The use of stress test in patients after coronary artery bypass grafting to assess the effectiveness of surgery, determination of rehabilitation possibilities and prognosis
https://doi.org/10.20538/1682-0363-2018-4-221-228
Abstract
The review provides the data on current approaches on the use of stress tests to determine the programs, rehabilitation terms and the prognosis in patients who have undergone coronary artery bypass grafting (CABG). The experience of foreign and Russian clinics shows the necessity and relevance of stress testing in this category of patients. However, currently there are no clear recommendations on the terms and methods of stress testing in patients who underwent CABG. The widespread introduction of stress testing in general and spiroveloergometry in particular into practical medicine will allow for the production of personalized training programs and for the evaluatation of the patient’s prognosis, rehabilitation and labour potential.
About the Author
A. A. Inozemtseva
Research Institute for Complex Issues of Cardiovascular Diseases;
Kemerovo State Medical University
Russian Federation
Russian Federation
Inozemtseva Anastasya A., PhD, Junior Resecher, Research Institute for Complex Issues of Cardiovascular Diseases; Kemerovo State Medical University
6, Sosnovui Blv., Kemerovo, 650002,
22а, Vorochilov Str., Kemerovo, 650056
References
1. Bokeriya L.A., Stupakov I.N., Gudkova R.G. Features of statistics of the service of cardiovascular and endovascular surgery in the Russian Federation. Zdravoohranenie. 2013; 5: 22–32 (in Russ.).
2. Akchurin R.S., Shiryaev A.A., Vasiliev V.P., Galyautdinov D.M., Vlasova E.E. Modern trends in coronary surgery. Patologiya krovoobrashcheniya i kardiokhirurgiya. 2017; 21 (3S): 34–44. DOI: 10.21688/1681-3472-2017-3S-34-44 (in Russ.).
3. Bokeriya L.A., Bukharin V.A., Rabotnikov V.S., Alshibaya M.D. Surgical treatment of patients with ischemic heart disease with brachiocephalic arteries. Moscow: NTsSSKhim. A.N. Bakuleva RAMN Publ., 2006: 176 (in Russ.).
4. Osnabrugge R.L., Kappetein A.P., Head S.J., Kolh P. Doing better in more complex patients: leading the way for QUIP. Eur. J. Cardiothorac. Surg. 2016; 49 (2): 397–398. DOI: 10.1093/ejcts/ezv262.
5. Akchurin R.S., Shiryaev A.A., Vasiliev V.P., Galyautdinov D.M., Salichkin D.V. Coronary shunting with the use of an operating microscope for diffuse lesions of the coronary arteries. Eurasian Нeart Journal. 2017; 3: 18–19 (in Russ.).
6. Gajfulin R.A., Sumin A.N., Ivanov S.V., Barbarash L.S. Survival after surgical treatment of multifocal atherosclerosis in different age groups. Complex Issues of Cardiovascular Diseases. 2017; 2: 6–18 (in Russ.). DOI: 10.17802/2306-1278-2017-2-6-18. URL: elibrary.ru/download/elibrary_29422229_92494637.pdf
7. Boitsov S.A., Samorodskaya I.V. Comparison of mortality rate from myocardial infarction in the regions of the Russian Federation in 2006 and 2015. Profilakticheskaya meditsina. 2017; 20 (3): 11– 16. DOI: 10.17116/profmed201720311-16 (in Russ.).
8. Montalescot G., Andersen H.R., Antoniucci D., Betriu A., de Boer M.J., Grip L. et al. Recommendations on percutaneous coronary intervention for the reperfusion of acute ST elevation myocardial infarction. Heart. 2004; 90: 18–27. DOI: 10.1136/hrt.2003.016014. URL: p.360pubmed.com/pmc/articles/PMC1768296/
9. Yates B.C., Pozehl B., Kupzyk K., Epstein C.M., Deka P. Are heart failure and coronary artery bypass surgery patients meeting physical activity guidelines? Rehabil. Nurs. 2017; 42 (3): 119–124. DOI: 10.1002/rnj.257.
10. McGregor G., Nichols S., Hamborg T., Bryning L., Tudor-Edwards R., Markland D. et al. High-intensity interval training versus moderate-intensity steady-state training in UK cardiac rehabilitation programmes (HIIT or MISS UK): study protocol for a multicenter randomised controlled trial and economic evaluation. BMJ Open. 2016; 6 (11): 128–143. DOI: 10.1136/bmjopen-2016-012843. URL: p.360pubmed.com/pmc/articles/PMC5129054.
11. Huang S.C., Wong M.K., Lin P.J., Tsai F.C., Chu J.J., Wu M.Y. et al. Short-term intensive training attenuates the exercise-induced interaction of mono-1/2 cells and platelets after coronary bypass in cardiac patients. Thromb. Haemost. 2017; 117 (9): 1761–1771. DOI: 10.1160/th17-03-0184.
12. Bjarnason-Wehrens B., Mc Ge E.H., Zwisler A.D., Piepoli M.F., Benzer W., Schmid J.P. et al. Cardiac rehabilitation in Europe: results from the European Cardiac Rehabilitation Inventory Survey. Eur. J. Cardiovasc. Prev. Rehabil. 2010; 17 (4): 410–418. DOI: 10.1097/hjr.0b013e328334f42d.
13. Sudzhaeva S.G., Sudzhaeva O.A., Gubich T.S., Kazaeva N.A., Ganich M.A. National recommendations. Rehabilitation of cardiological and cardiac surgical patients (cardiac rehabilitation). Minsk, 2010: 236 (in Russ.).
14. Hillis L.D., Smith P.K., Anderson J.L., Bittl J.A., Bridges C.R., Byrne J.G. et al. 2011 ACCF/AHA Guideline for Coronary Artery Bypass Graft Surgery: Executive Summary. Circulation. 2011; 6: 654–735. DOI: 10.1016/j.jacc.2011.08.008. URL: www.sciencedirect.com/science/article/pii/S0735109711029482?via%3Dihub.
15. Windecker S., Kolh P., Alfonso F., Collet J.-P., Cremer J., Falk V. et al. 2014 ESC/EACTS Guidelines on myocardial revascularization. European Heart Journal. 2014; 35: 2541–2619. DOI: 10.1093/eurheartj/ehu278. URL: academic.oup.com/eurheartj/article/35/37/2541/581070.
16. Bokeriya L.A., Aronov D.M. Coronary artery bypass grafting in patients with ischemic heart disease: rehabilitation and secondary prevention. Moscow, 2016: 67 (in Russ.).
17. Pomeshkina S.A., Kondrikova N.V., Krupyanko E.V., Kagan E.S., Barbarash O.L. Analysis of аpproaches to аssessment of рersistent loss of capacity to work in patients who had undergone coronary bypass surgery. Cardiology. 2013; 7: 62–66 (in Russ.). URL: elibrary.ru/download/elibrary_20503334_76137368.pdf.
18. Zielinska D., Bellwon J., Rynkiewicz A., Elkady M.A. Prognostic value of the six-minute walk test in heart failure patients undergoing cardiac surgery: a literature review. Rehabil. Res. Pract. 2013; 2013: 965–969. DOI: 10.1155/2013/965494. URL: www.hindawi.com/journals/rerp/2013/965494/
19. Rocco I.S., Viceconte M., Pauletti H.O., Matos-Garcia B.C., Marcondi N.O., Bublitz C. et al. Oxygen uptake on-kinetics during six-minute walk test predicts short-term outcomes after off-pump coronary artery bypass surgery. Disabil Rehabil. 2017; 26: 1–7. DOI: https://doi.org/10.1080/09638288.2017.1401673. URL: www.tandfonline.com/doi/full/10.1080/09638288.2017.1401673.
20. Aronov D.M., Lupanov V.P. Functional tests in cardiology. 2nd ed. Moscow: MEDpress-inform Publ., 2003: 296 (in Russ.).
21. Fletcher G.F., Ades P.A., Kligfield P., Arena R., Balady G.J., Bittner V.A. et al. Exercise standards for testing and training: a scientific statement from the American Heart Association. Circulation. 2013; 128 (8): 873–934. doi.org/10.1161/hc3901.095960. URL: circ.ahajournals.org/content/104/14/1694.
22. Nechaeva G.I., Fisun N.I., Druk I.V., Yankovskiyi E.B., Morozov S.L. Comparative evaluation of functional stress tests in the diagnosis of angina: an overview. Heart. 2008; 7 (2): 91–97 (in Russ.). URL: elibrary.ru/download/elibrary_10441649_77631509.pdf
23. Data D., Normandin E., Zu Wallack R. Cardiopulmonary exercise testing in the assessment of exertional dyspnea. Ann. Thorac. Med. 2015; 10 (2): 77–86. doi. org/10.4103/1817-1737.151438. URL: www.thoracicmedicine.org/article.asp?issn=1817737;year=2015;volume=10;issue=2;spage=77;epage=86;aulast=Datta
24. Myers J., Arena R., Cahalin L.P. Cardiopulmonary exercise testing in heart failure. Curr. Probl. Cardiol. 2015; 40 (8): 322–372. doi.org/10.1016/j.cpcardiol.2015.01.009. URL: www.sciencedirect.com/science/article/pii/S0146280615000109?via%3Dihub
25. Mukharlyamov Yu., Sychyova M. G., Rassulova M.A. Programs of medical rehabilitation after coronary artery bypass grafting. Doctor.ru. 2016; 12 (129): 7–10 (in Russ.).
26. Tomazini Nesello P.F., Tairova O., Tairova M., Graciolli L., Baroni A., Comparsi Е. et al. Treatment of the Aged Patients at a Large Cardiac Rehabilitation Center in the Southern Brazil and Some Aspects of Their Dropout from the Therapeutic Programs. Open Access Maced J. Med. Sci. 2016; 4 (4): 654–660. doi.org/10.3889/oamjms.2016.125. URL: www.id-press.eu/mjms/article/view/oamjms.2016.125
27. Ansari B., Qureshi M.A., Zohra R.R. Effect of exercise training program in post-CRET post-CABG patients with normal and subnormal ejection fraction (EF > 50% or < 50%) after coronary artery bypass grafting surgery. Pak. J. Pharm. Sci. 2014; 27 (6): 2157–2163.
28. Salzwedel A., Reibis R., Wegscheider K., Eichler S., Buhlert H., Kaminski S. et al. Cardiopulmonary exercise testing is predictive of return to work in cardiac patients after multicomponent rehabilitation. Clin. Res. Cardiol. 2016; 105 (3): 257–267. doi.org/10.1007/s00392-015-0917-1. URL: link.springer.com/article/10.1007%2Fs00392-015-0917-1
29. Taran I.N., Valieva Z.S., Martynyuk T.V., Chazova I.Ye. Cardiopulmonary exercise testing in risk stratification in patients with pulmonary arterial hypertension and chronic thromboembolic pulmonary hypertension. Eurasian Нeart Journal. 2017; 4: 86–99 (in Russ.). URL: elibrary.ru/download/elibrary_30579592_70575539.pdf
30. Skalski J., Allison T.G., Miller T.D. The safety of cardiopulmonary exercise testing in a population with highrisk cardiovascular diseases. Circulation. 2012; 126(21): 2465–2472. doi.org/10.1161/circulationaha.112.110460. URL: circ.ahajournals.org/content/126/21/2465.
31. Tsai S.W., Lin Y.W., Wu S.K. The effect of cardiac rehabilitation on recovery of heart rate over one minute after exercise in patients with coronary artery bypass graft surgery. Clin. Rehabil. 2005; 19 (8): 843–849. doi.org/10.1191/0269215505cr915oa. URL: journals.sagepub.com/doi/10.1191/0269215505cr915oa.
32. Tsuboi Y., Tanaka H., Nishio R., Sawa T., Terashita D., Nakayama K. et al. Associations of exercise tolerance with hemodynamic parameters for pulmonary arterial hypertension and for chronic thromboembolic pulmonary hypertension. J. Cardiopulm. Rehabil. Prev. 2017; 37 (5): 341–346. doi.org/10.1097/hcr.0000000000000257. URL: insights.ovid.com/crossref?an=01273116-201709000-00008
33. Galie N., Humbert M., Vachieryc J.L., Gibbs S., Lang I., Torbicki A. et al. 2015 ESC/ERS Guidelines for the diagnosis and treatment of pulmonary hypertension. European Heart Journal. 2016; 37 (1): 67–119. doi.org/10.1183/13993003.51032-2015. URL: erj.ersjournals.com/content/46/6/1855
34. Tan S.J., Allen J.C., Tan S.Y. Determination of ideal target exercise heart rate for cardiac patients suitable for rehabilitation. Clin. Cardiol. 2017; 40 (11): 1008– 1012. doi.org/10.1002/clc.22758. URL: onlinelibrary.wiley.com/doi/abs/10.1002/clc.22758
35. Koretskiy S.N., Shabalkin B.V., Zhbanov I.V., Stonogin A.V., Ovchinnikov R.S., Svet A.V. et al. Evaluation of physical training efficiency using ergospirometry in patients with moderate or high risk after coronary bypass grafting. Cardiology and Сardiovascular Surgery. 2009; 6 (2): 12–15 (in Russ.).
36. Kerbikov O.В., Averyanov A.V., Borskaya E.N., Krutova T.V. Cardiopulmonary exercise testing in clinical practice. Clinical Рractice. 2012; 2 (10): 58–70 (in Russ.).
Review
For citations:
Inozemtseva A.A. The use of stress test in patients after coronary artery bypass grafting to assess the effectiveness of surgery, determination of rehabilitation possibilities and prognosis. Bulletin of Siberian Medicine. 2018;17(4):221-228. (In Russ.) https://doi.org/10.20538/1682-0363-2018-4-221-228
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