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Effect of exercise training program in post-CRET post-CABG patients with normal and subnormal ejection fraction (EF >
Basit Ansari1, Masood A Qureshi2, Raheela Rahmat Zohra3
1Department of Health & Physical Education, University of Karachi, Karachi, Pakistan.
Insights
Cardiac rehabilitation exercise training programs significantly improve heart function in post-coronary artery bypass grafting (CABG) patients. Exercise benefits both normal and subnormal ejection fraction (EF) groups, enhancing recovery and exercise capacity.
Area of Science:
- Cardiology
- Exercise Physiology
- Rehabilitation Medicine
Background:
- Coronary Artery Bypass Grafting (CABG) surgery is a common intervention for severe coronary artery disease.
- Post-CABG patients often require structured rehabilitation to optimize recovery and cardiac function.
- Ejection Fraction (EF) is a key indicator of cardiac health, with implications for exercise tolerance and outcomes.
Purpose of the Study:
- To compare the effects of a 6-week exercise training program on post-CABG patients with normal (EF >50%) and subnormal (EF <50%) ejection fractions.
- To evaluate the impact of exercise on heart rate (HR) and blood pressure (BP) in these patient groups.
- To assess the overall benefit of exercise in improving cardiac function and exercise capacity post-CABG.
Main Methods:
- A prospective study involving 100 post-CABG patients (age 57-65 years) undergoing cardiac rehabilitation.
- Patients participated in a 6-week exercise program including treadmill and recumbent bike sessions, monitored using Borg's scale.
- Heart Rate (HR) and Blood Pressure (BP) were measured at baseline and post-intervention; statistical analyses were applied.
Main Results:
- Exercise training significantly improved systolic blood pressure and heart rate in post-CABG patients, irrespective of their baseline ejection fraction.
- Significant improvements in cardiac function were observed within four to six weeks of the exercise program.
- Both normal and subnormal EF groups demonstrated similar positive responses to the exercise training regimen.
Conclusions:
- A structured exercise training program is beneficial for post-CABG patients, leading to improved cardiac function and exercise capacity.
- The positive effects of exercise rehabilitation are evident in patients with varying ejection fractions post-CABG.
- Exercise programs are crucial components of recovery, enhancing functional outcomes in Pakistani CABG patients.
Abstract:
The aim of the present study is to compare the effect of exercise training program in post-Cardiac Rehabilitation Exercise Training (CRET), post-CABG patients with normal & subnormal ejection fraction (EF >50% or <50%) who have undergoing coronary artery bypass grafting (CABG) surgery. The study was conducted on 100 cardiac patients of both sexes (age: 57-65 years) who after CABG surgery, were referred to the department of Physiotherapy and Rehabilitation between 2008 and 2010 at Liaquat National Hospital & Medical College, Karachi. The patients undertook exercise training program (using treadmill, Recumbent Bike), keeping in view the Borg's scale of perceived exertion, for 6 weeks. Heart Rate (HR) and Blood Pressure (BP) were measured & compared in post CABG Patients with EF (>50% or <50%) at the start and end of the exercise training program. Statistical formulae were applied to analyze the improvement in cardiac functional indicators. Exercise significantly restores the values of HR and BP (systolic) in post CABGT Patients with EF (>50% or <50%) from the baseline to the last session of the training program. There appeared significant improvement in cardiac function four to six weeks of treadmill exercise training program. After CABG all patients showed similar improvement in cardiac function with exercise training program. The exercise training program is beneficial for improving exercise capacity linked with recovery cardiac function in Pakistani CABG patients.
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