Cardiac rehabilitation therapy-a center’s experience

Introduction: Cardiac rehabilitation therapy is a main-stay in caring for patients suffering from cardiovascular disease. Its effects on clinical, biological, effort capacity and quality of life have been demonstrated. It is of a paramount importance when it comes to post cardiac surgery rehabilitation, having been shown to lower mortality rates and rehospitalization.
Objective: To analyze the data from a single rehabilitation center, including patients following cardiovascular surgery included in the cardiac rehabilitation program during 1st January 2016 – 1st March 2017.
Methods: The clinic’s data base was analizyed, inclu-ding patients following cardiovascular surgery, 1 Janu-ary 2015 – 1 March 2017, taking into consideration the following parameters: general data, clincial, biological and ecocardiographical parameters, before and after 1 year of cardiac rehabilitation therapy. Patients with myocardial revascularization (PTCA and CABG) were analyzed compared to those with different indications (valvular prostheses, valvuloplasty).
Results: 324 patients were included with a mean age of 65.63±9.669 years, 63% (205) male and 37% (120) female (p=NS). Biological parameters are expressed as means and standard deviation. Hospitalization stay was 10.37±3.549 days, HR on admission 76.53±14.613 bpm, HR on check-out 71.60±10.086 bpm (p≤0.001), Hb 11.4±5.2 g/dL, ClCr- 74±21 ml/min/1.73 m2. 51.9% patients suffered wither PTCA or CABG, 41% had a prosthetic valve, 10.1% (32) underwent val-vuloplasty, 1% (8) LAA resection. 15.6% (20) patients suffered both PTCA/CABG and valvular replacement surgery (p≤0.001). EF (%) was 45± 8.45% for PTCA/ CABG patietns and 54.36±5.65% in valvular patietns. (p≤0.001). EF significantly improved with statistical significance after 1 year of cardiac rehabilitation therapy.
Conclusions: Clinically and echocardiographically, patients with CABG/PTCA have a greater benefit from cardiac rehabilitation therapy as compared to valvular hear disease patients.

ISSN – online: 2734 – 6382
ISSN-L 1220-658X
ISSN – print: 1220-658X
The Romanian Journal of Cardiology is indexed by:
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CODE: 379
CME Credits: 10 (Romanian College of Physicians)