| 제목 |
Comprehensive Evaluation of Integral Cardiac Rehabilitation in Critical Pathway after |
| 소속 |
Jeju National University Hospital, Department of Rehabilitation Medicine1, Jeju National University, Department of Rehabilitation Medicine 2 |
| 저자 |
Jong Hyun Kim1*, Eun Young Han1,2†, Bo Ryun Kim1, So Young Lee1, Sang Hee Im1, Young Tae Jeon1, Won Bin Kim1 |
Abstract
Backgrounds and Objectives: Cardiac rehabilitation (CR) has recently emerging as an integral component of critical pathway (CP) of acute coronary syndrome (ACS) in Korea. The aims of this study are to establish the comprehensive data about the body composition, presence of sarcopenia, arterial stiffness, leg isometric strength, gait endurance, and cardiopulmonary fitness during subacute phase after percutaneous coronary intervention (PCI) in OO regional cardiocerebrovascular center.
Methods: The evaluations of arterial stiffness (brachial ankle pulse wave velocity; baPWV) and body composition using bio impedance analysis (BIA) were performed during 4-day admission and skeletal muscle index (SMI) were calculated. The demographic, clinical characteristics including age, gender, the classification of myocardiac infarction (MI) in the presence of ST-segment elevation (STEMI vs NSTEMI) were evaluated. 6-minute walk test (6MWT) and the mean value of isometric muscular strengths of bilateral quadriceps, hamstrings relative to body weight were measured. Cardiopulmonary fitness was evaluated using an expired gas analyzer.
Results:
111 patients underwent PCI after ACS and all were referred (100%) for CR from Jan, 2015 to Mar, 2016. 79 patients (72.2%, 60.0 ± 11.2 years, 65 males) conducted exercise stress test (EST) in outpatient clinic. Compared with previously reported values of healthy persons, there were no significant difference in peak aerobic capacity, isometric muscular strength of lower limb, gait endurance and skeletal muscle index, but mean value of BaPWV was increased.
Conclusion: This present study confirmed the baseline values of the comprehensive evaluations in ACS patients during subacute phase after applying the integral cardiac rehabilitation included in critical pathway. Therefore, further studies should be warranted for the individualized and appropriate cardiac rehabilitation according to categorized cardiovascular diseases.
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General demographic, clinical characteristics and arterial stiffness
Parameters of Body composition, gait endurance and Isometric muscular strength of Lower extremities
Cardiopulmonary parameters in all post-PCI patients
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