Smoking as a factor influencing the rehabilitation process after cardiac surgery
DOI:
https://doi.org/10.12775/JEHS.2021.11.08.012Keywords
rehabilitation, cardiology, walk testAbstract
Introduction: Comprehensive cardiac rehabilitation is a standard therapeutic procedure in patients after cardiac surgery. Its course depends on many factors. One of them is smoking. Exposure of the body to tobacco compounds reduces the supply of oxygen to the organs, which in turn has a damaging effect on the heart tissue.
Objective: The aim of this study is to determine the effect of smoking on the effectiveness of rehabilitation in patients after cardiac surgery.
Materials and methods: The research was carried out at the Department of Cardiac Surgery, SPSK 2, Pomeranian Medical University in Szczecin. The research was conducted among 35 patients, divided into 3 groups. The first group of 9 people (26%) were non-smokers. The second group was assigned to 11 people (31%) who were heavy smokers. The third group consisted of 15 people (43%) who had been addicted to cigarettes in the past. The research tool used in the study was the 6-minute walk test.
Results: Non-smokers achieved a greater improvement in the 6-minute test score compared to the group of smokers and ex-smokers, whose mean score was lower by 39.17 m (± 100.80) and 85.74 m (± 80.56), respectively.
Conclusion: Smoking may have an impact on the exercise capacity and exercise tolerance in patients after cardiac surgery.
References
Najem SA, Groll A, Schmermund A, Nowak B, Voigtländer T, Kaltenbach U, et. al. Walking activity during ambulant cardiac rehabilitation is related to maximum working capacity, age, and smoking behavior. Vasc Health Risk Manag. 2018; 9;14: 361-369. doi: 10.2147/VHRM.S179798
Gaalema DE, Cutler AY, Higgins ST, Ades PA. Smoking and cardiac rehabilitation participation: Associations with referral, attendance and adherence. Prev Med. 2015; 80: 67-74. doi: 10.1016/j.ypmed.2015.04.009
Sjölin I, Bäck M, Nilsson L, Schiopu A, Leosdottir M. Association between attending exercise-based cardiac rehabilitation and cardiovascular risk factors at one-year post myocardial infarction. PLoS One. 2020; 11;15(5):e0232772. doi: 10.1371/journal.pone.0232772
Kachur S, Chongthammakun V, Lavie CJ, De Schutter A, Arena R, Milani RV, et. al. Impact of cardiac rehabilitation and exercise training programs in coronary heart disease. Prog Cardiovasc Dis. 2017; 60(1): 103-114. doi: 10.1016/j.pcad.2017.07.002
Kubilius R, Jasiukevičienė L, Grižas V, Kubilienė L, Jakubsevičienė E, Vasiliauskas D. The impact of complex cardiac rehabilitation on manifestation of risk factors in patients with coronary heart disease. Medicina (Kaunas). 2012; 48(3): 166-73. doi: 10.3390/medicina48030024
Riley H, Headley S, Lindenauer PK, Goff S, Szalai H, Gaalema DE, et. al. Patient Perception of How Smoking Status Influences Cardiac Rehabilitation Attendance After an Acute Cardiac Hospitalization. J Cardiopulm Rehabil Prev. 2019; 39(3): 181-186. doi: 10.1097/HCR.0000000000000366
White WB. Smoking-related morbidity and mortality in the cardiovascular setting. Prev Cardiol. 2007; 10(2 Suppl 1):1-4. doi: 10.1111/j.1520-037x.2007.06050.x
Hendriks T, van Dijk R, Alsabaan NA, van der Harst P. Active Tobacco Smoking Impairs Cardiac Systolic Function. Sci Rep. 2020; 20;10(1):6608. doi: 10.1038/s41598-020-63509-3
Riley H, Headley S, Winter C, Mazur S, Gaalema DE, Goff S, et. al. Effect of Smoking Status on Exercise Perception and Intentions for Cardiac Rehabilitation Enrollment Among Patients Hospitalized With an Acute Cardiac Condition. J Cardiopulm Rehabil Prev. 2018; 38(5): 286-290. doi: 10.1097/HCR.0000000000000288
Uszko-Lencer NHMK, Mesquita R, Janssen E, et. al. Reliability, construct validity and determinants of 6-minute walk test performance in patients with chronic heart failure. Int J Cardiol. 2017; 240: 285-290. doi: 10.1016/j.ijcard.2017.02.109
Gardner AW, Killewich LA, Montgomery PS, Katzel LI. Response to exercise rehabilitation in smoking and nonsmoking patients with intermittent claudication. J Vasc Surg. 2004; 39(3): 531-8. doi: 10.1016/j.jvs.2003.08.037
North TL, Palmer TM, Lewis SJ, Cooper R, Power C, Pattie A, et. al. Effect of smoking on physical and cognitive capability in later life: a multicohort study using observational and genetic approaches. BMJ Open. 2015; 15;5(12):e008393. doi: 10.1136/bmjopen-2015-008393
Sato S, Nakayama N, Otsuki S, Tanaka S, Nakamura H, Koshiyama H, et. al. Smoking counteracts the favorable effect of exercise training on endothelial function in patients with type 2 diabetes. Jpn Clin Med. 2013; 9;4:15-9. doi: 10.4137/JCM.S11152
Downloads
Published
How to Cite
Issue
Section
License
The periodical offers access to content in the Open Access system under the Creative Commons Attribution-NonCommercial-ShareAlike 4.0
Stats
Number of views and downloads: 383
Number of citations: 0