Influence of an early rehabilitation program with aerobic activity on the postoperative period in patients with coronary artery bypass grafting

Taran I.N.

Scientific and Research Institute for Complex Problems of Cardiovascular Diseases

Argunova Yu.A.

Research Institute for Complex Issues of Cardiovascular Diseases

Pomeshkina S.A.

Scientific and Research Institute for Complex Problems of Cardiovascular Diseases

Barbarash O.L.

Research Institute for Complex Issues of Cardiovascular Diseases

SPIN RSCI: 5373-7620
Scopus AuthorID: 56699731800
ResearcherID: A-4834-2017
ORCID: 0000-0002-4642-3610

Influence of an early rehabilitation program with aerobic activity on the postoperative period in patients with coronary artery bypass grafting

Authors:

Taran I.N., Argunova Yu.A., Pomeshkina S.A., Barbarash O.L.

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Journal: Russian Journal of Preventive Medicine. 2021;24(1): 86‑92

DOI: 10.17116/profmed20212401186

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To cite this article:

Taran IN, Argunova YuA, Pomeshkina SA, Barbarash OL. Influence of an early rehabilitation program with aerobic activity on the postoperative period in patients with coronary artery bypass grafting. Russian Journal of Preventive Medicine. 2021;24(1):86‑92. (In Russ.)
https://doi.org/10.17116/profmed20212401186

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OBJECTIVE

Evaluation of the effectiveness and safety of the program developed for early rehabilitation of patients after CABG.

MATERIAL AND METHODS

In the period from 2017 to 2019, 150 patients after CABG were examined, who were randomized into 2 groups. The 1^st group consisted of 75 patients who, in addition to the standard rehabilitation program, underwent a course of early physical training on a treadmill from day 6 after CABG for 7 days with the selection of the intensity of physical activity based on the data of spiroveloergometry (SVEM); group 2 (control) — 75 patients who received standard cardiac rehabilitation without treadmill training. In addition to routine clinical, laboratory and instrumental studies, on the 5^th and 14^th days after CABG, all patients underwent SVEM, and the quality of life was assessed using the SF-36 scale. Through 13 [11; 18] months after discharge, long-term prognosis was assessed.

RESULTS

In the group with an early start of physical training, there was a greater increase in exercise tolerance, an improvement in SVEM indicators, an improvement in the physical and mental components of health by the 14^th day after CABG than in the control group. One year after CABG, patients in the compared groups were equally compliant to the recommended drug treatment. At the same time, the adherence to performing aerobic exercises at the outpatient stage of the 1^st group was significantly higher. There were no differences in readmission rates and adverse cardiovascular events.

CONCLUSIONS

The inclusion of physical training on the treadmill in the early rehabilitation program after planned CABG with a personalized selection of training intensity is safe and effective, improves the patient’s functional status, quality of life and maintains adherence to aerobic physical training one year after surgery.

Keywords:

coronary artery bypass grafting

early rehabilitation

physical training

spiro-ergometry

prognosis

Authors:

Taran I.N.

Scientific and Research Institute for Complex Problems of Cardiovascular Diseases

Argunova Yu.A.

Research Institute for Complex Issues of Cardiovascular Diseases

Pomeshkina S.A.

Scientific and Research Institute for Complex Problems of Cardiovascular Diseases

Barbarash O.L.

Research Institute for Complex Issues of Cardiovascular Diseases

SPIN RSCI: 5373-7620
Scopus AuthorID: 56699731800
ResearcherID: A-4834-2017
ORCID: 0000-0002-4642-3610

Received:

14.04.2020

Accepted:

25.06.2020

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