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Erschienen in: Sport Sciences for Health 3/2017

23.09.2017 | Review

Possible benefits of different physical exercise programs after coronary artery bypass graft surgery: a minireview of selected randomized controlled trials

verfasst von: Fabiano de Jesus Furtado Almeida, Bruno Bavaresco Gambassi, Paulo Adriano Schwingel, Ana Eugênia Ribeiro Araújo Furtado Almeida, Bismarck Ascar Sauaia, Thiago Matheus da Silva Sousa, Janaína Oliveira Bentivi Pulcherio, Bruno Rodrigues, Vinicius José Nina

Erschienen in: Sport Sciences for Health | Ausgabe 3/2017

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Abstract

Background

Recommendations for using exercise training protocols in cardiac rehabilitation are based on the potential benefits they provide, minimizing morbidity and mortality risks in coronary patients. This review aimed to investigate the benefits offered by different physical exercise programs after coronary artery bypass graft surgery.

Methods

We conducted a systematic review of randomized controlled clinical trials found in PubMed and Physiotherapy Evidence (PEDro) databases.

Results

We found 7 randomized controlled trials (463 participants) with physical exercise programs comprising aerobic training, inspiratory muscle training, strength training and combined training. The programs surveyed consisted of: aerobic training (duration of protocols between 4 weeks and 6 months; duration of session, 20–80 min; frequency, 3–5 times a week; intensity, 60–90% of heart rate reserve), combined training and combined training + inspiratory muscle training (12-week duration in 60 min twice weekly sessions; aerobic intensity of 55–65% of the heart rate reserve) and resistance training (duration of 8 weeks, in 20–45 min sessions distributed 2–3 times a week, using 3 sets of 10–40 repetitions, with an intensity of 20–30% of peak torque).

Conclusion

The practice of physical exercises (with duration, frequency and intensity established) in cardiac rehabilitation programs proposed were beneficial for patients who had undergone coronary artery bypass graft surgery. Further randomized controlled trials are needed to confirm the benefits mentioned.
Literatur
1.
Zurück zum Zitat Angelini GD, Taylor FC, Reeves BC, Ascione R (2002) Early and midterm outcome after off-pump and on pump surgery in beating heart against cardioplegic. Lancet 359(9313):1194–1199CrossRefPubMed Angelini GD, Taylor FC, Reeves BC, Ascione R (2002) Early and midterm outcome after off-pump and on pump surgery in beating heart against cardioplegic. Lancet 359(9313):1194–1199CrossRefPubMed
2.
Zurück zum Zitat Puskas JD, Lazar HL, Mack MJ, Sabik JF 3rd, Paul Taggart D (2014) State-of-the-art coronary artery bypass graft. Semin Thorac Cardiovasc Surg 26(1):76–94CrossRefPubMed Puskas JD, Lazar HL, Mack MJ, Sabik JF 3rd, Paul Taggart D (2014) State-of-the-art coronary artery bypass graft. Semin Thorac Cardiovasc Surg 26(1):76–94CrossRefPubMed
3.
Zurück zum Zitat Montalescot G, Sechtem U, Achenbach S, Andreotti F, Arden C, Budaj A, ESC Committee for Practice Guidelines et al (2013) ESC guidelines on the management of stable coronary artery disease: the Task Force on the management of stable coronary artery disease of the European Society of Cardiology. Eur Heart J 34(38):2949–3003CrossRefPubMed Montalescot G, Sechtem U, Achenbach S, Andreotti F, Arden C, Budaj A, ESC Committee for Practice Guidelines et al (2013) ESC guidelines on the management of stable coronary artery disease: the Task Force on the management of stable coronary artery disease of the European Society of Cardiology. Eur Heart J 34(38):2949–3003CrossRefPubMed
4.
Zurück zum Zitat Pêgo-Fernandes PM, Gaiotto FA, Guimarães-Fernandes F (2008) Estado atual da cirurgia de revascularização do miocárdio. Rev Med 87(2):92–98 Pêgo-Fernandes PM, Gaiotto FA, Guimarães-Fernandes F (2008) Estado atual da cirurgia de revascularização do miocárdio. Rev Med 87(2):92–98
5.
Zurück zum Zitat Perk J, De Backer G, Gohlke H, Graham I, Reiner Z, Verschuren WM et al (2012) European guidelines on cardiovascular disease prevention in clinical practice (version 2012): the fifth joint task force of the European society of cardiology and other societies on cardiovascular disease prevention in clinical practice (constituted by representatives of nine societies and by invited experts). Int J Behav Med 19(4):403–488CrossRefPubMed Perk J, De Backer G, Gohlke H, Graham I, Reiner Z, Verschuren WM et al (2012) European guidelines on cardiovascular disease prevention in clinical practice (version 2012): the fifth joint task force of the European society of cardiology and other societies on cardiovascular disease prevention in clinical practice (constituted by representatives of nine societies and by invited experts). Int J Behav Med 19(4):403–488CrossRefPubMed
6.
Zurück zum Zitat Crisafulli A, Mancardi D, Marongiu E, Rastaldo R, Penna C, Pagliaro P (2015) Preconditioning cardioprotection and exercise performance: a radical point of view. Sport Sci Health 11(2):137–151CrossRef Crisafulli A, Mancardi D, Marongiu E, Rastaldo R, Penna C, Pagliaro P (2015) Preconditioning cardioprotection and exercise performance: a radical point of view. Sport Sci Health 11(2):137–151CrossRef
7.
Zurück zum Zitat Anderson L, Oldridge N, Thompson DR, Zwisler AD, Rees K, Martin N et al (2016) Exercise-based cardiac rehabilitation for coronary heart disease: cochrane systematic review and meta-analysis. J Am Coll Cardiol 67(1):1–12CrossRefPubMed Anderson L, Oldridge N, Thompson DR, Zwisler AD, Rees K, Martin N et al (2016) Exercise-based cardiac rehabilitation for coronary heart disease: cochrane systematic review and meta-analysis. J Am Coll Cardiol 67(1):1–12CrossRefPubMed
8.
Zurück zum Zitat Taylor RS, Brown A, Ebrahim S, Jolliffe J, Noorani H, Rees K et al (2004) Exercise-based rehabilitation for patients with coronary heart disease: systematic review and meta-analysis of randomized controlled trials. Am J Med 116(10):682–692CrossRefPubMed Taylor RS, Brown A, Ebrahim S, Jolliffe J, Noorani H, Rees K et al (2004) Exercise-based rehabilitation for patients with coronary heart disease: systematic review and meta-analysis of randomized controlled trials. Am J Med 116(10):682–692CrossRefPubMed
9.
Zurück zum Zitat Ansari B, Qureshi MA, Zohra RR (2014) 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 27(6):2157–2163PubMed Ansari B, Qureshi MA, Zohra RR (2014) 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 27(6):2157–2163PubMed
10.
Zurück zum Zitat Zoroufian A, Taherian A, Hosseini SK, Sardari A, Sheikhvatan M (2012) Effects of cardiac rehabilitation program on right ventricular function after coronary artery bypass graft surgery. J Tehran Heart Center 7(1):25 Zoroufian A, Taherian A, Hosseini SK, Sardari A, Sheikhvatan M (2012) Effects of cardiac rehabilitation program on right ventricular function after coronary artery bypass graft surgery. J Tehran Heart Center 7(1):25
11.
Zurück zum Zitat Wolszakiewicz J, Piotrowicz E, Foss-Nieradko B, Dobraszkiewicz-Wasilewska B, Piotrowicz R (2014) A novel model of exercise walking training in patients after coronary artery bypass grafting. Kardiol Polska 73(2):118–126CrossRefPubMed Wolszakiewicz J, Piotrowicz E, Foss-Nieradko B, Dobraszkiewicz-Wasilewska B, Piotrowicz R (2014) A novel model of exercise walking training in patients after coronary artery bypass grafting. Kardiol Polska 73(2):118–126CrossRefPubMed
12.
Zurück zum Zitat Nishitani M, Shimada K, Masaki M, Sunayama S, Kume A, Fukao K, Yamamoto T (2013) Effect of cardiac rehabilitation on muscle mass, muscle strength, and exercise tolerance in diabetic patients after coronary artery bypass grafting. J Cardiol 61(3):216–221CrossRefPubMed Nishitani M, Shimada K, Masaki M, Sunayama S, Kume A, Fukao K, Yamamoto T (2013) Effect of cardiac rehabilitation on muscle mass, muscle strength, and exercise tolerance in diabetic patients after coronary artery bypass grafting. J Cardiol 61(3):216–221CrossRefPubMed
13.
Zurück zum Zitat Onishi T, Shimada K, Sunayama S, Ohmura H, Sumide T, Masaki Y et al (2009) Effects of cardiac rehabilitation in patients with metabolic syndrome after coronary artery bypass grafting. J Cardiol 53(3):381–387CrossRefPubMed Onishi T, Shimada K, Sunayama S, Ohmura H, Sumide T, Masaki Y et al (2009) Effects of cardiac rehabilitation in patients with metabolic syndrome after coronary artery bypass grafting. J Cardiol 53(3):381–387CrossRefPubMed
14.
Zurück zum Zitat Esteki Ghashghaei F, Sadeghi M, Marandi SM, Esteki Ghashghaei S (2012) Exercise-based cardiac rehabilitation improves hemodynamic responses after coronary artery bypass graft surgery. Arya Atheroscler 7(4):151–156 Esteki Ghashghaei F, Sadeghi M, Marandi SM, Esteki Ghashghaei S (2012) Exercise-based cardiac rehabilitation improves hemodynamic responses after coronary artery bypass graft surgery. Arya Atheroscler 7(4):151–156
15.
Zurück zum Zitat Gaeini AA, Fallahi AA, Kazemi F (2015) Effects of aerobic continuous and interval training on rate-pressure product in patients after CABG surgery. J Sports Med Phys Fitness 55(1–2):76–83PubMed Gaeini AA, Fallahi AA, Kazemi F (2015) Effects of aerobic continuous and interval training on rate-pressure product in patients after CABG surgery. J Sports Med Phys Fitness 55(1–2):76–83PubMed
16.
Zurück zum Zitat Smith KM, McKelvie RS, Thorpe KE, Arthur HM (2011) Six-year follow-up of a randomised controlled trial examining hospital versus home-based exercise training after coronary artery bypass graft surgery. Heart 97(14):1169–1174CrossRefPubMed Smith KM, McKelvie RS, Thorpe KE, Arthur HM (2011) Six-year follow-up of a randomised controlled trial examining hospital versus home-based exercise training after coronary artery bypass graft surgery. Heart 97(14):1169–1174CrossRefPubMed
17.
Zurück zum Zitat Bilińska M, Kosydar-Piechna M, Mikulski T, Piotrowicz E, Gąsiorowska A, Piotrowski W et al (2013) Influence of aerobic training on neurohormonal and hemodynamic responses to head-up tilt test and on autonomic nervous activity at rest and after exercise in patients after bypass surgery. Cardiol J 20(1):17–24PubMed Bilińska M, Kosydar-Piechna M, Mikulski T, Piotrowicz E, Gąsiorowska A, Piotrowski W et al (2013) Influence of aerobic training on neurohormonal and hemodynamic responses to head-up tilt test and on autonomic nervous activity at rest and after exercise in patients after bypass surgery. Cardiol J 20(1):17–24PubMed
18.
Zurück zum Zitat Vivekananthan DP, Blackstone EH, Pothier CE, Lauer MS (2003) Heart rate recovery after exercise is a predictor of mortality, independent of the angiographic severity of coronary disease. J Am Coll Cardiol 42(5):831–838CrossRefPubMed Vivekananthan DP, Blackstone EH, Pothier CE, Lauer MS (2003) Heart rate recovery after exercise is a predictor of mortality, independent of the angiographic severity of coronary disease. J Am Coll Cardiol 42(5):831–838CrossRefPubMed
19.
Zurück zum Zitat Cole CR, Blackstone EH, Pashkow FJ, Snader CE, Lauer MS (1999) Heart-rate recovery immediately after exercise as a predictor of mortality. N Engl J Med 341(18):1351–1357CrossRefPubMed Cole CR, Blackstone EH, Pashkow FJ, Snader CE, Lauer MS (1999) Heart-rate recovery immediately after exercise as a predictor of mortality. N Engl J Med 341(18):1351–1357CrossRefPubMed
20.
Zurück zum Zitat Moholdt TT, Amundsen BH, Rustad LA, Wahba A, Løvø KT, Gullikstad LR et al (2014) Aerobic interval training versus continuous moderate exercise after coronary artery bypass surgery: a randomized study of cardiovascular effects and quality of life. Am Heart J 158(6):1031–1037CrossRef Moholdt TT, Amundsen BH, Rustad LA, Wahba A, Løvø KT, Gullikstad LR et al (2014) Aerobic interval training versus continuous moderate exercise after coronary artery bypass surgery: a randomized study of cardiovascular effects and quality of life. Am Heart J 158(6):1031–1037CrossRef
21.
Zurück zum Zitat Firouzabadi MG, Sherafat A, Vafaeenasab M (2014) Effect of physical activity on the life quality of coronary artery bypass graft patients. J Med Life 7(2):260–263PubMedPubMedCentral Firouzabadi MG, Sherafat A, Vafaeenasab M (2014) Effect of physical activity on the life quality of coronary artery bypass graft patients. J Med Life 7(2):260–263PubMedPubMedCentral
22.
Zurück zum Zitat Hermes BM, Cardoso DM, Gomes TJ, Santos TD, Vicente MS, Pereira SN et al (2015) Short-term inspiratory muscle training potentiates the benefits of aerobic and resistance training in patients undergoing CABG in phase II cardiac rehabilitation program. Rev Bras Cir Cardiovasc 30(4):474–481PubMedPubMedCentral Hermes BM, Cardoso DM, Gomes TJ, Santos TD, Vicente MS, Pereira SN et al (2015) Short-term inspiratory muscle training potentiates the benefits of aerobic and resistance training in patients undergoing CABG in phase II cardiac rehabilitation program. Rev Bras Cir Cardiovasc 30(4):474–481PubMedPubMedCentral
23.
Zurück zum Zitat Ghroubi S, Elleuch W, Abid L, Abdenadher M, Kammoun S, Elleuch MH (2013) Effects of a low-intensity dynamic-resistance training protocol using an isokinetic dynamometer on muscular strength and aerobic capacity after coronary artery bypass grafting. Ann Phys Rehabil Med 56(2):85–101CrossRefPubMed Ghroubi S, Elleuch W, Abid L, Abdenadher M, Kammoun S, Elleuch MH (2013) Effects of a low-intensity dynamic-resistance training protocol using an isokinetic dynamometer on muscular strength and aerobic capacity after coronary artery bypass grafting. Ann Phys Rehabil Med 56(2):85–101CrossRefPubMed
24.
Zurück zum Zitat Ximenes NN, Borges DL, Lima RO, Barbosa e Silva MG, Silva LN, Costa Mde A et al (2015) Effects of resistance exercise applied early after coronary artery bypass grafting: a randomized controlled trial. Braz J Cardiovasc Surg 30(6):620–625PubMedPubMedCentral Ximenes NN, Borges DL, Lima RO, Barbosa e Silva MG, Silva LN, Costa Mde A et al (2015) Effects of resistance exercise applied early after coronary artery bypass grafting: a randomized controlled trial. Braz J Cardiovasc Surg 30(6):620–625PubMedPubMedCentral
Metadaten
Titel
Possible benefits of different physical exercise programs after coronary artery bypass graft surgery: a minireview of selected randomized controlled trials
verfasst von
Fabiano de Jesus Furtado Almeida
Bruno Bavaresco Gambassi
Paulo Adriano Schwingel
Ana Eugênia Ribeiro Araújo Furtado Almeida
Bismarck Ascar Sauaia
Thiago Matheus da Silva Sousa
Janaína Oliveira Bentivi Pulcherio
Bruno Rodrigues
Vinicius José Nina
Publikationsdatum
23.09.2017
Verlag
Springer Milan
Erschienen in
Sport Sciences for Health / Ausgabe 3/2017
Print ISSN: 1824-7490
Elektronische ISSN: 1825-1234
DOI
https://doi.org/10.1007/s11332-017-0400-7

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