CCCardiol CroatCardiologia CroaticaCardiol. Croat.1848-543X1848-5448Croatian Cardiac SocietyCC_11(12)_630-63110.15836/ccar2016.630Extended AbstractPhysiotherapy intervention in outpatient cardiovascular rehabilitation in patients after aortic valve surgeryhttp://orcid.org/0000-0001-8804-1357Dražić-BalovJadranka1http://orcid.org/0000-0001-6037-7537MuminovićŽaklina1http://orcid.org/0000-0002-4718-1019ĆurićGabrijela1http://orcid.org/0000-0002-3888-4804SkorićKristina Narančić1http://orcid.org/0000-0002-6426-6831IvanušaMario12Institute for Cardiovascular Prevention and Rehabilitation, Zagreb, CroatiaUniversity of Rijeka School of Medicine, Rijeka, CroatiaAddress for correspondence: Mario Ivanuša, Poliklinika za prevenciju kardiovaskularnih bolesti i rehabilitaciju, Draškovićeva 13, HR-10000 Zagreb, Croatia. / Phone: +385-1-4612-290; Fax: +385-1-4612-343 / E-mail: mivanusa@gmail.com112016111263063110112016201120162016Croatian Cardiac SocietyKeywords: aortic valve cardiac surgeryphysiotherapy interventionoutpatient cardiovascular rehabilitation
Introduction: The aortic valve implantation is immediately followed by the first phase of cardiovascular rehabilitation (CVR). The first follow-up by a cardiac surgeon, which is common in 6-8 weeks after the surgical intervention, is followed by the continued rehabilitation by including the patients in some of the inpatient or outpatient CVR programs, provided there are no contraindications present. (1) The aim of the paper is to present the results of physiotherapy (PT) interventions in patients after aortic valve surgery involved in the outpatient CVR program in the Institute for Cardiovascular Diseases Prevention and Rehabilitation in Zagreb.
Patients and Methods: We retrospectively analyzed the data from the medical charts of all patients after aortic valve surgery involved in the outpatient CVR program in the Polyclinic during the period from 10th January 2012 who ceased to participate in the program by 6th October 2016. The performance of the CVR in the Institute (2) and the presentation of PT interventions (2, 3) have already been described. The time period from the surgical intervention to involvement in the program, the presence of problems during the training and frequency of participation in the training affect the accomplishment of short-term and long-term PT goals which is shown by descriptive statistics in the groups of subjects by gender.
Results: During the period of the study, a total of 53 patients, of whom 35 (66%) men and 18 (34%) women underwent the CVR program. The study results of the success of performing PT interventions are shown in Table 1.
Physiotherapy interventions in patients after aortic valve surgery undergoing outpatient cardiovascular rehabilitation.
Men (n=35)
Women (n=18)
Total (N=53)
Number of days till involvement in the program
Average number
156
146
153
Minimum number
48
51
48
Maximum number
763
440
763
Number of participations in the interval cardiovascular training
>35
11.4% (4/35)
16.7% (3/18)
13.2% (7/53)
24-35
34.3% (12/35)
50.0% (9/18)
39.6% (21/53)
13-23
20.0% (7/35)
16.7% (3/18)
18.9% (10/53)
<13
34.3% (12/35)
16.7% (3/18)
28.3% (15/53)
Discomforts during the program
No discomforts
34.3% (12/35)
44.4% (8/18)
37.7% (20/53)
Cardiovascular
25.7% (9/35)
0% (0/18)
16.9% (9/53)
Noncardiovascular
28.6% (10/35)
33.3% (6/18)
30.2% (16/53)
Cardiovascular and noncardiovascular
11.4% (4/35)
22.2% (4/18)
15.1% (8/53)
Rehabilitation conditioning during the program
Increase in stress
28.6% (10/35)
27.8% (5/18)
28.3% (15/53)
Decrease in stress
0% (0/35)
0% (0 /18)
0% (0/53)
Accomplishment of physiotherapy goals
Short-term goals accomplished
80.0% (28/35)
89.0% (16/18)
83.0% (44/53)
Long-term goals accomplished
60.0% (21/35)
83.3% (15/18)
67.9% (36/53)
Conclusion: The patients with aortic valve operated in Croatia start with the outpatient CVR program late, on the average after 5 months following the surgical intervention. A small number of problems have resulted in a large number of participation in the interval cardiovascular training in patients and therefore more successful accomplishment of short-term and long-term PT goals of the CVR program. Since this is a study in one CVR center, it is necessary to examine the effect in a larger group, as well as in patients with other indications for outpatient CVR.
LiteratureAssociation of Chartered Physiotherapists in Cardiac Rehabilitation. Early Activity After Cardiac Surgery 2016. Available at: http://acpicr.com/sites/default/files/Early%20Activity%20After%20Cardiac%20Surgery%202016%20-%20Booklet%20-%20A4_1.pdf (20. 10. 2016).IvanušaMNarančić SkorićKGlavaš VražićSKruhek LeontićDHeinrichMMažuran BrkljačićL2. Outpatient Cardiovascular Rehabilitation in Croatia.Cardiol Croat. 2015;10(1-2):28–42. 10.15836/ccar.2015.28MuminovićŽBrkljačić MažuranLDražić-BalovJGlavaš VražićSIvanušaM. I am active, therefore I am: physiotherapy interventions in cardiovascular rehabilitation.Cardiol Croat. 2016;11(10-11):548–9. 10.15836/ccar2016.548