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Effect of Individualized Cardiac Rehabilitation on Cardiac Function, Time Consumption, and Quality of Life in

Hua-Qin Guan1, Cheng Hang2, Ming Zhang3

  • 1Nursing Department, The Affiliated Changzhou Second People's Hospital of Nanjing Medical University, Changzhou, Jiangsu Province, China. sweetyfy@foxmail.com.

The Heart Surgery Forum
|March 1, 2023
PubMed

Insights

Individualized cardiac rehabilitation (CR) significantly improves cardiac function and quality of life (QoL) in post-coronary artery bypass grafting (CABG) patients. This tailored approach also reduces recovery time compared to standard CR.

Area of Science:

  • Cardiology
  • Rehabilitation Medicine
  • Clinical Outcomes

Background:

  • Coronary Artery Bypass Grafting (CABG) surgery requires effective post-operative recovery strategies.
  • Standardized cardiac rehabilitation (CR) protocols may not fully optimize patient outcomes.
  • Assessing the impact of individualized CR on recovery metrics is crucial for post-CABG care.

Purpose of the Study:

  • To evaluate the efficacy of an individualized cardiac rehabilitation (CR) program.
  • To compare individualized CR with basic rehabilitation (BR) in patients post-CABG.
  • To determine effects on cardiac function, recovery time, and quality of life (QoL).

Main Methods:

  • Two CR strategies were designed: basic rehabilitation group (BRG) and individualized rehabilitation group (IRG).
  • Patients were randomized into BRG or IRG, with data collection on clinical characteristics, LVEF, 6MWD, BNP, LVEDD, SF-36 scores, and time consumption.
  • Key metrics included left ventricular ejection fraction (LVEF), 6-minute walk distance (6MWD), B-type natriuretic peptide (BNP), left ventricular end-diastolic dimension (LVEDD), and SF-36 QoL scores.

Main Results:

  • Individualized CR (IRG) demonstrated significantly higher 6-minute walk distance (6MWD) and left ventricular ejection fraction (LVEF) post-operatively compared to basic CR (BRG).
  • Patients in the IRG showed significantly lower B-type natriuretic peptide (BNP) and left ventricular end-diastolic dimension (LVEDD) levels.
  • The IRG experienced significantly shorter times for first out-of-bed activity, ICU stay, and overall post-operative hospital stay, alongside higher SF-36 quality of life scores.

Conclusions:

  • Individualized cardiac rehabilitation (CR) is a safe and effective strategy for post-CABG patients.
  • Tailored CR programs significantly enhance cardiac function and improve patient quality of life (QoL).
  • Individualized CR reduces overall recovery time, including hospital length of stay.
Abstract

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