Impact of existing cardiovascular risk factors on the improvement of exercise tolerance in patients with coronary artery disease after PCI and CABG undergoing post-hospital cardiac rehabilitation
| العنوان: | Impact of existing cardiovascular risk factors on the improvement of exercise tolerance in patients with coronary artery disease after PCI and CABG undergoing post-hospital cardiac rehabilitation |
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| المؤلفون: | E Smolis-Bak, I Kowalik, J Sloniewicz, E Rydzewska, I Korzeniowska-Kubacka, J Wolszakiewicz, R Dabrowski |
| المصدر: | European Heart Journal. 43 |
| بيانات النشر: | Oxford University Press (OUP), 2022. |
| سنة النشر: | 2022 |
| مصطلحات موضوعية: | Cardiology and Cardiovascular Medicine |
| الوصف: | Background Regular physical activity is crucial for treatment and prevention of cardiovascular diseases. Adaptive changes in response to regular physical exertion show individual variability, which depends on a number of internal and external factors. The aim of the study was to assess the effectiveness of early post-hospital rehabilitation and to analyze the factors which may influence the exercise tolerance in patients with coronary artery disease (CAD) treated with PCI and CABG. Material and methods The study included 334 patients (pts), men 75.1%, with CAD, treated with PCI (87.4%) or CABG (12.6%). Mean age of the study group was 61.1±10.9 years, mean BMI: 27.6±4.1 kg/m2, mean LVEF: 56.1±7.2%. The main risk factors for CAD were: dyslipidemias: 76%, hypertension: 64.7%, smoking: 28.7%, diabetes: 22.5%. The rehabilitation procedures lasted for 6–8 weeks. Pts participated in endurance training and general conditioning exercises with elements of resistance trainings. Before and after rehabilitation, all patients underwent a symptom-limited exercise test (ETT). In order to identify factors influencing the increase in tolerance of training loads, patients were divided into 2 groups: group 1 (198 pts, 59.3%) - pts with the training load which increased ≥50%, group 2 (136 pts, 40.7%) - pts with training loads which increased less, by Results After rehabilitation, a significant improvement in the ETT parameters was observed: 5.7±1.3 vs. 6.8±1.7 METs, p50%), p50%) in the final ETT was significantly influenced by age (younger patients), BMI (thinner subjects) and lower workload (MET) in the baseline test. Other factors: smoking, hypertension, dyslipidemia did not affect the training loads. Conclusions Early post-hospital rehabilitation improves physical performance. The factors which significantly influenced the increase in training load ≥50% after rehabilitation period were - younger age, male sex, higher LVEF, absence of diabetes and lower values of training loads at the beginning. Funding Acknowledgement Type of funding sources: None. |
| تدمد: | 1522-9645 0195-668X |
| DOI: | 10.1093/eurheartj/ehac544.2763 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_________::ba9b5d33ef6a84fd45a4b3cf6cca5c90 https://doi.org/10.1093/eurheartj/ehac544.2763 |
| Rights: | CLOSED |
| رقم الانضمام: | edsair.doi...........ba9b5d33ef6a84fd45a4b3cf6cca5c90 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 15229645 0195668X |
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| DOI: | 10.1093/eurheartj/ehac544.2763 |