kpcczКомплексные проблемы сердечно-сосудистых заболеванийComplex Issues of Cardiovascular Diseases2306-12782587-9537Federal State Budgetary Institution “Research Institute for Complex Issues of Cardiovascular Diseases”10.17802/2306-1278-2020-9-3-30-39kpccz-755Research ArticleАНАЛИТИЧЕСКИЙ ОБЗОРANALYTICAL REVIEWБезопасность и эффективность аэробных нагрузок в ранней реабилитации пациентов после операции на сердцеAerobic exercises are safe and effective in early rehabilitation following cardiac surgeryhttps://orcid.org/0000-0002-4649-5921ТаранИ. Н.TaranI. N.

кандидат медицинских наук, младший научный сотрудник лаборатории реабилитации отдела клинической кардиологии,

Сосновый бульвар, 6, Кемерово, 650002

PhD, junior researcher at the Laboratory of Rehabilitation, Department of Clinical Cardiology,

6, Sosonoviy Blvd., Kemerovo, 650002

zaviirina@mail.ruhttps://orcid.org/0000-0003-3333-216XПомешкинаС. А.PomeshkinaS. A.

доктор медицинских наук, заведующая лабораторией реабилитации отдела клинической кардиологии,

Сосновый бульвар, 6, Кемерово, 650002

PhD, Head of the Laboratory of Rehabilitation,

6, Sosonoviy Blvd., Kemerovo, 650002

https://orcid.org/0000-0002-8079-5397АргуноваЮ. А.ArgunovaYu. A.

кандидат медицинских наук, научный сотрудник лаборатории реабилитации отдела клинической кардиологии,

Сосновый бульвар, 6, Кемерово, 650002

PhD, researcher at the Laboratory of Rehabilitation,

6, Sosonoviy Blvd., Kemerovo, 650002

https://orcid.org/0000-0002-4642-3610БарбарашО. Л.BarbarashO. L.

член-корреспондент РАН, доктор медицинских наук, профессор, директор,

Сосновый бульвар, 6, Кемерово, 650002

Corresponding Member of the Russian Academy of Sciences, PhD, Professor, Director,

6, Sosonoviy Blvd., Kemerovo, 650002

Федеральное государственное бюджетное научное учреждение «Научно-исследовательский институт комплексных проблем сердечно-сосудистых заболеваний»РоссияResearch Institute for Complex Issues of Cardiovascular DiseasesRussian Federation202028092020933039Copyright © Таран И.Н., Помешкина С.А., Аргунова Ю.А., Барбараш О.Л., 20202020Таран И.Н., Помешкина С.А., Аргунова Ю.А., Барбараш О.Л.Taran I.N., Pomeshkina S.A., Argunova Y.A., Barbarash O.L.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.nii-kpssz.com/jour/article/view/755

Освещены основные принципы программ очень ранней и ранней реабилитации с аэробными нагрузками различной интенсивности для пациентов, перенесших операцию на сердце.

Активизация больного с первых суток после операции на сердце с быстрым расширением режимов двигательной активности является одним из главных принципов реабилитации. До настоящего времени дискутабельными остаются вопросы выбора сроков начала реабилитации и интенсивности нагрузок. Кроме того, не до конца изучены и разработаны аспекты реабилитации пациентов пожилого возраста, больных с сочетанной патологией. В обзоре представлены результаты современных метаанализов и исследований, отражающих эффективность и безопасность очень ранних и ранних аэробных нагрузок в рамках реабилитации различных когорт пациентов, перенесших операцию на сердце. 

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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The authors declare that there are no conflicts of interest present.