Chiness Journal of Clinical Medicine

Early exercise intervention at the bedside in patients undergoing cardiac rehabilitation after cardiac surgery

Received:May 28, 2021 Revised:March 03, 2022 Click here to download the full text

Citation of this paper:M. Rafi HAMIDI,CHEN Yi-hong,MI Shou-ling,LU Yun-tao,CONG Shuo,WANG Wen-shuo,Hosna HAMIDI,YANG Ye,M. Salim BAHRAMAND,Ali Ateel DAIFOLADI,Babrak SAYEDZADA,LIU Huan,WEI Lai,WANG Chun-sheng.Early exercise intervention at the bedside in patients undergoing cardiac rehabilitation after cardiac surgery[J].Chinese Journal of Clinical Medicine,2022,29(4):621-626

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Author Name	Affiliation	E-mail
M. Rafi HAMIDI	Department of Cardiovascular Surgery, Zhongshan Hospital, Fudan University Shanghai Cardiovascular Institute, Shanghai 200032, China
CHEN Yi-hong	Department of Cardiovascular Surgery, Zhongshan Hospital, Fudan University Shanghai Cardiovascular Institute, Shanghai 200032, China
MI Shou-ling	Department of Cardiovascular Surgery, Zhongshan Hospital, Fudan University Shanghai Cardiovascular Institute, Shanghai 200032, China
LU Yun-tao	Department of Cardiovascular Surgery, Zhongshan Hospital, Fudan University Shanghai Cardiovascular Institute, Shanghai 200032, China
CONG Shuo	Department of Cardiovascular Surgery, Zhongshan Hospital, Fudan University Shanghai Cardiovascular Institute, Shanghai 200032, China
WANG Wen-shuo	Department of Cardiovascular Surgery, Zhongshan Hospital, Fudan University Shanghai Cardiovascular Institute, Shanghai 200032, China
Hosna HAMIDI	Regional Health Cluster Coordinator, World Health Organization, Kabul 1001, Afghanistan
YANG Ye	Department of Cardiovascular Surgery, Zhongshan Hospital, Fudan University Shanghai Cardiovascular Institute, Shanghai 200032, China
M. Salim BAHRAMAND	Afghan Red Crescent Society Health Department, Kabul 1001, Afghanistan
Ali Ateel DAIFOLADI	Department of Cardiovascular Surgery, Amir Hajizada Hospital, Kabul 1001, Afghanistan
Babrak SAYEDZADA	Department of Cardiovascular Surgery, French Medical Institute for Mothers and Children, Kabul 1001, Afghanistan
LIU Huan	Department of Cardiovascular Surgery, Zhongshan Hospital, Fudan University Shanghai Cardiovascular Institute, Shanghai 200032, China
WEI Lai	Department of Cardiovascular Surgery, Zhongshan Hospital, Fudan University Shanghai Cardiovascular Institute, Shanghai 200032, China	wei.lai@zs-hospital.sh.cn
WANG Chun-sheng	Department of Cardiovascular Surgery, Zhongshan Hospital, Fudan University Shanghai Cardiovascular Institute, Shanghai 200032, China

Abstract:Objective To evaluate the effects of early exercise intervention in patients who have undergone primary isolated valve surgery. Methods Forty patients scheduled for mitral, aortic, and/or tricuspid valve surgery were allocated to receive a supervised exercise intervention consisting of cycling for 3 min/d at the bedside after operation (intervention group, n=20, mean age[49.05±3.728] years) or to receive no exercise intervention (control group, n=20, mean age[47.95 ±3.214] years). Oxygen saturation (SpO₂) was measured by pulse oximetry continuously before and after the 6-minute walk test. Psycho-educational counseling was provided, and patients were assessed using standard patient questionnaires. Results The arterial SpO₂ level increased significantly in the intervention group after exercise compared with the control group (P<0.05). Heart rate returned to baseline in the intervention group postoperatively and was significantly lower than that in the control group (P<0.05). Conclusions A small amount of supervised cycling exercise at the bedside is a safe activity that may improve peripheral arterial SpO₂ and reduce heart rate to the baseline level following longer distance walk before discharge in patients who have undergone isolated valve surgery.

keywords:cardiac rehabilitation adult cardiac surgery 6-minute walk test intervention at the bedside

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