ASSESSMENT OF THE DYNAMIC OF PHYSICAL CAPABILITY IN PATIENTS AFTER ORTHOTOPIC HEART TRANSPLANTATION ACCORDING TO BICYCLE ERGOMETRY TEST IN DIFFERENT TERMS AFTER THE OPERATION
https://doi.org/10.15825/1995-1191-2013-1-45-50
Abstract
Aim. To evaluate dynamic of physical capability (PC) based on bicycle ergometry test data in different post- operation terms after orthotopic heart transplantation (OHT). Methods and results. In 28 patients aged from 19 to 59 (mean 45,9 ± 2,2) years the dynamics of PC values was assessed at 14–36 (mean 20,8 ± 1,6) months after OHT. Prior to surgery, all 28 patients had low exercise tolerance (ET) as well as low maximal oxygen consump- tion (VO2max). A significant increase in ET and VO2max was registered in 6 and 12 months after OHT compared to baseline (р < 0,05), a trend to increasing PC values was noted in 6 to 12 months after OHT compared to baseline, 3 (20%) of 15 patients examined showed myocardial ischemia. Conclusion. The PC decrease revealed in 14–36 months after OHT may be indicative of vasculopathy development or progressive underlying athero- sclerotic process.
About the Authors
O. A. Sudzaeva
Republican Research and Practice Centre «Cardiology», Minsk, Republic of Belarus
Y. P. Ostrovsky
Republican Research and Practice Centre «Cardiology», Minsk, Republic of Belarus
References
1. Costanzo M.R., Naftel D.C., Pritzker M.R. et al. Heart transplant coronary artery disease detected by coronary angiography: a multiinstitutional study of preoperati- ve donor and recipient risk factors. Cardiac Transplant
2. Research Database // J. Heart Lung Transplant. 1998.
3. Vol. 17. P. 744.
4. Gillum R., Makus D., Feldman J. Pulse rate, coronary
5. heart disease and death: The NHANES I epidemiological
6. follow-up study // Am. Heart J. 1991. Vol. 121. P. 172.
7. Gilman M., Kannel W., Belanger A., D’Agostino R. Influ- ence of heart rate on mortality among persons with hy- pertension The Framingham study // Am. Heart J. 1993.
8. Vol. 125. P. 1148–1154.
9. Howard J.E. Prevention and treatment of cardiac allograft
10. vasculopathy http://www.uptodate.com/contents/preven-
11. tion-and-treatment-of-cardiac-allograft-vasculopathy.
12. McMurray J.V., Anker D.S., Auricchio A. et al. ESC Gui- delines for the diagnosis and treatment of acute and chro- nic heart failure 2012 The Task Force for the Diagnosis and Treatment of Acute and Chronic Heart Failure 2012 of the European Society of Cardiology. Developed in collaboration with the Heart Failure Association (HFA) of the ESC // European Heart Journal. Vol. 33 (14).
13. P. 1787–1847.
14. Mehra M.R., Kobasigawa J., Starling R. et al. Listing
15. Criteria for Heart Transplantation // J. Heart Lung Trans-
16. plant. 2006. P. 1024–1042.
17. Mezzani A., Agostoni P., Cohen-Solal A. et al. Standarts
18. for the use of cardiopulmonary exercise testing for the functional evaluation of cardiac patients: a report from the Exercise Physiology Section of the European Associ- ation for Cardiovascular Prevention and Rehabilitation // European J. of Cardiovascular Prevention and Rehabili- tation. 2009. Vol. 16 (3). P. 249–267.
19. Stehlik J., Edwards L.B., Kucheryavaya A.Y. et al. The Registry of the International Society for Heart and Lung Transplantation: 29th Official Adult Heart Transplant Report. 2012 October 2012. Vol. 31 (10). P. 1052–1064.
20. Weber K.T. Oxygen Utilization and Ventilation During Exercise In Patients With Chronic Cardiac Failure // Cir- culation. 1982. Vol. 65. P. 1213–1223.
Review
For citations:
Sudzaeva O.A., Ostrovsky Y.P. ASSESSMENT OF THE DYNAMIC OF PHYSICAL CAPABILITY IN PATIENTS AFTER ORTHOTOPIC HEART TRANSPLANTATION ACCORDING TO BICYCLE ERGOMETRY TEST IN DIFFERENT TERMS AFTER THE OPERATION. Russian Journal of Transplantology and Artificial Organs. 2013;15(1):45-50. (In Russ.) https://doi.org/10.15825/1995-1191-2013-1-45-50
Views:
1319
Email this article 