Cardiac rehabilitation in patients undergoing to coronary artery bypass graft

Priscila Aikawa Angélica Rossi Sartori Cintra Abelardo Soares de Oliveira Júnior Claudio Tafarel Mackmillan da Silva Juliana Dalé Pierucci Max dos Santos Afonso Maicon de Pinho Souza Felipe da Silva Paulitsch About the authors

INTRODUCTION:

The Cardiac Rehabilitation Programs (CRP) is decreasing the morbidity and mortality in patients after coronary artery bypass graft (CABG).

OBJECTIVE:

To observe the adherence of patients undergoing CABG alone in late phase to a PRC and analyze the quality of life and functional capacity before and after physical training in a period of three months.

METHODS:

We contacted all patients undergoing CABG alone in the period of one year to participate in a CRP lasting three months with three weekly sessions of one hour duration. All patients underwent biochemical blood tests, one-repetition maximum test (1RM) for the muscular strength in upper and lower limbs, 6-minute walk test (6MWT) and completed the quality of life questionnaire (SF-36) before and after training.

RESULTS:

In all 86 patients contacted, only 13% (n=11) patients completed the CRP. The mean age was 67 ± 9 years, predominantly male, 73% (8 men). There were no significant differences in the biochemical laboratory tests, however in 6MWT we observed significant increase in distance walked (p=0.014), a significant increase in muscle strength in the upper limbs (p=0.043), and in the SF-36, there were no significant differences in the scores before and after three months of CRP.

CONCLUSION:

Adherence to the CRP was low, so it is of paramount importance to disclose the participation of patients who underwent CABG in these programs to provide greater functional capacity.

coronary artery bypass, off-pump; rehabilitation; quality of life


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