Long physical trainings in patients who underwent coronary artery bypass grafting: problems and prospects
Purpose. To evaluate the efficacy and safety of independent physical trainings (PT) at the outpatient stage of rehabilitation in patients who underwent coronary artery bypass grafting (CABG). Material and methods. A total of 112 men with coronary artery disease (CAD) who underwent CABG were examined. Status of patients was evaluated after 1, 4 months and 1 year after CABG. Data demonstrated that the greatest effect on improving the exercise tolerance (ET), optimization of hemodynamic and lipid profile parameters was in patients who received controlled bicycle training (BT) within three months after CABG. Patients who received only drug therapy without controlled physical exercises during rehabilitation period had the lowest improvement of ET and left ventricular ejection fraction evaluated four months after CABG. Patients who received physical training at home in the form of controlled walking (CW) within three months after CABG had intermediate results. Conclusion. Individual PT of moderate intensity is safe, easy to perform, and is available for a large number of patients, but it is less efficacious than controlled BT.