Physical Training in Patients with Valvular Heart Disease after Surgery : 53rd Annual Scienific Seeesion of the Japanese Circulation Society

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概要

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• The necessity, the methodology and clinical benefit of physical training were evaluated in 85 patients with valvular heart surgery. In 21 patients who had undergone the exercise stress test before surgery, corrective valvular surgery increased maximal oxygen uptake (max・V^^・O_2) from 15.4 before to 18.9 ml/min/kg. while 11 (52%) of them failed to increase exercise capacity over 5 METs. Of the total 85 patients. 41 (58%) again showed reduced exercise capacity in the initial postoperative stress test, suggesting that a return to work might be difficult without rehabilitation in these patients. We then compared two training programs: program A of short duration and frequent exercise and program B of longer duration and less frequent exercise, both using a bicycle exercise set at an intensity of 70% of the max.V^^・O_2, Both programs similarly increased max.V^^・O_2, while patients preferred program A. suggesting that exercise of longer duration could not be tolerated because of deconditioning. Program A was then prescribed to 62 patients, and it increased max.V^^・O_2 from 18.2 to 20.7 ml/min/kg after 4 weeks training without any complication. In 9 patients who served as controls undergoing no physical training. no spontaneous improvement in exercise capacity was observed. Of the 76 patients who recieved either program A or B, 28 patients failed to increase the max.V^^・O_2 by 10% or more. These patients presented atrial fibrillation, a cardiothoracic ratio >__=60% or execise-induced ST depression more frequently, suggesting that residual cardiac dysfunction might inhibit the training effects. These observations indicated that physical training is beneficial to patients after valvular heart surgery, by increasing exercise capacity, promoting an earlier return to daily activities and to work and improving generally, the quality of life.

• 社団法人日本循環器学会の論文
• 1990-11-20

著者

• Toshima H

  The Third Department Of Medicine Kurume University School Of Medicine

• TOSHIMA HIRONORI

  Japanese Circulation Society(JCS)Task Force Committee on Chronic Myocarditis

• Toshima Hironori

  Department Of Public Health Nagoya University Graduate School Of Medicine

• Toshima Hironori

  3rd Department of Internal Medicine, Kurume University School of Medicine, Kurume

• Koga Yoshinori

  The Institute Of Cardiovascular Disease Kuruue University Schcool Of Medicine

• NISHIYAMA Yasuhiro

  Third Department of Internal Medicine,Kurume University School of Medicine

• YOSHIDA Noriko

  Third Department of Internal Medicine,Kurume University School of Medicine

• NODA Takehiko

  Third Department of Internal Medicine,Kurume University School of Medicine

• TOYOMASU Kohji

  Third Department of Internal Medicine,Kurume University School of Medicine

• Toyomasu Hiroyuki

  2nd Surgery Kurume University School Of Medicine

• Noda Takehiko

  Third Department Of Internal Medicine Kurume University School Of Medicine

• Toyomasu Kohji

  Third Department Of Internal Medicine Kurume University School Of Medicine

• Toyomasu Kohji

  3rd Department Of Internal Medicine Kurume University School Of Medicine

• Yoshida Noriko

  Third Department Of Internal Medicine Kurume University School Of Medicine

• Koga Yosinori

  3rd Department Of Internal Medicine Kurume University School Of Medicine

• NISHIYAMA YASUHIRO

  3rd Department of Internal Medicine, Kurume University School of Medicine

• YOSHIDA NORIKO

  3rd Department of Internal Medicine, Kurume University School of Medicine

• SUGIMOTO SYUNICHI

  3rd Department of Internal Medicine, Kurume University School of Medicine

• NODA TAKEHIKO

  3rd Department of Internal Medicine, Kurume University School of Medicine

• MOTONAGA ICHIRO

  3rd Department of Internal Medicine, Kurume University School of Medicine

• Koga Yoshinori

  Third Department Of Medicine Kurume University School Of Medicine

• Motonaga Ichiro

  3rd Department Of Internal Medicine Kurume University School Of Medicine

• Nishiyama Yasuhiro

  Third Department Of Internal Medicine Kurume University School Of Medicine

• Sugimoto Syunichi

  3rd Department Of Internal Medicine Kurume University School Of Medicine

• Koga Yoshinori

  3rd Department Of Internal Medicine Kurume University School Of Medicine

• Toyomasu Hiroyuki

  The Third Dpt Of Internal Of Medicine Kurume University School Of Medicine

• Toschima Hironori

  1st Medical Clinic Kyushu University

• Koga Yoshinori

  Dept. Of Pediatrics And The Institute Of Cardiovascular Disease Kurume University

• Toshima Hironori

  The 3rd Department Of Lnternal Medicine Kurume University Medical School

• Toshima Hironori

  3rd Department Of Internal Medicine Kurume University School Of Medicine

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