Work

Intensification of in-hospital rehabilitation in elective post-coronary artery bypass grafting patients: both safe and effective

Year: 2025

Type: article

Study designs: Randomized Controlled Trial, Clinical Trial

Abstract: Introduction: New standards for cardiac rehabilitation are currently being established worldwide.Aim: To evaluate the effectiveness of in-hospital rehabilitation models in patients after coronary artery bypass grafting (CABG).Material and methods: One hundred men with stable coronary artery disease were randomly assigned to two groups: standard model (SM) and intense model (IM).Subjects then underwent CABG and were rehabilitated according to the assigned model.Effects were verified by the 6-minute walk test (6MWT), which was performed before and after the intervention.Results: In the initial 6MWT, subjects in the SM group achieved a higher SpO 2 (Me: SM = 97%, 98%; IM = 96%, 97%).In the final 6MWT, subjects in the IM group achieved a higher SpO 2 (Me: SM = 96%, 97%; IM = 97%, 98%), a lower initial HR (Me: SM = 84; IM = 78) and a lower post-exercise HR (Me: SM = 92.5;IM = 84.5), a longer distance covered (Me: SM = 312 m; IM = 359 m), a lower fatigue (Me: SM = 3; IM = 1) and a shorter hospitalization time.Group differences between initial and final 6MWT; In IM: SBP and SpO 2 in the initial 6MWT were higher than in the final 6MWT, HR in the initial 6MWT was lower than in the final 6MWT, distance travelled in the initial 6MWT was longer than in the final 6MWT, reported fatigue in the initial 6MWT was lower than in the final 6MWT.In IM: SBP in the initial 6MWT was higher than in the final 6MWT, SpO 2 and HR in the initial 6MWT were lower than in the final 6MWT.Conclusions: The intense model showed a more favorable effect on the physical and functional status.Increasing the load, extending the duration of training sessions, and expanding the range of functionality are safe.

Source: Advances in Interventional Cardiology

DOI: 10.5114/aic.2025.151697

Authors: Daniel Karaszewski, Romuald Cichoń, Mariusz Kuśmierczyk, Mikołaj Marszałek, Radosław Wilimski

Institutions: Medical University of Warsaw, University of Zielona Góra

Language: English

Topic: Cardiac Health and Mental Health

Subfield: Cardiology and Cardiovascular Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $215