Open Access
Subscription Access
Open Access
Subscription Access
Study on Physiological Outcomes after Phase 1 Cardiac Rehabilitation in Mitral Valve Replacement Individuals - An Observational Study
Subscribe/Renew Journal
Introduction
The post mitral valve replacement presents with many complications related to the thrombosis, left ventricular and pulmonary dysfunction.
Aim
To observe the physiological outcomes after Phase 1cardiac rehabilitation in mitral valve replacement individuals.
Need of the Study
The review of physiological outcome measure is essential apart from physical outcome measures to prescribe systemic exercises in phase 2.
Objective of the Study
To study the hemodynamic changes (PT, APTT), physiological changes (paO2, PaCO2, pH), cardiac function (ejection fraction), exercise capacities, before surgery and after phase 1 cardiac rehabilitation in mitral valve replacement individuals.
Methods and Methodology
All the eligible patients were assessed for the PT, APTT, paO2, PaCO2, pH, ejection fraction, and VO2 peak pre operatively and at the time of discharge post- operatively after phase 1 cardiac rehabilitation.
Statistical Analysis
Paired samples t-test has been carried out to observe the response in pre and post values of cardiac rehabilitation.
Results
The results showed that there is no significance in the APTT after phase 1cardiac rehabilitation. The other parameters showed significant difference after phase1 cardiac rehabilitation.
Conclusion
There are significant changes in the physiological outcome measures after phase 1 cardiac rehabilitation in mitral valve replacement individuals and can be used as baseline values to prescribe exercises.
Keywords
- WHO report on cardiovascular diseases 2009.
- Carabello, Blase A. MD Modern Management of Mitral Stenosis, Circulation; 2005; 112; 432-437.
- S.Padmavathi Rheumatic heart disease: prevalence and preventive measures in the Indian subcontinent.Heart 2001; 86:127
- A.K. Agarwal,M. Yunus,J. Ahmad,A. Khan The journal of Royal Society for promotion of Health, Vol. 115, No. 5, 303- 309.
- Chopra P, Bhatia ML. Chronic rheumatic heart disease in India: a reappraisal of pathologic changes. J Heart Valve Dis. 1992 Sep;1(1):92-101
- Dalen , Valvular heart disease, Page no- 62
- Simkova I, Urbanova J, Pulmonary function alterations after correction of mitral stenosis. Bratisl Lek Listy 2001; 102 (6): 278.281.
- Weissman , Pulmonary function and cardiorespiratory surgery, Aneasth anag 1999;88;1272-9.
- Deborah Anne Burton, Keith Stokes, George M Hall, Critcal care and pain: Volume 4; issue No 6- 2004 pages185-188.
- Salenger R I et al, Post operative care of cardiac surgical patients – Cardiac Surgery in Adults 2003; 439-469.
- SF Khuri et al, Hematological changes during and after cardiopulmonary bypass and their relationship to the bleeding time and non surgical blood loss. The journal of Thoracic and cardiovascular surgery Volume 104 94-107.
- Thrall, Graham; Lip, Gregory Y.H. Exercise and the Prothrombotic State: A Paradox of Cardiovascular Prevention or an Enhanced Prothrombotic State? Arteriosclerosis, thrombosis and vascular biology 2005: Volume 25(2): Pages 265-266.
- El Sayed MS et al, Effects of exercise on blood coagulation, fibrinolysis and platelet aggregation. Sports Med 1996; November 22 issue 5; Pages 282-298.
- Cardiovascular Physiology Concepts: By Richard E. Klabunde, PhD 2007.
- Rozich,et al, Mitral Valve Replacement With and Without Chordal Preservation in Patients With Chronic Mitral Regurgitation: Mechanisms for Differences in Postoperative Ejection Performance. Circulation. 86(6):1718-1726, December 1992.
- Horstkotte D, Niehues R, Schulte HD, Strauer BE., Exercise capacity after heart valve replacement Z. Kardiol 1994; 83; Suppl 3: 111-20.
- European .Journal. of CT surgery Vol 11; Issue 6 june 1994 1062-1066
- Lee Ingle et al, Prognostic value of the 6 min walk test and self-perceived symptom severity in older patients with chronic heart failure ; European Heart Journal (2007) 28 (5): 560-568
- G. H. Guyatt et al; The six minute walk: a new measure of exercise capacity in patients with chronic heart failure. Canadian Medical Association Journal, 1985; 132(8):919- 923.
- P. J Vandenburg, J.E.H.Hospers,M.Van Vliet, W.L.Mosterd and I. A. Huisveld Unbalanced haemostatic changes following strenuous physical exercise - A study in young sedentary males European Heart Journal ,Volume 16, Issue 12, Pp. 1995-2001.
- Ferguson et al Effects of exercise and conditioning on clotting and fibrinolytic activity in Men. J Apply Physiology; 1987; 62; 1416-21
- Molz et al: Effect of different exercise intensities on the fibrinolytic system; Eur J of Appl physiology 1993 67; 298-304
- San Jose Maria Cristina, Apaga Natalie EmperatrizP; Florento Leila; Gan Robert N. Effects of Aerobic Exercise and Training on Coagulation, Platelet Aggregation, and Plasma Lipids Vascular Disease Prevention, Volume 2, Number 2, April 2005 , pp. 145-150(6).
- Deborah Anne Burton, Keith Stokes,George M Hall, Physiological effects of exercise, Continuing Education in Anaesthesia, Critical Care & Pain 2004 4(6):185-188
- Gohlke-barwolf et al, Exercise tolerance and working capacity after valve replacement. J Heart Valve Dis 1992; Nov;1(2);189-95.
Abstract Views: 474
PDF Views: 0