Naslov
Ambulantna kardiovaskularna rehabilitacija nakon operacije aortne valvule: hrvatsko iskustvo
(Outpatient cardiovascular rehabilitation after aortic valve surgery: Croatian experience)

Autori
Narančić Skorić, Kristina ; Ivanuša, Mario ; Dražić-Balov, Jadranka ; Muminović, Žaklina

Vrsta, podvrsta i kategorija rada
Sažeci sa skupova, prošireni sažetak, znanstveni

Izvornik
Cardiologia Croatica / Ivanuša, Mario - Zagreb : Hrvatsko kardiološko društvo, 2016, 628-629

Skup
3. simpozij Radne skupine za bolesti srčanih zalistaka Hrvatskog kardiološkog društva s međunarodnim sudjelovanjem "Aortna stenoza"

Mjesto i datum
Zagreb, Hrvatska, 02.12.2016. - 03.12.2016

Vrsta sudjelovanja
Predavanje

Vrsta recenzije
Domaća recenzija

Ključne riječi
operacija aortne valvule ; ambulantna kardiovaskularna rehabilitacija ; Hrvatska
(aortic valve surgery ; outpatient cardiovascular rehabilitation ; Croatia)

Sažetak
Introduction: While the benefits of the cardiovascular rehabilitation (CVR) after the myocardial surgical coronary revascularization are well documented, only a few studies have indicated the benefits of CVR in patients after the aortic valve surgery. The aim of the paper is to show the experience of the only Croatian center of the outpatient CVR in patients after the aortic valve surgery. Patients and Methods: We retrospectively analyzed the data from the medical charts of all patients with operated aortic valve involved in the outpatient CVR program in the Institute for Cardiovascular Diseases Prevention and Rehabilitation in Zagreb from 10th January 2012, and who ceased to participate in the program by 6th October 2016. The performance of the CVR program in the Institute has already been described. In addition to the data on a type of intervention and risk factors, we have also analyzed the frequency of the optimally performed anticoagulant therapy and changes to the functional capacity at the end of the CVR. The results were presented by groups according to gender by using the descriptive statistics methods. Results: Out of 53 patients involved, 18 (34%) were women and 35 (66%) men. The average duration of CVR was 2.6 months. The main disease is aortic stenosis, which was present in 80% of men and 89% of women. The analysis of the frequency of the interventions performed, risk factors and the success of anticoagulant therapy is shown in Table 1. The mean functional capacity value at the beginning and end of the CVR was 5.9±1.39 and 6.8±1.17 for men and 5.6±0.85 and 6.4±1, 12 METs for women. Conclusions: Men are more often involved in the outpatient CVR program following the aortic valve surgery. Aortic stenosis is a dominant disease, where out of risk factors there is hypertension, dyslipidemia and increased body mass index to be emphasized. Patients with implanted bioprosthetic valve were involved more frequently. Anticoagulant therapy was optimal in a half of the subjects. The CVR program after the aortic valve replacement surgery improves the functional capacity. Further studies on a greater number of patients as well as additional education about the importance of anticoagulant therapy are needed.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti, Edukacijsko-rehabilitacijske znanosti

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