Karaszewski Daniel, Cichoń Romuald, Kuśmierczyk Mariusz, Marszałek Mikołaj, Wilimski Radosław
Department of Cardiac, Thoracic and Transplant Surgery, Medical University of Warsaw, Poland.
Department of Cardiac Surgery, Medical University of Zielona Góra, Poland.
Postepy Kardiol Interwencyjnej. 2025 May 30;21(2):229-236. doi: 10.5114/aic.2025.151697. eCollection 2025 Jun.
New standards for cardiac rehabilitation are currently being established worldwide.
To evaluate the effectiveness of in-hospital rehabilitation models in patients after coronary artery bypass grafting (CABG).
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.
In the initial 6MWT, subjects in the SM group achieved a higher SpO (Me: SM = 97%, 98%; IM = 96%, 97%). In the final 6MWT, subjects in the IM group achieved a higher SpO (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 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 and HR in the initial 6MWT were lower than in the final 6MWT.
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.
目前全球正在制定心脏康复的新标准。
评估冠状动脉旁路移植术（CABG）后患者院内康复模式的有效性。
100名患有稳定冠状动脉疾病的男性被随机分为两组：标准模式（SM）组和强化模式（IM）组。受试者随后接受CABG手术，并根据指定模式进行康复治疗。通过干预前后进行的6分钟步行试验（6MWT）来验证效果。
在初始6MWT中，SM组受试者的SpO较高（中位数：SM = 97%，98%；IM = 96%，97%）。在最终6MWT中，IM组受试者的SpO较高（中位数：SM = 96%，97%；IM = 97%，98%），初始心率较低（中位数：SM = 84；IM = 78），运动后心率较低（中位数：SM = 92.5；IM = 84.5），行走距离更长（中位数：SM = 312米；IM = 359米），疲劳程度更低（中位数：SM = 3；IM = 1），住院时间更短。初始和最终6MWT之间的组间差异；在IM组中：初始6MWT时的收缩压和SpO高于最终6MWT，初始6MWT时的心率低于最终6MWT，初始6MWT时行走的距离长于最终6MWT，初始6MWT时报告的疲劳程度低于最终6MWT。在SM组中：初始6MWT时的收缩压高于最终6MWT，初始6MWT时的SpO和心率低于最终6MWT。
强化模式对身体和功能状态显示出更有利的效果。增加负荷、延长训练时间和扩大功能范围是安全的。
