Efficiency and Safety of Early Physical Trainings During Rehabilitation of Patients After Coronary Bypass Grafting

Иноземцева, А. А.; Argunova, Yu.A.; Помешкина, С. А.; Evtuschenko, V.V.; Barbarash, O. L.

doi:10.20333/2500136-2018-6-33-42

Cited by 8 publications

(3 citation statements)

References 6 publications

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“…При этом у больных наблюдалось достоверно более высокое VО 2peak к 14-м сут. аэробных тренировок при сравнении с пациентами с аналогичной программой реабилитации, но без физических тренировок на тредмиле: 14,2 [13,2; 15,4] против 12,4 [11,3; 14,5] мл/мин/кг [22].…”

Section: Note: * -Improvement Due To the Drug Therapy Of Heart Failurunclassified

Aerobic exercises are safe and effective in early rehabilitation following cardiac surgery

Lyapina

Помешкина

Аргунова

et al. 2020

Kompleks. probl. serdečno-sosud. zabol.

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This review summarizes the core principles of immediate and early rehabilitation with aerobic exercises of various intensity in patients following cardiac surgery.One of the main principles of cardiac rehabilitation is early mobilization of patients after cardiac surgery with the subsequent expansion of physical activity modes. The optimal time for commencing early rehabilitation and its intensity in patients who have undergone cardiac surgery remain controversial. In addition, cardiac rehabilitation programs for elderly patients and those with severe with comorbidities have not been studied yet. This review presents the results of the recent meta-analyzes and studies, focusing on the efficacy and safety of immediate and early aerobic exercise as a core component of rehabilitation in different cohorts of patients, who have undergone cardiac surgery.

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Section: Note: * -Improvement Due To the Drug Therapy Of Heart Failurunclassified

Aerobic exercises are safe and effective in early rehabilitation following cardiac surgery

Lyapina

Помешкина

Аргунова

et al. 2020

Kompleks. probl. serdečno-sosud. zabol.

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“…Показано, что физические тренировки могут улучшить не только общее физическое самочувствие, но и способствовать положительным изменениям липидного профиля, реологии крови и гемодинамики, снизить массу тела и частоту пульса в покое [1]. Продемонстрировано, что проведение физиче- [2,3]. В исследованиях на лицах пожилого возраста было обнаружено, что повышение уровня физической активности, действуя как нейропротекторный механизм, может уменьшить снижение когнитивных функций и обеспечить защиту от деменции при нормальном старении [4,5].…”

Section: Introductionunclassified

“…гических пациентов, и ряд исследований убедительно доказал благоприятные эффекты физических тренировок на общее здоровье и самочувствие [3,17,18]. Длительное занятие физическими упражнениями позволяет снизить распространенность таких заболеваний, как сахарный диабет и сердечно-сосудистые заболевания [1,19].…”

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Impact of short-term physical prehabilitation on psychophysiological parameters in patients undergoing coronary artery bypass grafting

Трубникова

Тарасова

Moskin

et al. 2020

Fundamentalʹnaâ i kliničeskaâ medicina

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Aim. To study psychophysiological parameters in the patients undergoing coronary artery bypass grafting (CABG) who optionally underwent a short course of physical prehabilitation (PPR).Materials and Methods. We carried out a prospective randomised study which included 97 male patients (45 to 70 years) with coronary artery disease who underwent elected CABG; 47 of them additionally underwent a 5-7-day course of aerobic physical training before the surgery. Both patient groups were comparable with respect to the baseline clinicopathological features. Neuropsychological examination and electroencephalography was performed before the surgery and at 7th-10th day after CABG. Development of postoperative cognitive dysfunction (POCD) was considered as the study endpoint. Results. POCD developed in 58% patients with PPR and in 78.7% patients without PPR (p = 0.037); therefore, the risk of developing POCD in those who underwent PPR was lower (OR=0,39, р=0,045). Further, patients with PPR showed an increase in integral attention value relative to the preoperative state (p = 0.04) while those without PPR demonstrated a decrease in this cognitive parameter (p = 0.03). Integral attention value and general cognitive status remained higher in patients with PPR than in those without (p = 0.048 and p = 0.048, respectively) at 7th-10th day after CABG. The theta1 rhythm power increase was higher in patients without PPR at 7th-10th day after CABG (p = 0.01). Conclusion. The patients with a short preoperative course of PPR had better indicators of electrical cortical activity and higher integral cognitive value in the early postoperative period after CABG than those without training. Short course of PPR before CABG can increase the resistance of the brain to the intraoperative injury and may reduce the severity of the cognitive impairment after cardiac surgery. Indicators of brain electrical activity can be informative to evaluate the efficiency of cardiac rehabilitation

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Effect of early postoperative rehabilitation with aerobic exercise on functional status and cardiac remodeling in patients after heart valve surgery

Lyapina

Shaleva

Teplova

et al. 2023

Cardiovasc Ther Prev

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Aim. To develop a program for early physical rehabilitation of inpatients after heart valve surgery and to evaluate its effectiveness and safety.Material and methods. The study included 80 patients with valvular heart disease (VHD) after elective on pump valve surgery. Patients in the control group (n=47) underwent standard cardiac rehabilitation after surgery; patients of the main group (n=33) additionally, starting from the 8th day after the intervention, had 14-day treadmill training with the program selection, taking into account the results of cycle ergometry spirometry (CES). A week after the operation and at the end of the training course (median, 24 days after the operation), cardiac remodeling and functional status was assessed according to echocardiography and CE, respectively.Results. For 7 days after surgery, patients of both groups were comparable. During physical training in the main group, there were no lifethreatening cardiac arrhythmias, episodes of ischemia, desaturation, as well as intracardiac hemodynamics deterioration. With a 14-day training, CES showed a significant increase in exercise tolerance (ET) in the main group from a median of 50 to 75 W (p=0,002), peak oxygen uptake (VO2peak) from 11,7 to 13,4 ml/kg/min (p=0,001). For 24 days after surgery in the control group, there was a trend towards improvement in ET and VO2peak, but without significant changes (p=0,09/p=0,08).Conclusion. Early inhospital rehabilitation, including physical training of moderate intensity with an individual treadmill speed and incline angle, starting from day 8 after surgery, showed effectiveness and safety in the form of an increase in ET and VO2peak, while not worsening hemodynamic parameters.

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Efficiency and Safety of Early Physical Trainings During Rehabilitation of Patients After Coronary Bypass Grafting

Cited by 8 publications

References 6 publications

Aerobic exercises are safe and effective in early rehabilitation following cardiac surgery

Aerobic exercises are safe and effective in early rehabilitation following cardiac surgery

Impact of short-term physical prehabilitation on psychophysiological parameters in patients undergoing coronary artery bypass grafting

Effect of early postoperative rehabilitation with aerobic exercise on functional status and cardiac remodeling in patients after heart valve surgery

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