Эффективность Современных Аэробных Интервальных
Физических Тренировок В Реабилитации Взрослых Больных
После Операций На Открытом Сердце

Бокерия, Л.А.; Какучая, Т.Т.; Джитава, Т.Г.; Pachuashvili, Nona V.; Куулар, А.М.

doi:10.24022/2588-0284-2019-3-3-161-172

Cited by 3 publications

(2 citation statements)

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“…Ранее проведенные клинические исследования, оценивающие влияние физических упражнений с их инициацией в течение 1-го месяца после операции на клапанах сердца, показали их положительное влияние на качество жизни пациентов и толерантность к физическим нагрузкам [22][23][24][25][26], безопасность и отсутствие негативного * significance of differences in the parameters on 7 days and 4 months after surgery…”

Section: материал и методыunclassified

Effectiveness of early rehabilitation program with remote technologies in the outpatient setting after surgery for acquired valvular heart disease

Lyapina,

Argunova,

Dren'

et al. 2024

Russian Medical Inquiry

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Aim: to investigate the clinical safety and efficacy of a combined rehabilitation consisting of early rehabilitation with physical training in the hospital and remote rehabilitation using a mobile application in the outpatient setting after surgery for acquired valvular heart disease (VHD) using bypass Patients and Methods: the study involved 68 patients who underwent surgery for VHD, with 34 patients in the study group and 34 patients in the control group, based on their rehabilitation approach The study group consisted of two subgroups based on the type of rehabilitation. The subgroup that underwent complex rehabilitation (n=16) participated in treadmill training for 2 weeks in the inpatient setting at least 8 days after surgery, followed by remote rehabilitation in the outpatient setting using a mobile application. The subgroup that underwent remote rehabilitation (n=18) did not undergo early inpatient treadmill training. The control group only received standard cardiac rehabilitation methods Results: there were no significant differences in the rate or type of complications during the early postoperative period A more significant improvement in functional status was reported in the subgroup that underwent complex rehabilitation 24 days after surgery, compared to patients who did not receive early physical training as part of their rehabilitation program. The subgroup undergoing complex rehabilitation showed a significantly greater improvement in exercise tolerance (p=0.03) and peak oxygen uptake (p=0.04) 24 days after surgery. These indices continued to increase (p=0.04; p=0.03) by month 4 of the follow-up compared to postoperative day 7. These changes were more significant in the complex rehabilitation group than in the remote rehabilitation group. Patients who underwent complex rehabilitation showed better adherence to using the mobile application for remote rehabilitation than patients who underwent remote rehabilitation (50% vs. 38.8%; p=0.04). Conclusion: the rehabilitation program for patients after surgery for VHD, which includes early moderate-intensity physical treadmill training followed by outpatient distance rehabilitation using a mobile application, is safe and effective This is demonstrated by a significant improvement in functional status Additionally, early initiation of physical training is associated with better adherence to further use of distance rehabilitation technologies KEYWORDS: valvular heart disease, heart surgery, postoperative cardiac rehabilitation, early rehabilitation, remote rehabilitation FOR CITATION: Lyapina I.N., Argunova Yu.A., Dren E.V.', Chereneva L.A., Barbarash O.L. Effectiveness of early rehabilitation program with remote technologies in the outpatient setting after surgery for acquired valvular heart disease. Russian Medical Inquiry. 2024;8(1):16–25 (in Russ.). DOI: 10.32364/2587-6821-2024-8-1-3.

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Section: материал и методыunclassified

Effectiveness of early rehabilitation program with remote technologies in the outpatient setting after surgery for acquired valvular heart disease

Lyapina,

Argunova,

Dren'

et al. 2024

Russian Medical Inquiry

View full text Add to dashboard Cite

show abstract

“…Это необходимо для установления того, каким пациентам могут быть рекомендованы аэробные КРТ умеренной или высокой интенсивности в постоянном или интервальном режимах. В настоящее время доказано превосходство высокоинтенсивных интервальных физических тренировок перед постоянными тренировками средней интенсивности [12]. Известно также, что чем длительнее тренировки, тем лучше показатели выживаемости больных [13].…”

Section: низкий уровень готовности к аэробным крт и средний риск развития нс после акш обусловливали один или несколько следующих показатunclassified

Novel approaches to the assessment of cardiorespiratory readiness of patients after coronary artery bypass surgery aimed to the efficient cardiac rehabilitation performance

et al. 2021

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Aim. To develop novel strategies of patients selection and risk stratification after coronary artery bypass surgery before starting aerobic cardiorespiratory training programs. Material and methods. One hundred thirty seven patients 4 weeks after coronary artery bypass surgery were included in our study. RARE scale (risk of activity related events), ergospirometric test, FIT treadmill score and certain laboratory parameters like hemoglobin and alaninaminotransferase were used. Results. Logical interdependence is revealed between certain indicators of cardiorespiratory capacity and risk of developing unfavorable events due to aerobic training activities. Comprehensive protocol is developed based on multifactorial regression analysis, which allows to differentiate patients into low and high class of readiness to physical activities, including aerobic cardiorespiratory training programs. Conclusion. The protocol includes following variables METs, RARE scale, FIT treadmill score, left ventricular ejection fraction, hemoglobin and alaninaminotransferase levels. It is very userfriendly, easy, practical and efficient.

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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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Эффективность Современных Аэробных Интервальных Физических Тренировок В Реабилитации Взрослых Больных После Операций На Открытом Сердце

Cited by 3 publications

References 0 publications

Effectiveness of early rehabilitation program with remote technologies in the outpatient setting after surgery for acquired valvular heart disease

Effectiveness of early rehabilitation program with remote technologies in the outpatient setting after surgery for acquired valvular heart disease

Novel approaches to the assessment of cardiorespiratory readiness of patients after coronary artery bypass surgery aimed to the efficient cardiac rehabilitation performance

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

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