Novel approaches to the assessment of cardiorespiratory readiness of patients after coronary artery bypass surgery aimed to the efficient cardiac rehabilitation performance
- Authors: Kakuchaya T.T.1, Dzhitava T.G.1, Kuular A.M.1, Pachuashvili N.V.1, Tokaeva Z.K.1
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Affiliations:
- Bakulev National Medical Research Center for Cardiovascular Surgery
- Issue: Vol 12, No 3 (2021)
- Pages: 139-146
- Section: Original study articles
- URL: https://journals.rcsi.science/2221-7185/article/view/83283
- DOI: https://doi.org/10.17816/22217185.2021.3.201045
- ID: 83283
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Abstract
Aim. To develop novel strategies of patients’ selection and risk stratification after coronary artery bypass surgery before starting aerobic cardiorespiratory training programs.
Material and methods. One hundred thirty seven patients 4 weeks after coronary artery bypass surgery were included in our study. RARE scale (risk of activity related events), ergospirometric test, FIT treadmill score and certain laboratory parameters like hemoglobin and alaninaminotransferase were used.
Results. Logical interdependence is revealed between certain indicators of cardiorespiratory capacity and risk of developing unfavorable events due to aerobic training activities. Comprehensive protocol is developed based on multifactorial regression analysis, which allows to differentiate patients into low and high class of readiness to physical activities, including aerobic cardiorespiratory training programs.
Conclusion. The protocol includes following variables METs, RARE scale, FIT treadmill score, left ventricular ejection fraction, hemoglobin and alaninaminotransferase levels. It is very userfriendly, easy, practical and efficient.
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##article.viewOnOriginalSite##About the authors
Tea T. Kakuchaya
Bakulev National Medical Research Center for Cardiovascular Surgery
Author for correspondence.
Email: ttkakuchaya@mail.ru
ORCID iD: 0000-0001-9383-2073
D. Sci. (Med.), Prof., Bakulev National Medical Research Center for Cardiovascular Surgery
Russian Federation, MoscowTamara G. Dzhitava
Bakulev National Medical Research Center for Cardiovascular Surgery
Email: ttkakuchaya@mail.ru
ORCID iD: 0000-0002-6141-2231
Cand. Sci. (Med.), Bakulev National Medical Research Center for Cardiovascular Surgery
Russian Federation, MoscowArjanа M. Kuular
Bakulev National Medical Research Center for Cardiovascular Surgery
Email: ttkakuchaya@mail.ru
ORCID iD: 0000-0002-2133-9674
Cand. Sci. (Med.), Bakulev National Medical Research Center for Cardiovascular Surgery
Russian Federation, MoscowNona V. Pachuashvili
Bakulev National Medical Research Center for Cardiovascular Surgery
Email: ttkakuchaya@mail.ru
Cand. Sci. (Med.), Bakulev National Medical Research Center for Cardiovascular Surgery
Russian Federation, MoscowZarina K. Tokaeva
Bakulev National Medical Research Center for Cardiovascular Surgery
Email: ttkakuchaya@mail.ru
ORCID iD: 0000-0002-8852-8197
Cand. Sci. (Med.), Bakulev National Medical Research Center for Cardiovascular Surgery
Russian Federation, MoscowReferences
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