Postepy w kardiologii interwencyjnej = Advances in interventional cardiology · 2025
Intensification of in-hospital rehabilitation in elective post-coronary artery bypass grafting patients: both safe and effective.
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Karaszewski Daniel, Cichoń Romuald, Kuśmierczyk Mariusz, Marszałek Mikołaj, Wilimski Radosław
Аннотация
INTRODUCTION: New standards for cardiac rehabilitation are currently being established worldwide.
AIM: To evaluate the effectiveness of in-hospital rehabilitation models in patients after coronary artery bypass grafting (CABG).
MATERIAL AND METHODS: One hundred men with stable coronary artery disease were randomly assigned to two groups: standard model (SM) and intense model (IM). Subjects then underwent CABG and were rehabilitated according to the assigned model. Effects were verified by the 6-minute walk test (6MWT), which was performed before and after the intervention.
RESULTS: In the initial 6MWT, subjects in the SM group achieved a higher SpO2 (Me: SM = 97%, 98%; IM = 96%, 97%). In the final 6MWT, subjects in the IM group achieved a higher SpO2 (Me: SM = 96%, 97%; IM = 97%, 98%), a lower initial HR (Me: SM = 84; IM = 78) and a lower post-exercise HR (Me: SM = 92.5; IM = 84.5), a longer distance covered (Me: SM = 312 m; IM = 359 m), a lower fatigue (Me: SM = 3; IM = 1) and a shorter hospitalization time. Group differences between initial and final 6MWT; In IM: SBP and SpO2 in the initial 6MWT were higher than in the final 6MWT, HR in the initial 6MWT was lower than in the final 6MWT, distance travelled in the initial 6MWT was longer than in the final 6MWT, reported fatigue in the initial 6MWT was lower than in the final 6MWT. In IM: SBP in the initial 6MWT was higher than in the final 6MWT, SpO2 and HR in the initial 6MWT were lower than in the final 6MWT.
CONCLUSIONS: The intense model showed a more favorable effect on the physical and functional status. Increasing the load, extending the duration of training sessions, and expanding the range of functionality are safe.
AIM: To evaluate the effectiveness of in-hospital rehabilitation models in patients after coronary artery bypass grafting (CABG).
MATERIAL AND METHODS: One hundred men with stable coronary artery disease were randomly assigned to two groups: standard model (SM) and intense model (IM). Subjects then underwent CABG and were rehabilitated according to the assigned model. Effects were verified by the 6-minute walk test (6MWT), which was performed before and after the intervention.
RESULTS: In the initial 6MWT, subjects in the SM group achieved a higher SpO2 (Me: SM = 97%, 98%; IM = 96%, 97%). In the final 6MWT, subjects in the IM group achieved a higher SpO2 (Me: SM = 96%, 97%; IM = 97%, 98%), a lower initial HR (Me: SM = 84; IM = 78) and a lower post-exercise HR (Me: SM = 92.5; IM = 84.5), a longer distance covered (Me: SM = 312 m; IM = 359 m), a lower fatigue (Me: SM = 3; IM = 1) and a shorter hospitalization time. Group differences between initial and final 6MWT; In IM: SBP and SpO2 in the initial 6MWT were higher than in the final 6MWT, HR in the initial 6MWT was lower than in the final 6MWT, distance travelled in the initial 6MWT was longer than in the final 6MWT, reported fatigue in the initial 6MWT was lower than in the final 6MWT. In IM: SBP in the initial 6MWT was higher than in the final 6MWT, SpO2 and HR in the initial 6MWT were lower than in the final 6MWT.
CONCLUSIONS: The intense model showed a more favorable effect on the physical and functional status. Increasing the load, extending the duration of training sessions, and expanding the range of functionality are safe.