Preview

Siberian Journal of Clinical and Experimental Medicine

Advanced search

Long physical trainings in patients who underwent coronary artery bypass grafting: problems and prospects

https://doi.org/10.29001/2073-8552-2014-29-4-39-44

Abstract

Purpose. To evaluate the efficacy and safety of independent physical trainings (PT) at the outpatient stage of rehabilitation in patients who underwent coronary artery bypass grafting (CABG). Material and methods. A total of 112 men with coronary artery disease (CAD) who underwent CABG were examined. Status of patients was evaluated after 1, 4 months and 1 year after CABG. Data demonstrated that the greatest effect on improving the exercise tolerance (ET), optimization of hemodynamic and lipid profile parameters was in patients who received controlled bicycle training (BT) within three months after CABG. Patients who received only drug therapy without controlled physical exercises during rehabilitation period had the lowest improvement of ET and left ventricular ejection fraction evaluated four months after CABG. Patients who received physical training at home in the form of controlled walking (CW) within three months after CABG had intermediate results. Conclusion. Individual PT of moderate intensity is safe, easy to perform, and is available for a large number of patients, but it is less efficacious than controlled BT.

About the Authors

S. A. Pomeshkina
Research Institute for Complex Issues of Cardiovascular Diseases
Russian Federation


E. B. Loktionova
Research Institute for Complex Issues of Cardiovascular Diseases
Russian Federation


O. A. Eremina
Research Institute for Complex Issues of Cardiovascular Diseases
Russian Federation


N. V. Arkhipova
Research Institute for Complex Issues of Cardiovascular Diseases
Russian Federation


O. L. Barbarash
Research Institute for Complex Issues of Cardiovascular Diseases
Russian Federation


References

1. Аронов Д.М., Бубнова М.Г. Проблемы внедрения новой системы кардиореабилитации в России // Российский кардиологический журнал. - 2013. - № 4(102). - С. 14-22.

2. Бокерия Л.А., Гудкова Р.Г. Сердечно-сосудистая хирургия - 2012. Болезни и врожденные аномалии системы кровообращения. - М.: Научный центр сердечно-сосудистой хирургии РАМН, 2013. - 210 с.

3. Николаева Л.Ф., Аронов Д.М. Реабилитация больных ишемической болезнью сердца. - Медицина, 1988. - 288 с.

4. Оганов Р.Г., Масленникова Г.Я. Демографические тенденции в Российской Федерации: вклад болезней системы кровообращения // Кардиоваскулярная терапия и профилактика. - 2012. - № 11(1). - С. 5-10.

5. Blair J., Angus N.J., Lauder W.J. et al. The influence of non-modifiable illness perceptions on attendance at cardiac rehabilitation // Eur. J. Cardiovasc. Nurs. - 2014. - Vol. 13(1). -P. 55-62.

6. Blair J., Corrigall H., Angus N.J. et al. Home versus hospital-based cardiac rehabilitation: a systematic review // Rural Remote Health. - 2011. - Vol. 11(2). - P. 1532.

7. Centers for Disease Control and Prevention (CDC). Receipt of outpatient cardiac rehabilitation among heart attack survivors. United States, 2005 // MMWR Morb Mortal Wkly Rep. - 2008. - Vol. 57. - P. 89-94.

8. Hillis L.D., Smith P.K., Anderson J.L. et al. 2011 ACCF/AHA Guideline for coronary artery bypass graft surgery a report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines // Circulation. -2011. - Vol. 124. - P. 652-735.

9. Jolly K., Lip G.Y., Taylor R.S. et al. The Birmingham Rehabilitation Uptake Maximisation study (BRUM): a randomised controlled trial comparing home-based with centre-based cardiac rehabilitation // Heart. - 2009. - Vol. 95(1). - P. 36-42.

10. Jolly K., Taylor R., Lip G.Y. et al. The Birmingham Rehabilitation Uptake Maximisation Study (BRUM). Home-based compared with hospital-basedcardiac rehabilitation in a multi-ethnic population: cost-effectiveness and patient adherence // Health Technol. Assess. - 2007. - Vol. 11(35). - P. 1-118.

11. Jones M.I., Greenfield S., Jolly K. Patients’ experience of home and hospital based cardiac rehabilitation: a focus group study // Eur. J. Cardiovasc. Nurs. - 2009. - Vol. 8(1). - P. 9-17.

12. Karoff M. Cardiac rehabilitation in Germany // Eur. J. Cardiovasc. Prev. Rehabil. - 2007. - Vol. 14. - P. 18-27.

13. Kotseva K., Wood D., De Backer G. et al. EUROASPIRE III. Management of cardiovascular risk factors in asymptomatic high-risk patients in general practice: cross-sectional survey in 12 European countries // Eur. J. Cardiovasc. Prev. Rehabil. - 2010. - Vol. 17(5). - P. 530-535.

14. Suaya J.A., Shepard D.S., Normand S.L. et al. Use of cardiac rehabilitation by Medicare beneficiaries after myocardial infarction or coronary bypass surgery // Circulation. - 2007. -Vol. 116. - P. 1653-1662.


Review

For citations:


Pomeshkina S.A., Loktionova E.B., Eremina O.A., Arkhipova N.V., Barbarash O.L. Long physical trainings in patients who underwent coronary artery bypass grafting: problems and prospects. Siberian Journal of Clinical and Experimental Medicine. 2014;29(4):39-44. (In Russ.) https://doi.org/10.29001/2073-8552-2014-29-4-39-44

Views: 314


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


ISSN 2713-2927 (Print)
ISSN 2713-265X (Online)