Marius Atkočiūnas, Viktorija Kauliūtė, Raimundas Kubilius, Jūratė Samėnienė
Abstract
Rehabilitation of cardio patients is a balanced set of means, ensuring the best physical, psychical and social conditions that allow patients after acute cardiovascular diseases to preserve and return optimal social functions, to improve healthy behaviour, to slow down or to prevent disease progress (DP). A good physical state influences not only quantity of human’s age (long living), but also its quality (independence at work, household, etc.). Aim: to assess the efficiency of 2-stage rehabilitation for the patients after CABG according to objective results (blood pressure, heart rate) regarding sex, heart failure functional class according to New York Heart Association (NYHA). Objectives: to set risk factors for the patients after CABG, to set the number of bypasses, to identify heart failure functional class according to New York Heart Association (NYHA), to set blood pressure, heart rate, “duplex product”, six-minute test changes during rehabilitation, also routine action possibilities (according to MET and six-minutes distance). The retrospective analysis of patients’ data has been performed at Behaviour Medicine Institute of Lithuanian Health Science University (II stage of rehabilitation). Respondents number: 85 patients with CABG, including 49 males (57,6 per cent) and 36 females (42,4 per cent). Average age: females – 64,31±2, males – 58,24±2. Six-minute walk test was assessed twice: at the beginning and at the end of rehabilitation process. Results: the main risk factors of the patients after CABG are as follows: dyslipidemia, artery hypertension, smoking for females; dyslipidemia, artery hypertension, diabetes for males. One coronary artery bypass was formed for 10,6 per cent of patients, two – for 71,7 per cent, three – for 17,6 per cent. The first functional class according to the NYHA was noticed for 8,3 per cent of patients, the second – for 48,2 per cent, the third – for 43,5 per cent. At the end of rehabilitation process there were no significant differences regarding the change of blood pressure, heart rate, “duplex product” among the patients with heart failure functional class according to New York Heart Association (NYHA). However, if compared among the patients with a different number of coronary artery bypasses, a significant change was noticed for ones with three coronary artery bypasses. Conclusions. The assess of rehabilitation efficiency according to six-minute walk test results has revealed that the distance, walked by patients with all heart failure functional class according to NYHA increased (p<0,05). It is noticed that the patients with the third heart failure functional class according NYHA featured the middle rehabilitation efficiency, while ones with the first and the second class – the high one. The most significant change of walked distance has been noticed for males with the first and the second heart failure functional class according NYHA.
Keyword(s): coronary artery bypass surgery (CABG), rehabilitation, kinesitherapy, six-minute walk test.
DOI: 10.5200/sm-hs.2016.063
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