Rehabilitation in Cardiology and Cardiosurgery

Гальцева, Н. В.

doi:10.17650/1818-8338-2015-9-2-13-22

Cited by 11 publications

(3 citation statements)

References 39 publications

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“…It is quite difficult to remove stimulation electrodes left for more than 1 week (temporary or permanent), as the risk of complications such as atrial or ventricular rupture, hemorrhage, tamponade, and damage to the coronary vasculature increases. Consequently, the threshold for rejection of pacemaker wires is quite low, since the retained wires are usually very well tolerated, and the risk profile for removal is often unacceptably high [15].…”

Section: Discussionmentioning

confidence: 99%

Conducting Dermatological Operations in Patients Who Have Previously Undergone Cardiac Surgery

Irmatov

Shukyurli

Kurbanmagomedov

et al. 2021

JPRI

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Thoracic surgical procedures and the use of cardiac devices such as pacemakers are becoming increasingly common in the population. Therefore, dermatologists may be more likely to encounter previously implanted or discarded surgical material during a dermatological operation on the chest wall. A basic understanding of the types of wires and tunneling paths used in such procedures is essential to accurately predict the presence of these wires and effectively manage any chance encounters. Dermatologists should be aware that temporary epicardial pacemaker electrodes and pacemaker electrodes often remain in the chest wall of many patients. All patients with a history of cardiac surgery should be asked about the possible presence of temporary epicardial electrodes in their body, and if such materials are found during the operation, it is necessary to immediately stop the procedure and do not undertake further manipulations with them until the material from which it is made is determined. Specialists in cardiology and cardiothoracic surgery need to document any abandoned wire in the patient's list of problems and inform the patient about the abandoned wire so that he or she can be an important source of clinical information. Trying to pull out the remaining pacemaker electrodes is a serious risk, so dermatologist surgeons should not attempt it under any circumstances. When detecting wire material, it is necessary to determine the type and location of the material before any manipulation or pulling attempts. Once it is established that this is a non-functional, abandoned wire, it is necessary to apply the correct technique for removing it, which consists in gently pulling and securing the wire at the exit point. Accurate identification of the material is required in order not to interfere with the operation of the active device and not to abandon the operation unnecessarily. The aim of the work is to consider the implementation of dermatological operations in patients who have previously undergone cardiac surgery.

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Section: Discussionmentioning

confidence: 99%

Conducting Dermatological Operations in Patients Who Have Previously Undergone Cardiac Surgery

Irmatov

Shukyurli

Kurbanmagomedov

et al. 2021

JPRI

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“…От привычных проб с ФН спиро-ВЭМ отличается наличием газоаналитической аппаратуры, способной определять концентрацию кислорода и углекислого газа в выдыхаемом воздухе, тем самым позволяющей анализировать показатели легочного газообмена. «Золотым стандартом» для оценки толерантности к ФН и одним из сильных предикторов прогноза заболевания у пациентов с ИБС и ХСН является максимальное потребление кислорода VO 2 max [2]. VO 2 max соответствует максимальному количеству кислорода, способному быть потребленным через систему органов дыхания, диффундировать через легочные капилляры, связываться с гемоглобином, переноситься с кровотоком, проникать в скелетную мускулатуру, связываться с миоглобином и позже быть использованным для окисления соединений, участвующих в метаболизме.…”

Section:  физический аспект комплексной кардиологической реабилитацииunclassified

“…Согласно определению Всемирной организации здравоохранения, кардиологическая реабилитация (кардиореабилитация, КР) -комплекс мероприятий, обеспечивающий наилучшее физическое и психическое состояние и позволяющий пациентам с хроническими или перенесенными острыми сердечно-сосудистыми заболеваниями (ССЗ) сохранить или восстановить свое место в обществе (социальный статус) и вести активный образ жизни благодаря собственным усилиям (1993) [2].…”

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Aerobic Physical Training in Patients after Combined Coronary Artery Bypass Grafting and Correction of Acquired Non-Rheumatic Valvular Heart Disease

Дубовик¹

2023

Кардиология В Беларуси

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В связи со стабильно высокой хирургической активностью в лечении пациентов кардиологического профиля вопросы физической реабилитации после операции не теряют своей актуальности. Значительная доля пациентов приходится на трудоспособный возраст, у которых послеоперационная реабилитация играет основную роль в дальнейшем восстановлении физической и социальной активности. В мировых руководствах подробно освещены вопросы медикаментозного аспекта кардиологической реабилитации у пациентов после различных кардиохирургических вмешательств; представлены общие подходы к физической реабилитации пациентов после аортокоронарного шунтирования, коррекции клапанных пороков сердца, чрескожных коронарных вмешательств, однако физический аспект кардиологической реабилитации у пациентов после сочетанной операции аортокоронарного шунтирования и коррекции приобретенных неревматических клапанных пороков сердца не представлен подробно в рекомендациях ввиду недостаточного изучения действия физических тренировок у данной категории пациентов, в частности интервальных и непрерывных физических тренировок. Due to the consistently high surgical activity in the treatment of cardiological patients, the issues of physical rehabilitation after surgery do not lose their relevance. A significant proportion of patients are of working age, and their postoperative rehabilitation plays a major role in further restoration of physical and social activity. The world guidelines cover in detail the issues of medical aspect of cardiac rehabilitation in patients after various cardiac surgical interventions; general approaches to physical rehabilitation of patients after coronary artery bypass grafting, correction of valvular heart disease, percutaneous coronary interventions are presented, however, the physical aspect of cardiac rehabilitation in patients after combined coronary artery bypass grafting and correction of acquired non-rheumatic valvular heart disease is not presented in detail in the recommendations due to insufficient exploration of physical training effects in this category of patients, in particular, interval and continuous physical training.

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Optimization of Physiological Processes in Conditions Staged Activation of Motor Activity in Cardiac Patients

Zavalishina

Karpov

Eremin

et al. 2020

Biomed. Pharmacol. J.

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The development of coronary atherosclerosis leads to the formation of coronary heart disease, which threatens early death or disability. Such patients need a shunt operation to restore blood flow in the vessels of the heart. After this operation, patients need complex rehabilitation, which has strict stages. To expand the physical activity of patients after coronary bypass grafting, a system of motor activity consisting of 7 steps is used, modified for use in Russian clinical conditions for the rehabilitation of patients after shunting of blood vessels supplying the myocardium. This technique involves the use of seven stages of motor activation of patients, through the use of complexes of medical-physical culture with a gradual strengthening of gymnastic exercises, through the use of training using exercise bikes and dosed walking in open areas, built on the principle of "from simple to more complex." The first two stages of motor activation are applicable to patients immediately after coronary artery bypass grafting at the stationary stage; 3-5 stages of motor activation are physiologically justified for in-patient rehabilitation; the 6-7 steps of motor activation are applicable to patients on outpatient rehabilitation.

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Rehabilitation in Cardiology and Cardiosurgery

Cited by 11 publications

References 39 publications

Conducting Dermatological Operations in Patients Who Have Previously Undergone Cardiac Surgery

Conducting Dermatological Operations in Patients Who Have Previously Undergone Cardiac Surgery

Aerobic Physical Training in Patients after Combined Coronary Artery Bypass Grafting and Correction of Acquired Non-Rheumatic Valvular Heart Disease

Optimization of Physiological Processes in Conditions Staged Activation of Motor Activity in Cardiac Patients

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