Effects of Early Cardiac Rehabilitation Training on Cardiac Function and Quality of Life in Elderly Patients Undergoing Coronary Artery Bypass Grafting: A Retrospective Study

Authors

  • Linzhong Zhang Department of Cardiology, Central Hospital Affiliated to Shandong First Medical University, 250000 Jinan, Shandong, China
  • Meng Wang Department of Cardiology, Central Hospital Affiliated to Shandong First Medical University, 250000 Jinan, Shandong, China
  • Hui Song Department of Cardiology, Central Hospital Affiliated to Shandong First Medical University, 250000 Jinan, Shandong, China

DOI:

https://doi.org/10.59958/hsf.7281

Keywords:

early cardiac rehabilitation, coronary artery bypass grafting, cardiac function, quality of life

Abstract

Objective: This study aimed to explore the effect of early cardiac recovery training on the cardiac function and life quality of elderly patients undergoing coronary artery bypass grafting (CABG). Methods: Elderly patients who underwent CABG in our hospital from January 2022 to November 2023 were selected as the subjects, and their clinical data were retrospectively analyzed. In accordance with the different rehabilitation intervention methods of the patients, they were separated into control group (C group) and research group (R group). The C group received conventional rehabilitation intervention, and the R Group received early cardiac recovery training intervention. The cardiac function indices and quality of life of the two groups were compared at baseline (T1) at admission, 1 day before surgery (T2), 7 days after surgery (T3), and 30 days after surgery (T4). Results: At T2 and T4, the left ventricular ejection fraction (LVEF) levels and 6-min walking test (6-MWT) of the C and R groups were sharply higher than those at T1 (p < 0.05). At T3, the LVEF levels and 6-MWT distance of both groups were sharply lower than those at T1 (p < 0.05). Compared with the levels at T3, the LVEF levels; the 6-MWT; and the global, physical, emotional, and social levels of the C and R groups at T2 and T4 significantly increased (p < 0.05). At T1, the LVEF level; the 6-MWT; and the global, physical, emotional, and social levels of the C group was not statistically significant compared with those of the R group (p > 0.05). At T2, T3, and T4, the LVEF levels; the 6-MWT; and the global, physical, emotional, and social levels of the R group were sharply higher than those of the C group (p < 0.05). Conclusion: Early cardiac recovery training can effectively ameliorate the cardiac function and improve the quality of life of elderly patients undergoing CABG.

References

Shaya GE, Leucker TM, Jones SR, Martin SS, Toth PP. Coronary heart disease risk: Low-density lipoprotein and beyond. Trends in Cardiovascular Medicine. 2022; 32: 181–194.

Katta N, Loethen T, Lavie CJ, Alpert MA. Obesity and Coronary Heart Disease: Epidemiology, Pathology, and Coronary Artery Imaging. Current Problems in Cardiology. 2021; 46: 100655.

Zhou Z, Qiao L, Ling Y, He Y, Chen J. Intermediate Hyperglycemia Increases the Risk of All-Cause Mortality in Premature Coronary Artery Disease Patients Undergoing Percutaneous Coronary Intervention. Reviews in Cardiovascular Medicine. 2023; 24: 352.

Shaefi S, Mittel A, Loberman D, Ramakrishna H. Off-Pump Versus On-Pump Coronary Artery Bypass Grafting-A Systematic Review and Analysis of Clinical Outcomes. Journal of Cardiothoracic and Vascular Anesthesia. 2019; 33: 232–244.

Thuijs DJFM, Kappetein AP, Serruys PW, Mohr FW, Morice MC, Mack MJ, et al. Percutaneous coronary intervention versus coronary artery bypass grafting in patients with three-vessel or left main coronary artery disease: 10-year follow-up of the multicentre randomised controlled SYNTAX trial. Lancet. 2019; 394: 1325–1334.

Tian Y, Deng P, Li B, Wang J, Li J, Huang Y, et al. Treatment models of cardiac rehabilitation in patients with coronary heart disease and related factors affecting patient compliance. Reviews in Cardiovascular Medicine. 2019; 20: 27–33.

Sulava EF, Johnson JC. Management of Coronary Artery Disease. The Surgical Clinics of North America. 2022; 102: 449–464.

Salzwedel A, Jensen K, Rauch B, Doherty P, Metzendorf MI, Hackbusch M, et al. Effectiveness of comprehensive cardiac rehabilitation in coronary artery disease patients treated according to contemporary evidence based medicine: Update of the Cardiac Rehabilitation Outcome Study (CROS-II). European Journal of Preventive Cardiology. 2020; 27: 1756–1774.

Ghlichi Moghaddam N, Namazinia M, Hajiabadi F, Mazlum SR. The efficacy of phase I cardiac rehabilitation training based on augmented reality on the self-efficacy of patients undergoing coronary artery bypass graft surgery: A randomized clinical trial. BMC Sports Science, Medicine & Rehabilitation. 2023; 15: 156.

Hautala AJ, Kiviniemi AM, Mäkikallio T, Koistinen P, Ryynänen OP, Martikainen JA, et al. Economic evaluation of exercise-based cardiac rehabilitation in patients with a recent acute coronary syndrome. Scandinavian Journal of Medicine & Science in Sports. 2017; 27: 1395–1403.

Nichols S, McGregor G, Breckon J, Ingle L. Current Insights into Exercise-based Cardiac Rehabilitation in Patients with Coronary Heart Disease and Chronic Heart Failure. International Journal of Sports Medicine. 2021; 42: 19–26.

King M, Bittner V, Josephson R, Lui K, Thomas RJ, Williams MA. Medical director responsibilities for outpatient cardiac rehabilitation/secondary prevention programs: 2012 update: a statement for health care professionals from the American Association of Cardiovascular and Pulmonary Rehabilitation and the American Heart Association. Circulation. 2012; 126: 2535–2543.

Zanini M, Nery RM, de Lima JB, Buhler RP, da Silveira AD, Stein R. Effects of Different Rehabilitation Protocols in Inpatient Cardiac Rehabilitation After Coronary Artery Bypass Graft Surgery: A RANDOMIZED CLINICAL TRIAL. Journal of Cardiopulmonary Rehabilitation and Prevention. 2019; 39: E19–E25.

Professional Committee of Cardiovascular Prevention and Rehabilitation of Chinese Rehabilitation Medical Association. Expert consensus on cardiac rehabilitation for chronic heart failure in China. Zhonghua Nei Ke Za Zhi. 2020; 59: 942–952. (In Chinese)

Nagyova I, Jendrichovsky M, Kucinsky R, Lachytova M, Rus V. Effects of Nordic walking on cardiovascular performance and quality of life in coronary artery disease. European Journal of Physical and Rehabilitation Medicine. 2020; 56: 616–624.

Eibel B, Marques JR, Dipp T, Waclawovsky G, Marschner RA, Boll LC, et al. Ventilatory Muscle Training for Early Cardiac Rehabilitation Improved Functional Capacity and Modulated Vascular Function of Individuals Undergoing Coronary Artery Bypass Grafting: Pilot Randomized Clinical Trial. International Journal of Environmental Research and Public Health. 2022; 19: 9340.

Schwaab B. Cardiac Rehabilitation. Die Rehabilitation. 2018; 57: 117–126. (In German)

Nakaya Y, Akamatsu M, Ogimoto A, Kitaoka H. Early cardiac rehabilitation for acute decompensated heart failure safely improves physical function (PEARL study): a randomized controlled trial. European Journal of Physical and Rehabilitation Medicine. 2021; 57: 985–993.

Snowdon D, Haines TP, Skinner EH. Preoperative intervention reduces postoperative pulmonary complications but not length of stay in cardiac surgical patients: a systematic review. Journal of Physiotherapy. 2014; 60: 66–77.

Zheng YT, Zhang JX. Preoperative exercise and recovery after cardiac surgery: a meta-analysis. BMC Cardiovascular Disorders. 2020; 20: 2.

Wolszakiewicz J, Piotrowicz E, Foss-Nieradko B, Dobraszkiewicz-Wasilewska B, Piotrowicz R. A novel model of exercise walking training in patients after coronary artery bypass grafting. Kardiologia Polska. 2015; 73: 118–126.

Cacciatore F, Abete P, Mazzella F, Furgi G, Nicolino A, Longobardi G, et al. Six-minute walking test but not ejection fraction predicts mortality in elderly patients undergoing cardiac rehabilitation following coronary artery bypass grafting. European Journal of Preventive Cardiology. 2012; 19: 1401–1409.

Dolecińska D, Przywarska I, Podgórski T, Dylewicz P, Lewandowski J. Use of the six-minute walk test in exercise prescription in male patients after coronary artery bypass surgery. Polish Journal of Cardio-Thoracic Surgery. 2020; 17: 183–188.

Sawatzky JAV, Kehler DS, Ready AE, Lerner N, Boreskie S, Lamont D, et al. Prehabilitation program for elective coronary artery bypass graft surgery patients: a pilot randomized controlled study. Clinical Rehabilitation. 2014; 28: 648–657.

Dos Santos TD, Pereira SN, Portela LOC, Cardoso DM, Lago PD, Dos Santos Guarda N, et al. Moderate-to-high intensity inspiratory muscle training improves the effects of combined training on exercise capacity in patients after coronary artery bypass graft surgery: A randomized clinical trial. International Journal of Cardiology. 2019; 279: 40–46.

Xue W, Xinlan Z, Xiaoyan Z. Effectiveness of early cardiac rehabilitation in patients with heart valve surgery: a randomized, controlled trial. The Journal of International Medical Research. 2022; 50: 3000605211044320.

Greaves D, Psaltis PJ, Davis DHJ, Ross TJ, Ghezzi ES, Lampit A, et al. Risk Factors for Delirium and Cognitive Decline Following Coronary Artery Bypass Grafting Surgery: A Systematic Review and Meta-Analysis. Journal of the American Heart Association. 2020; 9: e017275.

Soetisna TW, Thamrin AMH, Permadijana D, Ramadhani ANE, Sugisman, Santoso A, et al. Intramyocardial Stem Cell Transplantation during Coronary Artery Bypass Surgery Safely Improves Cardiac Function: Meta-Analysis of 20 Randomized Clinical Trials. Journal of Clinical Medicine. 2023; 12: 4430.

Dolecińska D, Przywarska I, Podgórski T, Dylewicz P. Two early rehabilitation training models in male patients after coronary artery bypass surgery: application of continuous walking training as an alternative to interval cycle ergometer training. Polish Journal of Cardio-thoracic Surgery. 2020; 17: 87–93.

Shan R, Zhang L, Zhu Y, Ben L, Xin Y, Wang F, et al. Effect of Early Exercise Rehabilitation on Cardiopulmonary Function and Quality of Life in Patients after Coronary Artery Bypass Grafting. Contrast Media & Molecular Imaging. 2022; 2022: 4590037.

Steinmetz C, Bjarnason-Wehrens B, Baumgarten H, Walther T, Mengden T, Walther C. Prehabilitation in patients awaiting elective coronary artery bypass graft surgery - effects on functional capacity and quality of life: a randomized controlled trial. Clinical Rehabilitation. 2020; 34: 1256–1267.

Published

2024-07-08

How to Cite

Zhang, L., Wang, M., & Song, H. (2024). Effects of Early Cardiac Rehabilitation Training on Cardiac Function and Quality of Life in Elderly Patients Undergoing Coronary Artery Bypass Grafting: A Retrospective Study. The Heart Surgery Forum, 27(7), E725-E732. https://doi.org/10.59958/hsf.7281

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