Cardiac Rehabilitation Training Program After Aortic Valve Replacement

VYSOKÝ, Robert, Ladislav BAŤALÍK, Filip DOSBABA, Svatopluk NEHYBA a Václav CHALOUPKA. Cardiac Rehabilitation Training Program After Aortic Valve Replacement. In 8th INTERNATIONAL SCIENTIFIC CONFERENCE ON KINESIOLOGY. 2017. ISBN 978-953-317-049-7.

Základní údaje

Originální název

Cardiac Rehabilitation Training Program After Aortic Valve Replacement

Název anglicky

Cardiac Rehabilitation Training Program After Aortic Valve Replacement

Autoři

VYSOKÝ, Robert (203 Česká republika, garant, domácí), Ladislav BAŤALÍK (703 Slovensko), Filip DOSBABA (203 Česká republika), Svatopluk NEHYBA (203 Česká republika) a Václav CHALOUPKA (203 Česká republika)

Vydání

8th INTERNATIONAL SCIENTIFIC CONFERENCE ON KINESIOLOGY, 2017

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Další údaje

Jazyk

čeština

Typ výsledku

Konferenční abstrakt

Obor

30306 Sport and fitness sciences

Stát vydavatele

Česká republika

Utajení

není předmětem státního či obchodního tajemství

Odkazy

URL

Kód RIV

RIV/00216224:14510/17:00097094

Organizační jednotka

Fakulta sportovních studií

ISBN

978-953-317-049-7

Klíčová slova anglicky

Cardiac rehabilitation; prevention; aerobic training; resistance training; aerobic capacity; aortic valve replacement

Štítky

rivok

Příznaky

Mezinárodní význam

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Anotace

V originále

Aim: The aim of this study is to assess an impact of aerobic-resistance exercise on cardiorespiratory indicators in patients after aortic valve replacement (AVR), and evaluate monitored parameters as a result of a positive influence of a physical activity level. Methods: The study was conducted between years 2005-2015 on a group of 65 patients of an average age of 60,5±10 years, with left ventricular ejection fraction of 56,5±6 percent. All patients were after AVR. All these patients were included in a cardiac rehabilitation training program (CR). CR included a three-month aerobic-resistance training with a frequency of three times a week. The length of a training unit was set to 80 minutes (out of which 50 minutes were allocated to individual aerobic training). The control group consisted of 20 patients after AVR who did not exercise systematically (but they exercised on an individual basis, supervised by their attending cardiologist). Both groups were assessed by exercise echocardiography and spiroergometry as well as clinically, before and after CR. Results: Completing the interventional training program led to a significant increase of exercise tolerance (1,5±0,3 vs. 1,8±0,3 W/kg; p<0.0001) and of peak oxygen consumption (19,2±0,9 vs. 23,5±1 ml/kg/min., p<0.0001). Decreased values of resting heart rate and resting systolic and diastolic blood pressures were observed in subjects after completing CR. However, the measured changes did not reach a statistical significance. In the control group, the improvement in functional and aerobic capacity also occurred but did not achieve statistical significance. Conclusion: The study showed some important connections that can be utilized for practical application of aerobicresistance training prescription for patients after AVR. Significant improvement in cardiorespiratory indicators and indicators of exercise tolerance after completing CR reinforces the crucial role of physical activity. Cardiac rehabilitation training program after AVR allows an exact evaluation of the outcome of the surgery and also an adjustment of pharmacologic therapy, particularly the anticoagulant therapy. The influence of regular exercise on longterm prognosis is not yet clear and will require long-term trials in larger numbers of patients. Outpatient rehabilitation after AVR correction is a safe treatment method.

Anglicky

Aim: The aim of this study is to assess an impact of aerobic-resistance exercise on cardiorespiratory indicators in patients after aortic valve replacement (AVR), and evaluate monitored parameters as a result of a positive influence of a physical activity level. Methods: The study was conducted between years 2005-2015 on a group of 65 patients of an average age of 60,5±10 years, with left ventricular ejection fraction of 56,5±6 percent. All patients were after AVR. All these patients were included in a cardiac rehabilitation training program (CR). CR included a three-month aerobic-resistance training with a frequency of three times a week. The length of a training unit was set to 80 minutes (out of which 50 minutes were allocated to individual aerobic training). The control group consisted of 20 patients after AVR who did not exercise systematically (but they exercised on an individual basis, supervised by their attending cardiologist). Both groups were assessed by exercise echocardiography and spiroergometry as well as clinically, before and after CR. Results: Completing the interventional training program led to a significant increase of exercise tolerance (1,5±0,3 vs. 1,8±0,3 W/kg; p<0.0001) and of peak oxygen consumption (19,2±0,9 vs. 23,5±1 ml/kg/min., p<0.0001). Decreased values of resting heart rate and resting systolic and diastolic blood pressures were observed in subjects after completing CR. However, the measured changes did not reach a statistical significance. In the control group, the improvement in functional and aerobic capacity also occurred but did not achieve statistical significance. Conclusion: The study showed some important connections that can be utilized for practical application of aerobicresistance training prescription for patients after AVR. Significant improvement in cardiorespiratory indicators and indicators of exercise tolerance after completing CR reinforces the crucial role of physical activity. Cardiac rehabilitation training program after AVR allows an exact evaluation of the outcome of the surgery and also an adjustment of pharmacologic therapy, particularly the anticoagulant therapy. The influence of regular exercise on longterm prognosis is not yet clear and will require long-term trials in larger numbers of patients. Outpatient rehabilitation after AVR correction is a safe treatment method.