based cardiac rehabilitation can enhance physical capacity, left ventricular ejection fraction, peak oxygen uptake, and daily living activities in heart valve surgery patients. However, more large\u2010scale, high\u2010quality studies are needed to verify its effects on all\u2010cause mortality, quality of life, adverse events, return to work, and emotional health.<\/jats:p><\/jats:sec>","DOI":"10.1002\/clc.70117","type":"journal-article","created":{"date-parts":[[2025,3,27]],"date-time":"2025-03-27T11:27:50Z","timestamp":1743074870000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Exercise\u2010Based Cardiac Rehabilitation for Patients After Heart Valve Surgery: A Systematic Review and Re\u2010Evaluation With Evidence Mapping Study"],"prefix":"10.1002","volume":"48","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-2567-0822","authenticated-orcid":false,"given":"Rongxiang","family":"Zhang","sequence":"first","affiliation":[{"name":"Xiamen Cardiovascular Hospital Xiamen University Xiamen China"},{"name":"School of Nursing Fujian University of Traditional Chinese Medicine Fuzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-3218-1543","authenticated-orcid":false,"given":"Chenyang","family":"Zhu","sequence":"additional","affiliation":[{"name":"School of Nursing Fujian University of Traditional Chinese Medicine Fuzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-1878-1655","authenticated-orcid":false,"given":"Shiqi","family":"Chen","sequence":"additional","affiliation":[{"name":"School of Nursing Fujian University of Traditional Chinese Medicine Fuzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-1741-5184","authenticated-orcid":false,"given":"Feng","family":"Tian","sequence":"additional","affiliation":[{"name":"School of Nursing Fujian University of Traditional Chinese Medicine Fuzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-3051-0805","authenticated-orcid":false,"given":"Yuan","family":"Chen","sequence":"additional","affiliation":[{"name":"Xiamen Cardiovascular Hospital Xiamen University Xiamen China"},{"name":"School of Nursing Fujian University of Traditional Chinese Medicine Fuzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,3,25]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.suc.2022.01.008"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12872-021-02154-8"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.3390\/medsci10020032"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.3390\/jcm12062178"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.rec.2022.05.006"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.exger.2018.10.010"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijcard.2022.11.045"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports-2017-098963"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1177\/2047487312437063"},{"issue":"2","key":"e_1_2_11_11_1","first-page":"229","article-title":"Progress of Cardiac Rehabilitation in Different Cardiovascular Diseases","volume":"26","author":"Cheng J. 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