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    S. A. Musayev

    IMPLEMENTATION OF REHABILITATION PROGRAM IN PATIENTS UNDERGOING CORONARY ARTERY BYPASS GRAFTING IN THE EARLY POSTOPERATIVE PERIOD


    About the author: S. A. Musayev
    Heading CLINICAL MEDICINE
    Type of article Scentific article
    Annotation With the purpose to develop the recovery protocol for the patients undergoing coronary artery bypass grafting 132 patients were observed (30 of them received isolated coronary artery bypass grafting, 30–mitral valve prosthesis, 72–concomitant coronary artery bypass grafting and mitral valve surgery). The rehabilitation program (physical and psychological therapy) was initiated from the first postoperative day (physical therapy within 10–12 days with a further transition to the next stage of rehabilitation during hospital stay). Of the 132 operated patients, only 37 (28 %) had an adequate mental state, 95 (72 %)–significant mental changes: neurosis (20 cases), anxiety-depressive state (49 cases), hypochondria (19 cases), hysteria (7 cases). At the end of the program 121 (91.7 %) patients had an adequate mental state on days 12–14 postoperatively. The mortality was in 8.3 %. The implementation of rehabilitation programs in early period accelerates convalescence period of coronary artery bypass grafting patients.
    Tags ischemic heart disease,coronary artery bypass grafting,rehabilitation,mitral valve prosthesis,mental disorders
    Bibliography
    • Alaparthi GK, Gatty A, Samuel SR, Amaravadi SK. Effectiveness, Safety, and Barriers to Early Mobilization in the Intensive Care Unit. Crit Care Res Pract. 2020 Nov 26;2020:7840743. doi: 10.1155/2020/7840743.
    • Ambrosetti M, Abreu A, Corrà U, Davos CH, Hansen D, Frederix I, et al. Secondary prevention through comprehensive cardiovascular rehabilitation: From knowledge to implementation. 2020 update. A position paper from the Secondary Prevention and Rehabilitation Section of the European Association of Preventive Cardiology. Eur J Prev Cardiol. 2021 May 14;28(5):460-495. doi: 10.1177/2047487320913379.
    • Anderson L, Thompson DR, Oldridge N, Zwisler AD, Rees K, Martin N, et al. Exercise-based cardiac rehabilitation for coronary heart disease. Cochrane Database Syst Rev. 2016 Jan 5;2016(1):CD001800. doi: 10.1002/14651858.CD001800.pub3. Update in: Cochrane Database Syst Rev. 2021 Nov 6;11:CD001800. doi: 10.1002/14651858.CD001800.pub4.
    • Baumann Kreuziger L, Karkouti K, Tweddell J, Massicotte MP. Antithrombotic therapy management of adult and pediatric cardiac surgery patients. J Thromb Haemost. 2018 Nov;16(11):2133-2146. doi: 10.1111/jth.14276.
    • Blessberger H, Kammler J, Domanovits H, Schlager O, Wildner B, Azar D, et al. Perioperative beta-blockers for preventing surgery-related mortality and morbidity. Cochrane Database Syst Rev. 2018 Mar 13;3(3):CD004476. doi:  10.1002/14651858.CD004476.pub3.
    • Borzou SR, Amiri S, Salavati M, Soltanian AR, Safarpoor G. Effects of the First Phase of Cardiac Rehabilitation Training on Self-Efficacy among Patients Undergoing Coronary Artery Bypass Graft Surgery. J Tehran Heart Cent. 2018 Jul;13(3):126-131. PMID: 30745925; PMCID: PMC6368910.
    • Brouwer J, Nijenhuis VJ, Delewi R, Hermanides RS, Holvoet W, Dubois CLF, et al. Aspirin with or without Clopidogrel after Transcatheter Aortic-Valve Implantation. N Engl J Med. 2020 Oct 8;383(15):1447-1457. doi: 10.1056/NEJMoa2017815.
    • Chakos A, Jbara D, Singh K, Yan TD, Tian DH. Network meta-analysis of antiplatelet therapy following coronary artery bypass grafting (CABG): none versus one versus two antiplatelet agents. Ann Cardiothorac Surg. 2018 Sep;7(5):577-585. doi:  10.21037/acs.2018.09.02.
    • Moradian ST, Najafloo M, Mahmoudi H, Ghiasi MS. Early mobilization reduces the atelectasis and pleural effusion in patients undergoing coronary artery bypass graft surgery: A randomized clinical trial. J Vasc Nurs. 2017 Sep;35(3):141-145. doi:  10.1016/j.jvn.2017.02.001.
    • Paquin A, Poirier P, Beaudoin J, Piché ME. Secondary prevention after CABG: do new agents change the paradigm? Curr Opin Cardiol. 2020 Nov;35(6):664-672. doi: 10.1097/HCO.0000000000000783.
    • Patti A, Merlo L, Ambrosetti M, Sarto P. Exercise-Based Cardiac Rehabilitation Programs in Heart Failure Patients. Heart Fail Clin. 2021 Apr;17(2):263-271. doi: 10.1016/j.hfc.2021.01.007.
    • Rakhshan M, Toufigh A, Dehghani-Firouzabadi A, Yektatalab S. Effect of Cardiac Rehabilitation on Hope Among Cardiac Patients After Coronary Artery Bypass Graft Surgery. Risk Manag Healthc Policy. 2020 Aug 25;13:1319-1326. doi:  10.2147/RMHP.S262656.
    • Richards SH, Anderson L, Jenkinson CE, Whalley B, Rees K, Davies P, et al. Psychological interventions for coronary heart disease: Cochrane systematic review and meta-analysis. Eur J Prev Cardiol. 2018 Feb;25(3):247-259. doi:  10.1177/2047487317739978.
    • Taylor RS, Dalal HM, McDonagh STJ. The role of cardiac rehabilitation in improving cardiovascular outcomes. Nat Rev Cardiol. 2022 Mar;19(3):180-194. doi: 10.1038/s41569-021-00611-7.
    Publication of the article «World of Medicine and Biology» №1(91), 2025 year, 081-084 pages, index UDK 616.12-005.4-089.8:615.8
    DOI 10.26724/2079-8334-2025-1-91-81-84