RESULTS OF EARLY PHYSICAL REHABILITATION IN PATIENTS AFTER CORONARY ARTERY BYPASS SURGERY

The study objective is to examine the effectiveness of physical rehabilitation in patients after coronary bypass surgery at the stationary stage.Materials and methods. The study included 112 patients with ischemic heart disease and saved systolic function of the left ventricle (heart ejection fracti...

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Main Authors: V. V. Bazylev, N. V. Galtseva
Format: Article
Language:Russian
Published: ABV-press 2018-06-01
Series:Klinicist
Subjects:
Online Access:https://klinitsist.abvpress.ru/Klin/article/view/323
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spelling doaj-2c59dbbf637f4559af0210cfa48dfa2e2021-08-02T08:49:45ZrusABV-pressKlinicist1818-83382018-06-01113-4344310.17650/1818-8338-2017-11-3-4-34-43281RESULTS OF EARLY PHYSICAL REHABILITATION IN PATIENTS AFTER CORONARY ARTERY BYPASS SURGERYV. V. Bazylev0N. V. Galtseva1Federal Centre for Cardiovascular Surgery, Ministry of Health of RussiaFederal Centre for Cardiovascular Surgery, Ministry of Health of RussiaThe study objective is to examine the effectiveness of physical rehabilitation in patients after coronary bypass surgery at the stationary stage.Materials and methods. The study included 112 patients with ischemic heart disease and saved systolic function of the left ventricle (heart ejection fraction >35%) after coronary artery bypass surgery (CABS). The first group consisted of 60 patients who received standard program of physical rehabilitation with controlled training on treadmill in early postoperative period. Cardiovascular exercises with intensity of 3–6 metabolic equivalents (MET) started at 3–4 days after surgery on treadmill and continued until discharge from the hospital; simultaneously careful monitoring  of hemodynamic parameters was performed. The second (control) group included 52 patients who received standard physical rehabilitation activities. At the end of stationary stage of physical rehabilitation all patients completed the questionnaire SF-36 Health Status Survey.Results. Initially, according to clinical, demographic and perioperative characteristics the compared groups did not differ statistically. At the end of the program of physical rehabilitation for the average value of the total post-operative bed-day in the first (median was 8) and in the second group (median was 9) statistically significant differences were obtained (p <0.0001), which were in favor of the studied population. In the first group tolerance to physical exertion increased by 3 MET and in general it was 6 MET. According to the results of the questionnaire SF-36 in the group of patients with cardiovascular exercises, the average indexes of physical, role functioning, mental health were significantly different from the results in the control group (accordingly p = 0.0038, p <0.0001, p = 0.033).Conclusion. Implementation in the program of physical rehabilitation in patients after CABG controlled cardiovascular exercise on treadmill at a hospital stage does not increase the incidence of complications, and the use of elements of early rehabilitation help to improve tolerance to physical exertion. In addition, the program of early physical rehabilitation improves subjective health parameters according to the questionnaire of life quality assessment SF-36 and reduces the duration of the postoperative bed-day.https://klinitsist.abvpress.ru/Klin/article/view/323cardiac ischemiacoronary artery bypass surgerystationary phase of rehabilitationworkout on a treadmillcardio rehabilitationtreadmillcardio trainingmetabolic equivalent of taskexercise stressquestionnaire sf-36
collection DOAJ
language Russian
format Article
sources DOAJ
author V. V. Bazylev
N. V. Galtseva
spellingShingle V. V. Bazylev
N. V. Galtseva
RESULTS OF EARLY PHYSICAL REHABILITATION IN PATIENTS AFTER CORONARY ARTERY BYPASS SURGERY
Klinicist
cardiac ischemia
coronary artery bypass surgery
stationary phase of rehabilitation
workout on a treadmill
cardio rehabilitation
treadmill
cardio training
metabolic equivalent of task
exercise stress
questionnaire sf-36
author_facet V. V. Bazylev
N. V. Galtseva
author_sort V. V. Bazylev
title RESULTS OF EARLY PHYSICAL REHABILITATION IN PATIENTS AFTER CORONARY ARTERY BYPASS SURGERY
title_short RESULTS OF EARLY PHYSICAL REHABILITATION IN PATIENTS AFTER CORONARY ARTERY BYPASS SURGERY
title_full RESULTS OF EARLY PHYSICAL REHABILITATION IN PATIENTS AFTER CORONARY ARTERY BYPASS SURGERY
title_fullStr RESULTS OF EARLY PHYSICAL REHABILITATION IN PATIENTS AFTER CORONARY ARTERY BYPASS SURGERY
title_full_unstemmed RESULTS OF EARLY PHYSICAL REHABILITATION IN PATIENTS AFTER CORONARY ARTERY BYPASS SURGERY
title_sort results of early physical rehabilitation in patients after coronary artery bypass surgery
publisher ABV-press
series Klinicist
issn 1818-8338
publishDate 2018-06-01
description The study objective is to examine the effectiveness of physical rehabilitation in patients after coronary bypass surgery at the stationary stage.Materials and methods. The study included 112 patients with ischemic heart disease and saved systolic function of the left ventricle (heart ejection fraction >35%) after coronary artery bypass surgery (CABS). The first group consisted of 60 patients who received standard program of physical rehabilitation with controlled training on treadmill in early postoperative period. Cardiovascular exercises with intensity of 3–6 metabolic equivalents (MET) started at 3–4 days after surgery on treadmill and continued until discharge from the hospital; simultaneously careful monitoring  of hemodynamic parameters was performed. The second (control) group included 52 patients who received standard physical rehabilitation activities. At the end of stationary stage of physical rehabilitation all patients completed the questionnaire SF-36 Health Status Survey.Results. Initially, according to clinical, demographic and perioperative characteristics the compared groups did not differ statistically. At the end of the program of physical rehabilitation for the average value of the total post-operative bed-day in the first (median was 8) and in the second group (median was 9) statistically significant differences were obtained (p <0.0001), which were in favor of the studied population. In the first group tolerance to physical exertion increased by 3 MET and in general it was 6 MET. According to the results of the questionnaire SF-36 in the group of patients with cardiovascular exercises, the average indexes of physical, role functioning, mental health were significantly different from the results in the control group (accordingly p = 0.0038, p <0.0001, p = 0.033).Conclusion. Implementation in the program of physical rehabilitation in patients after CABG controlled cardiovascular exercise on treadmill at a hospital stage does not increase the incidence of complications, and the use of elements of early rehabilitation help to improve tolerance to physical exertion. In addition, the program of early physical rehabilitation improves subjective health parameters according to the questionnaire of life quality assessment SF-36 and reduces the duration of the postoperative bed-day.
topic cardiac ischemia
coronary artery bypass surgery
stationary phase of rehabilitation
workout on a treadmill
cardio rehabilitation
treadmill
cardio training
metabolic equivalent of task
exercise stress
questionnaire sf-36
url https://klinitsist.abvpress.ru/Klin/article/view/323
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