Exercise-Based Cardiac Rehabilitation in Patients With Coronary Heart Disease

  • Authors

    • T. V. Krasavina
    • S. D. Runenko
    • M. A. Osadchuk
    • O. A. Sultanova
    • T. Y. Shelehova
    2018-11-30
    https://doi.org/10.14419/ijet.v7i4.28.28335
  • cardiac rehabilitation, coronary heart disease, physical training, cycle ergometer training.
  • Objective: to develop a method of physical training programs and select a physical cardiac rehabilitation program in case of severe coronary heart disease (CHD). Materials and Methods: 370 men with CHD with an average age of 54,0 ± 1,6 years were examined. 230 patients were divided into 8 groups, depending on the severity of the disease and the training mode. The complex physical rehabilitation programs included controlled exercise on a cycle ergometer with low intensity using the developed method. The control group of 140 patients did not undergo the recommended programs of physical rehabilitation. All patients underwent cycle ergometry, electrocardiography, echocardiography, blood pressure monitoring. The parameters of hemodynamics, tolerance to physical activity, lethality in the first three years were studied. Results: Inclusion of controlled exercise in the program of cardiac rehabilitation with the low-intensity cycle ergometer increased the maximum oxygen consumption by the myocardium, improved the cardiac contractile function and prognosis reducing the lethality during the first three years of observation. Combination of exercise of low and high intensity under rehabilitation programs of patients with CHD is not appropriate due to the high risk of hypertensive reactions.

    Conclusions: exercise using a cycle ergometer and the developed method can be used in patients with severe CHD at the hospital and subsequent stages following hospital-based rehabilitation increasing the time but not the power of the exercise.

    Early exercise activization by patients using the developed method reduces the time spent at the hospital. It is used to prevent hypokinesia complications.

     

     


     
  • References

    1. [1] Aronov D.M., Bubnova M.G., Ioseliani D.G., Krasnitsky V.B., Shovkun T.V., Novikova N.K., Yarnykh E.V.The Complex Program of Rehabilitation of Patients With Ischemic Heart Disease After Coronary Artery Bypass Surgery in Ambulatory Cardiorehabilitation Department: Clinical Effects of Third Stage of Rehabilitation. // Kardiologiya. 2017. Т.57. №3. P.10-19. (in Russian) DOI: 10.18565/cardio.2017.3.10-19

      [2] Puzin S.N., Achkasov E.E., Bogova O.T., Mashkovsky E.V. Cardiovascular system diseases in professional athletes. // Medico-Social Expert Evaluation and Rehabilitation. 2012. â„–3. P.55-57.(in Russian)

      [3] Tancyreva I.V., VolkovaE.G., Levashov S.Yu., ShamurovaYu.Yu.Modeling of the 10-year survival of men 60 years and older, with ischemic heart disease.//Cardiovascular Therapy and Prevention. 2015. Т.14. №4. P.22-28.(in Russian)DOI: http://dx.doi.org/10.15829/1728-8800-2015-4-22-28

      [4] Benzer W., Rauch B., Schmid J.P. et al. Differences in Characteristics of Patients Referred to Cardiac Rehabilitation in European Countries. // European Journal of Preventive Cardiology 2013; 20: S1—S154

      [5] Kristensen S, Laut KG, Fajadet J et al. Reperfusion therapy for ST elevation acute myocardial infarction 2010/2011: current status in 37 ESC countries. // Eur Heart J 2014; 35: 1957–70

      [6] Sokolova N.Yu., Golukhova E.Z., Shumkov K.V., Kuznetsova E.V. Analysis of long term results of myocardial revascularization in patients with stable ischemic heart disease with a high level of treatment adherence. // Cardiovascular Therapy and Prevention. 2017. Т.16. №4. P.25-30.(in Russian)DOI: http://dx.doi.org/10.15829/1728-8800-2017-4-25-30

      [7] Mashkovskiy Е.V., Bogova О.Т., Achkasov Е.Е., Puzin S.N., Sjoderkholm L.Ð.Influence of sports history on the clinical and echocardiographic features course of coronary heart disease.// Sports medicine: research and practicе: research and practical journal. 2013. â„–2. P.41-44 (in Russian)

      [8] Benzer W, Rauch B, Schmid JP, Zwisler AD, Dendale P, Davos CH, et al. Exercise-based cardiac rehabilitation in twelve European countries results of the European cardiac rehabilitation registry. International journal of cardiology. 228 (2016)58–67. pmid:27863363

      [9] Karmali KN, Davies P, Taylor F, Beswick A, Martin N, Ebrahim S. Promoting patient uptake and adherence in cardiac rehabilitation. // Cochrane Database Syst Rev. 2014 Jun 25;(6):CD007131. DOI: 10.1002/14651858.CD007131.pub3

      [10] Volodina K.A., Linchak R.M., Achkasov E.E., Alaeva E.N., Thay N.V., Kopytov D.V. Effektivnost skandinavskoy hodby u pazhientov, pereneschsih ostriy koronarniy sindrom. // Cardiosomatics. 2017. Т.8. №1. P.20. (in Russian)

      [11] Arutyunov G.P.1, Kolesnikova E.A.1, Begrambekova Yu. L.et al. Exercise training in chronic heart failure: practical guidance of the Russian Heart Failure Society. // Russian Heart Failure Journal. 2017. Т.18. №1. P.41-66. (in Russian) DOI: 10.18087/rhfj.2017.1.2339

      [12] Rauch B, Davos CH, Doherty P, Saure D, Metzendorf MI, Salzwedel A, Völler H, Jensen K, Schmid JP. The prognostic effect of cardiac rehabilitation in the era of acute revascularization and statin therapy: A systematic review and meta-analysis of randomized and non-randomized studies – The Cardiac Rehabilitation Outcome Study (CROS). // Eur J Prev Cardiol. 2016 Dec;23(18):1914-1939. DOI: 10.1177/2047487316671181

      [13] Coll-Fernandez R, Coll R, Pascual T, Sanchez Munoz-Torrero JF, Sahuquillo JC, Manzano L, et al. Cardiac rehabilitation and outcome in stable outpatients with recent myocardial infarction. // Archives of physical medicine and rehabilitation. Vol. 95, Issue 2, February 2014, P. 322-329. DOI: i.org/10.1016/j.apmr.2013.09.020. pmid:24121084

      [14] Achkasov E.E., Mashkovskiy E.V., Bogova O.T., Puzin S.N., Sultanova O.A.Cardiac remodeling associated with ischemic heart disease in patients with a history of previous sports activities. // Medico-Social Expert Evaluation and Rehabilitation. 2013. â„–4. P.10-14.(in Russian)

      [15] Volodina K.A., Linchak R.M., Achkasov E.E., Alaeva E.N., Runenko S.D., Kurbakova E.V. The history of cardiorehabilitation: from a strict 2-month bed rest to scandinavian walking. // Cardiovascular Therapy and Prevention. 2017. Т.16. №4. P.100-105. (in Russian) DOI: http://dx.doi.org/10.15829/1728-8800-2017-4-100-105

      [16] Achkasov, E.Е., Razina, Ð.О., Runenko, S.D., Sultanova, О.Ð. (2015). Health and training programs with increased motivation in obese patients. Sports Medicine: Research and Practice, 4(21), 70-77. ISSN: 2223-2524

      [17] Fletcher, G.F., Ades Ph.A., Kligfield, P. et al. (2013). Exercise Standards for Testing and Training: A Scientific Statement From the American Heart Association. Circulation, 128, 873-934. 8. ISSN: 1524-4539 DOI: 10.1161/CIR.0b013e31829b5b44

      [18] Karpman, V.L., Belotserkovskiy, Z.B., Gudkov, I.A. (1988). Testing in sports medicine. М.: PT and sport, 208. ISBN 5-278-00004-X.

      [19] Aronov DM, Bubnova MG, Ivanova GE. The organizational bases of cardiac rehabilitation in Russia: present-day stage. CardioSomatic 2012; 4: 5-11. Russian (Ðронов Д.Ðœ., Бубнова Ðœ.Г., Иванoва Г.Е. Организационные оÑновы кардиологичеÑкой реабилитации в РоÑÑии Ñовременный Ñтап. КардиоCоматика 2012; 4: 5-11).

      [20] Allman KC, Shaw LJ, Hachamovitch R, et al. Myocardial viability testing and impact of revascularization on prognosis in patients with coronary artery disease and left ventricular dysfunction: a meta-analysis. JACC 2002; 39: 1151-8.

      [21] Wijns W, Kolh P, Danchin N, et al. Guidelines on myocardial revascularization. ESC / EACTS Guidelines. Eur Heart J 2010; 31: 2501-55.

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    V. Krasavina, T., D. Runenko, S., A. Osadchuk, M., A. Sultanova, O., & Y. Shelehova, T. (2018). Exercise-Based Cardiac Rehabilitation in Patients With Coronary Heart Disease. International Journal of Engineering & Technology, 7(4.28), 630-634. https://doi.org/10.14419/ijet.v7i4.28.28335