Issue 6-10, 2020
Review article
Rehabilitation of Patients with Coronary Heart Disease after Myocardial Revascularization: Evidence Base, Methodology, Opportunities (Review)
1 Vladimirsky V.E., 1 Vladimirsky E.V., 1 Yudina E.A., 1 Lunina A.N., 2 Yakovlev M.Yu., 2 Ansokova (Tubekova) M.A., 2 Raspertov M.M.
1 Perm State Medical University named after Academician E. A. Wagner, Perm, Russian Federation
2 National Medical Research Center of Rehabilitation and Balneology, Moscow, Russian Federation
ABSTRACT
Currently, cardiorehabilitation is part of the General system of medical care, whose task is to improve the quality of life and maximizethe recovery of the patient’s habitual lifestyle. Therefore, it is advisable to include patients with cardiological pathology in rehabilitationprograms. Despite the success achieved in recent years in the treatment, prevention and rehabilitation of patients with coronaryheart disease (CHD), the search for new and more advanced methods of cardiorehabilitation in this category of patients remains anurgent task.
KEYWORDS: cardiorehabilitation, cardiovascular diseases, coronary heart disease, atherosclerosis, arterial hypertension, coronary bypass surgery, percutaneous coronary intervention
FOR CITATION: Vladimirsky V.E., Vladimirsky E.V., Yudina E.A., Lunina A.N., Yakovlev M.Yu., Ansokova (Tubekova) M.A., Raspertov M.M. Rehabilitation of Patients with Coronary Heart Disease after Myocardial Revascularization: Evidence Base, Methodology, Opportunities. Bulletin of Rehabilitation Medicine. 2020; 6 (100): 45–56. https://doi.org/10.38025/2078-1962-2020-100-6-45-56
References:
- Naughton J. Exercise training for patients with coronary artery disease. Cardiac rehabilitation revisited. Sports Medicine. 1992; 14(5): 304-319.
- Galtseva N.V. Reabilitatsiia v kardiologii i kardiokhirurgii [Rehabilitation in cardiology and cardiac surgery]. Zhurnal Klinitsist. 2015; (2); 13-22. https://doi. org/10.17650/1818-8338-2015-9-2-13-22 (In Russ.).
- Bartels M.N. Cardiac rehabilitation in Essential Physical Medicine and Rehabilitation. Totowa, NJ, USA. Humana Press. 2006: 119-145.
- Yohannes M., Doherty P., Bundy C., Yalfani A. The long-term benefits of cardiac rehabilitation on depression, anxiety, physical activity and quality of life. Journal of Clinical Nursing. 2010; V.19(19-20): 2806-2813.
- Takahashi T., Kumamaru M., Jenkins S., Saitoh M., Morisawa T., Matsuda H. In-patient step count predicts re-hospitalization after cardiac surgery. Journal of Cardiology. 2015; V.66(4): 286-291.
- Taillefer M.C., Carrier M., Belisle S. et al. Prevalence, characteristics, and predictors of chronic nonanginal postoperative pain after a cardiac operation: a cross-sectional study. The Journal of Thoracic and Cardiovascular Surgery. 2006; V.131(6): 1274-1280.
- Misiura O.F., Shestakov V.N., Zobenko I.A., Karpukhin A.V. Sanatornaia kardiologicheskaia reabilitatsiia [Sanitary cardiological rehabilitation]. SPb. SpetsLit. 2013: 192с. Available at: https://www.books-up.ru/en/book/sanatornaya-kardiologicheskaya-reabilitaciya-4430794 (In Russ.).
- de Macedo R.M., Faria-Neto J.R., Costantini C.O. et al. Phase I of cardiac rehabilitation: A new challenge for evidence based physiotherapy. World Journal of Cardiology. 2011; 3(7): 248-55.
- Perotti A., Ecarnot F., Monaco F. et al. Quality of life 10 years after cardiac surgery in adults: a long-term follow-up study. Health and Quality of Life Outcomes. 2019; V.17(1): 88 p.
- Verwijmeren L., Noordzij P.G., Daeter E.J. et al. Preoperative determinants of quality of life a year after coronary artery bypass grafting: a historical cohort study. Journal of Cardiothoracic Surgery. 2018; V.13(1): 118 p.
- Thomas R.J., Balady G., Banka G. et al. 2018 ACC/AHA clinical performance and quality measures for cardiac rehabilitation. Journal of the American College of Cardiology. 2018; V.71(16): 1814-1837.
- Kaminsky L.A., Brubaker P.H., Guazzi M. et al. Assessing physical activity as a core component in cardiac rehabilitation. Journal of Cardiopulmonary Rehabilitation and Prevention. 2016; V.36(4): 217-229.
- Goel K., Lennon R.J., Tilbury R.T., Squires R.W., Thomas R.J. Impact of cardiac rehabilitation on mortality and cardiovascular events after percutaneous coronary intervention in the community. Circulation. 2011; V.123(21): 2344-2352.
- Kim J.B., Yun S.C., Lim J.W., Hwang S.K., Jung S.H., Song H., Chung C.H., Lee J.W., Choo S.J. Long-term survival following coronary artery bypass grafting: off-pump versus on-pump strategies. Journal of the American College of Cardiology. 2014; (63): 2280-2288. https://doi.org/10.1016/j.jacc.2014.02.584.
- Liamina N.P., Karpova E.S. Fizicheskie trenirovki v kardioreabilitatsii i profilaktike u bolnykh IBS posle chreskozhnykh koronarnykh vmeshatelstv granitsy effektivnosti i bezopasnosti [Physical training in cardio rehabilitation and prevention in patients with CHD after percutaneous coronary surgery: performance and safety limits]. Rossiiskii kardiologicheskii zhurnal. 2014; (6): 93-98. https://doi.org/10.15829/1560-4071-2014-6-93-98 (In Russ.).
- Gianuzzi P., Saner H. et al. Secondary prevent ion through cardiac rehabilitation. Posit ion paper of the Working Group on Cardiac Rehabilitation and Exercise Physiology of the European Society of Cardiology. European Heart Journal. 2003; (24): 1273-8.
- Bokeria L.A., Aronov D.M. Rossijskie klinicheskie rekomendacii koronarnoe shuntirovanie bol’nyh ishemicheskoj bolezn’yu serdca: reabilitaciya i vtorichnaya profilaktika [Russian clinical guidelines coronary artery bypass grafting in patients with coronary heart disease: rehabilitation and secondary prevention]. CardioSomatics. 2016; (7)3-4: 5-71 (In Russ.).
- Heran B.S., Chen J.M., Ebrahim S., Moxham T., oldridge N., Rees K., Thompson D.R., Taylor R.S. Exercise-based cardiac rehabilitation for coronary heart disease. Cochrane database of systematic reviews. 2011: CD001800.
- Kim C., Youn J.E., Choi H.E. The effect of a self exercise program in cardiac rehabilitation for patients with coronary artery disease. Annals of Rehabilitation Medicine. 2011; (35): 381-387. https://doi.org/10.5535/arm.2011.35.3.381
- Giannuzzi P., Temporelli P.L., Marchioli R., Maggioni A.P., Balestroni G., Ceci V., Chieffo C., Gattone M., Griffo R., Schweiger C., Tavazzi L., urbinati S., valagussa F., Vanuzzo D. GoSPEL Investigators. Global secondary prevention strategies to limit event recurrence after myocardial infarction: results of the GoSPEL study, a multicenter, randomized controlled trial from the Italian Cardiac Rehabilitation Network. Archives of Internal Medicine. 2008; (168): 2194-2204. https://doi.org/10.1001/archinte.168.20.2194
- Kutner N.G., Zhang R., Huang Y., Herzog C.A. Cardiac rehabilitation and survival of dialysis patients after coronary bypass. Journal of the American Society of Nephrology. 2006; (17): 1175-1180. https://doi.org/10.1681/ASN.2005101027
- Pack Q.R., Goel K., Lahr B.D., Greason K.L., Squires R.W., Lopez Jimenez F., Zhang Z., Thomas R.J. Participation in cardiac rehabilitation and survival after coronary artery bypass graft surgery: a community-based study. Circulation. 2013; (128): 590-597. https://doi.org/10.1161/CIRCuLATIoNAHA.112.001365
- Lee J.Y., Han S., Ahn J.M., Park D.W., Kang S.J., Lee S.W., Kim Y.H., Lee C.W., Park S.W., Lee J.W., Chung C.H., Choo S.J., Hwang K.W., Park S.J. Impact of participation in phase I and phase II cardiac rehabilitation on long term survival after coronary artery bypass graft surgery. International Journal of Cardiology. 2014; (176): 1429-1432. https://doi.org/10.1016/j.ijcard.2014.08.041
- Hansen D., Dendale P., Leenders M., Berger J., Raskin A., vaes J., Meeusen R. Reduction of cardiovascular event rate: different effects of cardiac rehabilitation in CABG and PCI patients. Acta Cardiologica. 2009; (64): 639-644. https://doi.org/10.2143/AC.64.5.2042694
- Goel K., Pack Q.R., Lahr B., Greason K.L., Lopez-Jimenez F., Squires R.W., Zhang Z., Thomas R.J. Cardiac rehabilitation is associated with reduced long-term mortality in patients undergoing combined heart valve and CABG surgery. European Journal of Preventive Cardiology. 2015; (22): 159-168. https://doi. org/10.1177/2047487313512219
- de Vries H., Kemps H.M., van Engen-verheul M.M., Kraaijenhagen R.A., Peek N. Cardiac rehabilitation and survival in a large representative community cohort of Dutch patients. European Heart Journal. 2015; (36): 1519-1528. https://doi.org/10.1093/eurheartj/ehv111
- Beatty A.L., Truong M., Schopfer D.W., Shen H., Bachmann J.M., Whooley M.A. Geographic variation in cardiac rehabilitation participation in medicare and veterans affairs populations. Circulation. 2018; V.137(18): 1899-1908.
- Niramayee V. Prabhu, Arun G. Maiya, Nivedita S. Prabhu. Impact of Cardiac Rehabilitation on Functional Capacity and Physical Activity after Coronary Revascularization: A Scientific Review. Department of Physiotherapy, Manipal College of Health Professions, Manipal Academy of Higher Education. Manipal. Karnataka. India. Cardiology Research and Practice. Volume 2020. https://doi.org/10.1155/2020/1236968
- Thomas R.J., Balady G., Banka G. et al. 2018 ACC/AHA clinical performance and quality measures for cardiac rehabilitation. Journal of the American College of Cardiology. 2018; V.71(16): 1814-1837.
- Pollentier B., Irons S.L., Benedetto C.M. et al. Examination of the six minute walk test to determine functional capacity in people with chronic heart failure: a systematic review. Cardiopulmonary Physical Therapy Journal. 2010; V.21(1): 13-21.
- Moholdt T.T., Amundsen B.H., Rustad L.A. et al. Aerobic interval training versus continuous moderate exercise after coronary artery bypass surgery: a randomized study of cardiovascular effects and quality of life. American Heart Journal. 2009; V.158(6): 1031-1037.
- Turk-Adawi K., Sarrafzadegan N., Grace S.L. Global availability of cardiac rehabilitation. Nature Reviews Cardiology. 2014; V.11(10): 586-596.
- Grace S.L., Shanmugasegaram S., Gravely-Witte S., Brual J., Suskin N., Stewart D.E. Barriers to cardiac rehabilitation. Journal of Cardiopulmonary Rehabilitation and Prevention. 2009; V.29(3): 183-187.
- Deskur-Smielecka E., Borowicz-Bienkowska S., Maleszka M. et al. Early phase 2 inpatient rehabilitation after acute coronary syndrome treated with primary percutaneous coronary intervention. American Journal of Physical Medicine & Rehabilitation. 2011; V.90(7): 589-598.
- Hartog J., Blokzijl F., Dijkstra S. et al. Heart rehabilitation in patients awaiting Open heart surgery targeting to prevent complications and to improve quality of life (Heart-ROCQ): study protocol for a prospective, randomised, open, blinded endpoint (PROBE) trial. BMJ Open. 2019; V.9(9): e031738.
- Pack Q.R., Goel K., Lahr B.D. et al. Participation in cardiac rehabilitation and survival after coronary artery bypass graft surgery. Circulation. 2013; V.128(6): 590-597.
- Blanchard C.M., Reid R.D., Morrin L.I. et al. Demographic and clinical determinants of moderate to vigorous physical activity during home-based cardiac rehabilitation. Journal of Cardiopulmonary Rehabilitation and Prevention. 2010; V.30(4): 240-245.
- Oerkild B., Frederiksen M., Hansen J.F., Simonsen L., Skovgaard L.T., Prescott E. Home-based cardiac rehabilitation is as effective as centre-based cardiac rehabilitation among elderly with coronary heart disease: results from a randomised clinical trial. Age and Ageing. 2010; V.40(1): 78-85.
- Papaspyros S., Uppal S., Khan S.A., Paul S., O’Regan D.J. Analysis of bedside entertainment services’ effect on post cardiac surgery physical activity: a prospective, randomised clinical trial. European Journal of Cardio-Thoracic Surgery. 2008; V.34(5): 1022-1026.
- Cristo D.D., Nascimento N.P., Dias A.S., Sachetti A. Telerehabilitation for cardiac patients: systematic review. International Journal of Cardiovascular Sciences. 2018; V.31(4): 443-450.
- Kim C., Kim B.O., Lim K.-B., Kim Y.J., Park Y.B. The effect of power-walking in phase 2 cardiac rehabilitation program. Annals of Rehabilitation Medicine. 2012; V.36(1): 133 p.
- Thomas R.J., Beatty A.L., Beckie T.M. et al. Home-based cardiac rehabilitation: a scientific statement from the American association of cardiovascular and pulmonary rehabilitation, the American heart association, and the American College of Cardiology. Circulation. 2019; V.140(1): e69-e89.
- Dibben G.O., Dalal H.M., Taylor R.S., Doherty P., Tang L.H., Hillsdon M. Cardiac rehabilitation and physical activity: systematic review and meta-analysis. Heart. 2018; V.104(17): 1394-1402.
- Hodkinson A., Kontopantelis E., Adeniji C. et al. Accelerometer- and pedometer-based physical activity interventions among adults with cardiometabolic conditions. JAMA Network Open. 2019; V.2(10): e1912895.
- Strong P.-C., Lee S.-H., Chou Y.-C., Wu M.-J., Hung S.-Y., Chou C.-L. Relationship between quality of life and aerobic capacity of patients entering phase II cardiac rehabilitation after coronary artery bypass graft surgery. Journal of the Chinese Medical Association. 2012; V.75(3): 121-126.
- Dos Santos T.D., Pereira S.N., Portela L.O.C. et al. Moderate-to-high intensity inspiratory muscle training improves the effects of combined training on exercise capacity in patients after coronary artery bypass graft surgery: a randomized clinical trial. International Journal of Cardiology. 2019; V.279: 40-46.
- Maddison R., Rawstorn J.C., Stewart R.A.H. et al. Effects and costs of real-time cardiac telerehabilitation: randomised controlled non-inferiority trial. Heart. 2019; V.105(2): 122-129.
- Ritchey M.D., Maresh S., McNeely J. et al. Tracking cardiac rehabilitation participation and completion among medicare beneficiaries to inform the efforts of a national initiative. Circulation: Cardiovascular Quality and Outcomes. 2020; V.13(1): e005902.
- Griffo R., Ambrosetti M., Tramarin R., Fattirolli F., Temporelli P.L., vestri A.R., De Feo S., Tavazzi L. ICARoS investigators. Effective secondary prevention through cardiac rehabilitation after coronary revascularization and predictors of poor adherence to lifestyle modification and medication. Results of the ICARoS Survey. International Journal of Cardiology. 2013; (167): 1390-1395. https://doi.org/10.1016/j.ijcard.2012.04.069
- Aronov D.M., Ioseliani D.G .,Bubnova M.G., Krasnitskii V.B., Novikova N.K. Klinicheskaia effektivnost kompleksnoi programmy reabilitatsii posle koronarnogo shuntirovaniia u bolnykh ishemicheskoi bolezniu serdtsa v usloviiakh poliklinicheskogo kardioreabilitatsionnogo otdeleniia - III etapa reabilitatsii [Clinical efficacy of a comprehensive rehabilitation programme after coronary bypass in patients with coronary heart disease in the outpatient cardiac rehabilitation department - Stage III of rehabilitation]. CardioSomatics. 2015; (3): 6-14 (In Russ.).
- Abramova E.A. Effektivnost rannei fizicheskoi reabilitatsii u bolnykh ishemicheskoi bolezniu serdtsa s nepolnoi revaskuliarizatsiei miokarda posle chreskozhnykh koronarnykh vmeshatelstv:...Diss. [Efficiency of early physical rehabilitation in patients with coronary heart disease with incomplete myocardial revascularization after percutaneous coronary surgery:...DissJ. GBOU VPO Saratovskii Gosudarstvennyi Meditsinskii Universitet im V I Razumovskogo. 2016. (In Russ.).Amiiants V.U., Odzharov M.O. Fizicheskie trenirovki v reabilitatsii bolnykh s postinfarktnym kardiosklerozom s uchetom funktsionalnogo sostoianiia levykh otdelov serdtsa [Physical training in rehabilitation of patients with postinfarction cardiosclerosis, taking into account the functional state of the left cardiac units]. Rossiiskii kardiologicheskii zhurnal. 2009; (5): 24-26 (In Russ.).
- Aksenov V.A., Tinkov A.N., Moskovtseva N.I. Gipodinamiia kak faktor riska i rol fizicheskoi aktivnosti v kardiologicheskoi reabilitatsii i vtorichnoi profilaktike ishemicheskoi bolezni serdtsa [Hypodynamy as a risk factor and the role of physical activity in cardiological rehabilitation and secondary prevention of coronary heart disease]. Profilakticheskaia meditsina. 2010; (2): 40-46 (In Russ.).
- Suaya J.A., Shepard D.S., Normand S.L. et al. Use of cardiac rehabilitation by Medicare beneficiaries after myocardial infarction or coronary bypass surgery. Circulation. 2007; 116(15): 1653-1662.
- Karoff M., Held K., Bjarnason-Wehrens B. Cardiac rehabilitation in Germany. European Journal of Cardiovascular Prevention & Rehabilitation. 2007; 14(1): 18-27.
- Kondrikova N.V., Pomeshkina S.A. Effektivnost trekhetapnoi sistemy reabilitatsii v vosstanovlenii professionalnoi trudosposobnosti cherez 6 mesiatsev posle koronarnogo shuntirovaniia [Efficiency of the three-stage rehabilitation system in restoring occupational capacity 6 months after coronary bypass surgery]. Profilakticheskaia meditsina. 2018; 21(3): 4-9 (In Russ.).
- Kuzmin S.B. Standarty reabilitatsii i vtorichnoi profilaktiki u patsientov posle provedeniia koronarnogo shuntirovaniia pri ishemicheskoi bolezni serdtsa [Standards for rehabilitation and secondary prevention in patients after coronary bypass surgery for coronary heart disease]. Zhurnal Glavvrach. 2019; (2): 35-55 (In Russ.).
- Wright D.J., Williams S.G., Riley R., Marshall P., Tan L.B. Is early, low level, short term exercise cardiac rehabilitation following coronary bypass surgery beneficial? A randomised controlled trial. Heart. 2002; (88): 83-84
- Bubnova M.G., Aronov D.M., Perova N.V. Fizicheskie nagruzki i ateroskleroz dinamicheskie fizicheskie nagruzki vysokoi intensivnosti kak faktor indutsiruiushchii ekzogennuiu dislipidemiiu [Physical activity and atherosclerosis: dynamic high-intensity physical activity as a factor inducing exogenous dyslipidemia]. Kardiologiia. 2003; (3): 43-49 (In Russ.).
- Kniazeva T.A., Nikiforova T.I., Eremushkin M.A. Povyshenie effektivnosti kardioreabilitatsii vkliucheniem metodov metabolicheskoi adaptatsii k ishemii miokarda [Improving the efficiency of cardiorehabilitation by incorporating metabolic adaptation techniques to myocardial ischemia]. Bulletin of Rehabilitation Medicine. 2019: (3); 34-39 (In Russ.).
- Dovgaliuk U.V., Mishina I.E. Dinamika tolerantnosti k fizicheskoi nagruzke v otsenke effektivnosti programm reabilitatsii bolnykh perenesshikh ostryi koronarnyi sindrom na ambulatornom etape [Dynamics of tolerance for physical activity in evaluating the effectiveness of rehabilitation programmes for patients with acute coronary syndrome at the outpatient stage]. Bulletin of Rehabilitation Medicine. 2019; 3(91): 11-14 (In Russ.).
The content is available under the Creative Commons Attribution 4.0 License.
©
This is an open article under the CC BY 4.0 license. Published by the National Medical Research Center for Rehabilitation and Balneology.