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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Exercise tolerance in patients after coronary artery bypass grafting

Małgorzata Dobko, Teresa Pop, Kazimierz Widenka

Małgorzata Dobko, Teresa Pop, Kazimierz Widenka – Exercise tolerance in patients after coronary artery bypass grafting. Fizjoterapia Polska 2009; 9(4); 293-300

Abstract
Background. According to the World Health 2002, ischaemic heart disease (IHD) is the most common heart disease. Of 56 million deaths registered worldwide in 2001, morę than 29% were due to cardiovascular disease, and morę 12% we-re secondary to ischaemic heart disease. Common sequelae of coronary artery bypass grafting (CABG) surgery include mu-sculoskeletal dysfunctions and respiratory problems. The purpose ofthis work was to evaluate exercise tolerance in patients after CABG surgery. Material and methods. The study involved 20 ischaemic heart disease sufferers, aged 49-82 years, ąualified for a CABG procedurę under extracorporeal circulation. The patients completed a rehabilitation programme designed at the cardiac surgery department. Exercise tolerance was evaluated with the 6-minute walk test (6MWT) before surgery and on post-operative Day 7. Results. The results ofthe 6-minute walk test were statistically significant in younger patients and in those without a hi-story ofmyocardial infarction. Conclusions. There was a correlation between the left ventricular ejection fraction and the results of the 6-minute walk test.
Key words:
ischaemic heart disease, coronary artery bypass grafting, exercise
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