Comprehensive assessment of the effectiveness of early rehabilitation after heart valve surgery in the structure of cardiovascular surgery
https://doi.org/10.25789/YMJ.2025.92.08
Abstract
The article conducts a study on the effect of early cardiological rehabilitation on physical function and clinical outcomes in patients after mitral or aortic valve replacement. The study included 20 patients (12 in the intervention group, 8 in the control group) who underwent elective heart valve surgery. The intervention group received early rehabilitation from day 2 after surgery, including physical activity, walking, and endurance exercises. The assessment was performed before surgery, at discharge, and 6 months later using the SPPB, SF-12, 6MWT, and HADS scales. The analysis was performed in IBM SPSS Statistics 21.0. Results. The patients in the intervention group demonstrated significant improvements in physical function (SPPB), endurance (6MWT), and PCS compared with the control group. SPPB proved to be a statistically significant predictor of readmission (p = 0.017) and mortality (p = 0.006) during 6 months of follow-up. Early cardiac rehabilitation is safe, effective and can be considered as a mandatory stage of treatment for patients after valve replacement. Further studies with an expanded sample are needed to confirm the long-term effectiveness of the program.
About the Authors
D. O. Turaev
ФГБОУ ВО «Первый Санкт-Петербургский государственный медицинский университет имени академика И.П. Павлова» Минздрава России
Russian Federation
Russian Federation
A. G. Sudenko
ФГБОУ ВО «Первый Санкт-Петербургский государственный медицинский университет имени академика И.П. Павлова» Минздрава России
Russian Federation
Russian Federation
S. M. Datsieva
ФГБОУ ВО «Дагестанский государственный медицинский университет» Минздрава России
Russian Federation
Russian Federation
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For citations:
Turaev D.O., Sudenko A.G., Datsieva S.M. Comprehensive assessment of the effectiveness of early rehabilitation after heart valve surgery in the structure of cardiovascular surgery. Yakut Medical Journal. 2025;(4):39-45. (In Russ.) https://doi.org/10.25789/YMJ.2025.92.08
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