Tag: pomosty aortalno-wieńcowe

The influence of early, after – hospital physiotherapy on ventilatory lung function in patients after CABG

Jan Szczegielniak, Katarzyna Bogacz

Jan Szczegielniak, Katarzyna Bogacz – The influence of early, after – hospital physiotherapy on ventilatory lung function in patients after CABG. Fizjoterapia Polska 2002; 2(2); 108-111

Abstract
Background. The aim of this research paper is to describe the influence of early, post-hospitalization physiotherapy on ventilatory lung function in patients after CABG. Material and methods. The effectiveness of physiotherapy was assessed on the basis of examination of the respiratory system, in 36 patients. Results. The decrease of ventilatory indicators before post-hospitalization physiotherapy indicates the negative influence of CABG on ventilatory lung function of these patients. Conclusions. The improvement of ventilatory lung function, expressed by significant increases of indicators MEF50, MEF 25-75, PEF, FVC and FEV1 in our patients indicates that physiotherapy, including elements of breathing exercises, comprises the crucial element in the treatment patients after CABG.

Key words:
CABG, early post-hospitalization physiothearapy, ventilatory lung function

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Influence of coronary artery bypass grafting (CABG) procedure and inpatient (phase 1) and outpatient (phase 2) cardiac rehabilitation on functional capacity in patients post myocardial infarction (MI) within first 12 months after the procedure

Dorota Fudalej, Zbigniew Nowak, Michał Plewa

Dorota Fudalej, Zbigniew Nowak, Michał Plewa – Influence of coronary artery bypass grafting (CABG) procedure and inpatient (phase 1) and outpatient (phase 2) cardiac rehabilitation on functional capacity in patients post myocardial infarction (MI) within first 12 months after the procedure. Fizjoterapia Polska 2002; 2(4); 285-289

Abstract
Background. The objective of this study was to assess the influence of complex treatment on functional capacity in patients with chronic coronary artery disease (CAD). Treatment consisted of CABG procedure and subsequent inpatient (phase 1) and outpatient (phase 2) cardiac rehabilitation programs.Material and methods. The study group consisted of 46 male patients aged from 36-68 (x = 51 ± 9.4), whose phase 1 rehabilitation program was initiated in 1st day after CABG procedure and lasted for consecutive 7 days. Phase 2 of rehabilitation consisted of group exercise sessions performed at outpatient exercise centre and 16 cycles of interval training performed on cycle ergometer. Results and conclusions. The results of stress test obtained before CABG procedure and 6 and 12 months later were compared. It was found that patients’ functional capacity improved considerably. The adequate tolerance of exercises performed according to proposed program was noted as well.

Key words:
coronary artery bypass graft, cardiac rehabilitation, functional capacity

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Usefulness of three-stage walking test for evaluation of physical capacity on the basis of correlation with exercise treadmill test results in patients after CABG surgery

Edyta Smolis-Bąk, Barbara Kazimierska, Rafał Dąbrowski, Ilona Kowalik, Hanna Szwed

Edyta Smolis-Bąk, Barbara Kazimierska, Rafał Dąbrowski, Ilona Kowalik, Hanna Szwed – Usefulness of three-stage walking test for evaluation of physical capacity on the basis of correlation with exercise treadmill test results in patients after CABG surgery. Fizjoterapia Polska 2008; 8(1); 43-50

Abstract
Background. Reducing the duration of hospital stay of coronary surgery patients makes it necessary to develop reliable methods for the evaluation of their physical capacity. The aims of this study were as follows: 1. to assess the physical capacity of CABG patients. 2. to correlate the results of the treadmill test and the three-stage walking test. Material and methods. The study group consisted of 71 men aged 35-74 years qualified to undergo CABG with EF>40% and with no arrhythmias or cardias conduction defects. All patients received comprehensive rehabilitation care. The following tests were performed before (examination 1) and 3 months after CABG (examination 2): modified 3-stage walking test according to Bassey and treadmill exercise test to the Bruce protocol. Parameters evaluated comprised energy expenditure (E, kJ/ml), maximum workload (METs), oxygen consumption (VO2, ml/min/kg), and oxygen pulse (HRO2, ml/systole). Results. Significant improvements across all parameters examined were observed three months after CABG. Treadmill exercise test results were significantly better than the results of the walking test (p<0.001). There were correlations for oxygen pulse (r=0.63) and energy expenditure (r=0.51) between the treadmill test and self-paced walking test results at 3 months after CABG. Conclusions. The three-stage walking test may be useful in the evaluation of physical capacity. It may supplement clinical evaluation in post-CABG patients.
Key words:
cardiac rehabilitation, walking test, exercise test, VO2, CABG
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The use of the 6-minute walk test for the assessment of exercise tolerance of post-CABG patients in early hospital rehabilitation

Eugeniusz Bolach, Bartosz Bolach, Karolina Kozaruk

Eugeniusz Bolach, Bartosz Bolach, Karolina Kozaruk – The use of the 6-minute walk test for the assessment of exercise tolerance of post-CABG patients in early hospital rehabilitation. Fizjoterapia Polska 2009; 9(1); 75-83

Abstract
Background. The assessment of exercise tolerance in CABG patients has been the subject of research. However, the testing methods used, such as treadmill or cycle ergometer testing, require specialised equipment, the use of safety measures to protect the patient, and the assistance of qualified medical staff. The aim of this paper was to analyse the 6-minute walk test as used to assess exercise tolerance of CABG patients. A sun/ey was also developed and implemented to assess the impact of somatic cha-racteristics, co-existing medical conditions and coronary heart disease risk factors on exercise tolerance in these patients. Materiał and methods. The study involved 31 men with a history of coronary heart disease or myocardial infarction. The age rangę was 45-58 years, with a mean age of 51.5 years, mean body weight of 83.3 kg and mean height of 172.7 cm. Results. The results indicated considerable statistical significance between these characteristics. Conclusions. The walk test affords the possibility of assessing exercise tolerance in these patients, while also allowing phy-siotherapists to use the 6-minute walk test as a tool for assigning post-revascularisation patients to suitable rehabilitation pro-grammes. It should also be stated that the test is a simple and inexpensive supplement of clinical evaluation in such patients.
Key words:
coronary artery bypass grafting, corridor walk test, cardiological rehabilitation
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