Evaluation of effort tolerance in diabetic and non-diabetic patients undergoing cardiac rehabilitation after cardiac surgery

Aleksandra Szylińska, Alicja Mińko, Zuzanna Hilicka, Dominik Turzyński, Jakub Udzik, Piotr Sulikowski, Izabela Grabińska, Iwona Rotter

DOI: http://dx.doi.org/10.12775/JEHS.2020.10.08.046

Abstract


Introduction: Complex cardiac rehabilitation is a basic procedure of therapeutic treatment for patients after cardiac surgeries. The course of operations depends on many factors. The aim of this article is to investigate connections between type 2 diabetes and results of 6-minute walk test among patients after cardiac surgery. 

Materials and methods: This research was conducted among 111 patients who had cardiac surgery. Those patients were qualified to stay at a stationary cardiac rehabilitation facility. They were divided into two groups: patients with and without diabetes. In the analysis, patients’ medical data and 6-minute walk test results before and after complex rehabilitation were taken into consideration. 

Results: On the basis of our analysis it was found that patients who have diabetes achieve worse results of 6-minute walk test before (OR=0.995; p=0.005) and after (OR=0.994, p=0.006) complex cardiac rehabilitation in comparison with patients without diabetes. 

Conclusions: Type 2 diabetes has impact on physical effort tolerance among patients after cardiac surgery. Despite improvement of 6-minute walk test results thanks to complex cardiac rehabilitation, patients with type 2 diabetes walked shorter distance than patients without diabetes.


Keywords


cardiac rehabilitation; cardiology; 6-minute walk test; type 2 diabetes

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References


Zielińska D., Bellwon J., Biernat A., Toruński A., Mierzejewski L., Bakuła S.: Bezpieczeństwo i skuteczność rehabilitacji kardiologicznej u chorych na cukrzycę po leczeniu operacyjnym choroby wieńcowej. Kardiol Pol 2009; 67: 941-945.

Laddu D.R., Ozemek C., Hauer T.L., Rouleau C.R., Campbell T.S., Wilton S.B. i wsp.: Cardiometabolic responses to cardiac rehabilitation in people with and without diabetes. Int J Cardiol 2020 Feb 15;301:156-162.

Kachur S., Chongthammakun V., Lavie C. J., De Schutter A., Arena R., Milani R. V. i wsp.: Impact of cardiac rehabilitation and exercise training programs in coronary heart disease. Progress in Cardiovascular Diseases 2017; 60(1); 103-114.

Górska-Ciebiada M., Ciebiada M., Barylski M., Loba J.: Cukrzyca u osób w wieku podeszłym w świetle nowych wytycznych Polskiego Towarzystwa Diabetologicznego. Geriatria 2009; 3: 228-233.

Ścibisz A., Wilczyńska J., Michalak M., Pietrasik A.: Chory z cukrzycą i chorobą wieńcową – dyskusyjny pacjent w pracowni kardiologii inwazyjnej. Kardiol Dypl 2010; 9 (7): 77-83.

Głowacka P., Mizia-Stec K., Gąsior Z.: Cukrzyca typu 2 a rehabilitacja pacjentów po zawale mięśnia sercowego. Fizjoter Pol 2010; 4(4); Vol. 10, 289-297.

Rejestr głównych typów operacji kardiochirurgicznych w 2015 r. w poszczególnych ośrodkach w Polsce (wg Krajowego Rejestru Operacji Kardiochirurgicznych KROK):

Kardiochir Torakochirurgia Pol. 2016; 13(2): 185–188.

Pres D., Gąsior M., Poloński L.: Leczenie pacjentów z chorobą wieńcową i cukrzycą. Choroby Serca i Naczyń 2010; 7 (3); 112–117.

Dourado VZ.: Reference Equations for the 6-Minute Walk Test in Healthy Individuals. Arq Bras Cardiol Feb. 2011.

Eser P., Marcin T., Prescott E., Prins L.F., Kolkman E., Bruins W. i wsp.: Clinical outcomes after cardiac rehabilitation in elderly patients with and without diabetes mellitus: The EU-CaRE multicenter cohort study. Cardiovasc Diabetol 2020; 19;19(1):37.

Völler, H., Reibis, R., Pittrow, D., Jannowitz, C., Wegscheider, K., Karmann, B. i wsp.: Secondary prevention of diabetic patients with coronary artery disease in cardiac rehabilitation: risk factors, treatment and target level attainment. Current Medical Research and Opinion 2009; 25(4): 879–890.

Seguro C., Viana R., Lima G., Galvão L., Silva L., Jardim T. i wsp.: Improvements in health parameters of a diabetic and hypertensive patient with only 40 minutes of exercise per week: a case study. Disabil Rehabil. 2019; 23:1-7.

Denegri A., Rossi V.A., Vaghi F., Di Muro P., Regazzi M., Moccetti T., i wsp.: A patient-centered multidisciplinary cardiac rehabilitation program improves glycemic control and functional outcome in coronary artery disease after percutaneous and surgical revascularization. Cardiol J. 2020; 10.


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