Sevil Ceyhan DOĞAN, Nuray Saygin AYDİN, Ali ZORLU, Hasan YUCEL, Mehmet Birhan YİLMAZ

Miyokard infarktüsü geçirmiş hastalarda hastanede kardiyak rehabilitasyon ve ev egzersiz programının etkileri

Amaç:Miyokard infarktüsü (MI) geçiren hastalarda, egzersiz temelli rehabilitasyon, tedavinin önemli bir parçasıdır. Çalışmamızın amacı, MI geçiren hastalarda, hastanede yapılan kardiyak rehabilitasyon ile ev egzersiz programının kardiyak parametreler üzerindeki etkisini karşılaştırmaktı. Yöntem: Çalışmaya 1 ay öncesinde MI geçiren stabil 35 hasta alındı. Hastalar rastgele iki gruba randomize edildi: aerobik egzersiz eğitimi grubu (I), ev egzersiz grubu (II). Grup I, hastanede 6 haftalık aerobik egzersiz programına katıldı. Grup II için evde aşamalı fiziksel aktivite programı öngörüldü. Bulgular: Grup I'de, ejeksiyon fraksiyonu (EF), altı dakika yürüme testi (6-DYT), kol ergometresi testi, VO2max ve anaerobik zaman (AT) değerlerinde artış olduğu bulundu. Aynı zamanda grup II'deki 6-DYT, kol ergometresi testi ve AT değerlerinde de anlamlı artışlar vardı. Kol ergometresi testi değerlerindeki değişim oranı, hastane grubunda daha yüksekti. Sonuçlar: Hastanede yapılan egzersiz programına katılamayacak düşük veya orta riskli hastalar için, evde yapılan egzersiz programları, iyi bir alternatif olabilir.

Effects of hospital-based cardiac rehabilitation and home-based exercise program in patients with previous myocardial infarction

Background: Exercise-based rehabilitation is an important part of treatment patients following myocardial infarction. Objective: The aim of our study was to compare the effects of exercise therapy on cardiopulmonary parameters by prescribing hospital-based cardiac rehabilitation, home-based exercise program in patients with previous myocardial infarction. Method: We studied 35 post-myocardial infarction patients having a 1-month myocardial infarction history with a stable disease. The patients were randomly assigned to 2 groups as follows: aerobic exercise training group (I), homebased exercise group (II). The group I participated in the aerobic exercise program at the hospital for 6 weeks. Group II was prescribed a home-based gradual physical activity program. Results: It was found that there were significant increases in the values of ejection fraction (EF), the six-minutes-walk test (6-MWT), arm ergometer test, VO2max, anaerobic time in group I. It was also found that there were significant increases in the values of 6-MWT, arm ergometer test, and anaerobic time in group II. The ratio of change in arm ergometer test values was higher in the hospital group. Conclusions: Home-based exercise programs can be a good alternative for patients with low or moderate risk who can't attend hospital-based exercise programs.

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