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Evolution of Early Postoperative Cardiac Rehabilitation in Patients with Acute Type A Aortic Dissection

Introduction: Surgically treated acute type A aortic dissection (ATAAD) patients are often restricted from physical exercise due to a lack of knowledge about safe blood pressure (BP) ranges. The aim of this study was to describe the evolution of early postoperative cardiac rehabilitation (CR) for pa...

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Autores principales: Zhou, Na, Fortin, Gabriel, Balice, Maria, Kovalska, Oksana, Cristofini, Pascal, Ledru, Francois, Mampuya, Warner M., Iliou, Marie-Christine
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9025085/
https://www.ncbi.nlm.nih.gov/pubmed/35456200
http://dx.doi.org/10.3390/jcm11082107
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author Zhou, Na
Fortin, Gabriel
Balice, Maria
Kovalska, Oksana
Cristofini, Pascal
Ledru, Francois
Mampuya, Warner M.
Iliou, Marie-Christine
author_facet Zhou, Na
Fortin, Gabriel
Balice, Maria
Kovalska, Oksana
Cristofini, Pascal
Ledru, Francois
Mampuya, Warner M.
Iliou, Marie-Christine
author_sort Zhou, Na
collection PubMed
description Introduction: Surgically treated acute type A aortic dissection (ATAAD) patients are often restricted from physical exercise due to a lack of knowledge about safe blood pressure (BP) ranges. The aim of this study was to describe the evolution of early postoperative cardiac rehabilitation (CR) for patients with ATAAD. Methods: This is a retrospective study of 73 patients with ATAAD who were referred to the CR department after surgery. An incremental symptom-limited exercise stress test (ExT) on a cyclo-ergometer was performed before and after CR, which included continuous training and segmental muscle strengthening (five sessions/week). Systolic and diastolic blood pressure (SBP and DBP) were monitored before and after all exercise sessions. Results: The patients (78.1% male; 62.2 ± 12.7 years old; 54.8% hypertensive) started CR 26.2 ± 17.3 days after surgery. During 30.4 ±11.6 days, they underwent 14.5 ± 4.7 sessions of endurance cycling training, and 11.8 ± 4.3 sessions of segmental muscle strengthening. At the end of CR, the gain of workload during endurance training and functional capacity during ExT were 19.6 ± 10.2 watts and 1.2 ± 0.6 METs, respectively. The maximal BP reached during endurance training was 143 ± 14/88 ± 14 mmHg. The heart rate (HR) reserve improved from 20.2 ± 13.9 bpm to 33.2 ± 16.8 bpm while the resting HR decreased from 86.1 ± 17.4 bpm to 76.4 ± 13.3 bpm. Conclusion: Early post-operative exercise-based CR is feasible and safe in patients with surgically treated ATAAD. The CR effect is remarkable, but it requires a close BP monitoring and supervision by a cardiologist and physical therapist during training.
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spelling pubmed-90250852022-04-23 Evolution of Early Postoperative Cardiac Rehabilitation in Patients with Acute Type A Aortic Dissection Zhou, Na Fortin, Gabriel Balice, Maria Kovalska, Oksana Cristofini, Pascal Ledru, Francois Mampuya, Warner M. Iliou, Marie-Christine J Clin Med Article Introduction: Surgically treated acute type A aortic dissection (ATAAD) patients are often restricted from physical exercise due to a lack of knowledge about safe blood pressure (BP) ranges. The aim of this study was to describe the evolution of early postoperative cardiac rehabilitation (CR) for patients with ATAAD. Methods: This is a retrospective study of 73 patients with ATAAD who were referred to the CR department after surgery. An incremental symptom-limited exercise stress test (ExT) on a cyclo-ergometer was performed before and after CR, which included continuous training and segmental muscle strengthening (five sessions/week). Systolic and diastolic blood pressure (SBP and DBP) were monitored before and after all exercise sessions. Results: The patients (78.1% male; 62.2 ± 12.7 years old; 54.8% hypertensive) started CR 26.2 ± 17.3 days after surgery. During 30.4 ±11.6 days, they underwent 14.5 ± 4.7 sessions of endurance cycling training, and 11.8 ± 4.3 sessions of segmental muscle strengthening. At the end of CR, the gain of workload during endurance training and functional capacity during ExT were 19.6 ± 10.2 watts and 1.2 ± 0.6 METs, respectively. The maximal BP reached during endurance training was 143 ± 14/88 ± 14 mmHg. The heart rate (HR) reserve improved from 20.2 ± 13.9 bpm to 33.2 ± 16.8 bpm while the resting HR decreased from 86.1 ± 17.4 bpm to 76.4 ± 13.3 bpm. Conclusion: Early post-operative exercise-based CR is feasible and safe in patients with surgically treated ATAAD. The CR effect is remarkable, but it requires a close BP monitoring and supervision by a cardiologist and physical therapist during training. MDPI 2022-04-09 /pmc/articles/PMC9025085/ /pubmed/35456200 http://dx.doi.org/10.3390/jcm11082107 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Zhou, Na
Fortin, Gabriel
Balice, Maria
Kovalska, Oksana
Cristofini, Pascal
Ledru, Francois
Mampuya, Warner M.
Iliou, Marie-Christine
Evolution of Early Postoperative Cardiac Rehabilitation in Patients with Acute Type A Aortic Dissection
title Evolution of Early Postoperative Cardiac Rehabilitation in Patients with Acute Type A Aortic Dissection
title_full Evolution of Early Postoperative Cardiac Rehabilitation in Patients with Acute Type A Aortic Dissection
title_fullStr Evolution of Early Postoperative Cardiac Rehabilitation in Patients with Acute Type A Aortic Dissection
title_full_unstemmed Evolution of Early Postoperative Cardiac Rehabilitation in Patients with Acute Type A Aortic Dissection
title_short Evolution of Early Postoperative Cardiac Rehabilitation in Patients with Acute Type A Aortic Dissection
title_sort evolution of early postoperative cardiac rehabilitation in patients with acute type a aortic dissection
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9025085/
https://www.ncbi.nlm.nih.gov/pubmed/35456200
http://dx.doi.org/10.3390/jcm11082107
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