The features of early rehabilitation in patients after surgical repair of valvular heart disease
https://doi.org/10.17802/2306-1278-2021-10-2S-99-103
Abstract
Aim. To develop and evaluate the safety/efficacy of an early rehabilitation program with physical aerobic training in patients after surgical repair of acquired valvular heart disease.
Methods. The study included 45 patients with valvular heart disease undergoing surgical repair. Patients in the group (n = 30) underwent a standard cardiac rehabilitation after the surgery; on the 8th day after the surgery patients in the main group (n = 15) in addition to the standard cardiac rehabilitation were involved in personalized aerobic physical training on a treadmill prescribed according to the cardiopulmonary exercise testing results (spiroveloergometry). The duration of the training on a treadmill was 14 days.
Results. The rhythm changing, life-threatening heart rhythm disorders, episodes of ischemia, desaturation were not recorded during the training. The main reason to stop the training was the weakness and fatigue of the patients. There were no disturbances of intracardiac hemodynamic after the course of physical training. In the main group there was a significant increase in exercise tolerance from 50.0 [25.0; 75.0] to 75.0 [50.0; 100.0] W (p = 0.04), close to significant increase in VO2peak from 10.9 [9.6; 13.3] to 12.3 [10.6; 14.9] ml/kg/min (p = 0.07).
Conclusion. The 14-days program of early rehabilitation with aerobic training after surgical repair of valvular heart disease has demonstrated its safety and influenced the increase in exercise tolerance, peak oxygen consumption.
About the Authors
V. A. Shaleva
Federal State Budgetary Institution “Research Institute for Complex Issues of Cardiovascular Diseases”
Russian Federation
Russian Federation
postgraduate student in "Cardiology", cardiologist at the Clinical and Diagnostic Department,
6, Sosnoviy Blvd., Kemerovo, 650002
I. N. Lyapina
Federal State Budgetary Institution “Research Institute for Complex Issues of Cardiovascular Diseases”
Russian Federation
Russian Federation
PhD, a research assistant at the Rehabilitation Laboratory, Department of Clinical Cardiology, Cardiologist at the Department of Surgical Treatment of Complex Heart Rhythm Disorders and Electrocardiostimulation,
6, Sosnoviy Blvd., Kemerovo, 650002
Yu. E. Teplova
Federal State Budgetary Institution “Research Institute for Complex Issues of Cardiovascular Diseases”
Russian Federation
Russian Federation
postgraduate student in "Cardiology", laboratory assistant-researcher at the laboratory of Valvular Heart Disease, the Department of Heart and Vessel Surgery,
6, Sosnoviy Blvd., Kemerovo, 650002
S. A. Pomeshkina
Federal State Budgetary Institution “Research Institute for Complex Issues of Cardiovascular Diseases”
Russian Federation
Russian Federation
PhD, Head of the Rehabilitation Laboratory, Department of Clinical Cardiology,
6, Sosnoviy Blvd., Kemerovo, 650002
O. L. Barbarash
Federal State Budgetary Institution “Research Institute for Complex Issues of Cardiovascular Diseases”
Russian Federation
Russian Federation
Ph.D., Professor, Corresponding Member of the Russian Academy of Sciences, Director,
6, Sosnoviy Blvd., Kemerovo, 650002
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Review
For citations:
Shaleva V.A., Lyapina I.N., Teplova Yu.E., Pomeshkina S.A., Barbarash O.L. The features of early rehabilitation in patients after surgical repair of valvular heart disease. Complex Issues of Cardiovascular Diseases. 2021;10(2):99-103. (In Russ.) https://doi.org/10.17802/2306-1278-2021-10-2S-99-103
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