Вестник трансплантологии и искусственных органов (Mar 2013)

ASSESSMENT OF THE DYNAMIC OF PHYSICAL CAPABILITY IN PATIENTS AFTER ORTHOTOPIC HEART TRANSPLANTATION ACCORDING TO BICYCLE ERGOMETRY TEST IN DIFFERENT TERMS AFTER THE OPERATION

  • O. A. Sudzaeva,
  • Y. P. Ostrovsky

DOI
https://doi.org/10.15825/1995-1191-2013-1-45-50
Journal volume & issue
Vol. 15, no. 1
pp. 45 – 50

Abstract

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Aim. To evaluate dynamic of physical capability (PC) based on bicycle ergometry test data in different post- operation terms after orthotopic heart transplantation (OHT). Methods and results. In 28 patients aged from 19 to 59 (mean 45,9 ± 2,2) years the dynamics of PC values was assessed at 14–36 (mean 20,8 ± 1,6) months after OHT. Prior to surgery, all 28 patients had low exercise tolerance (ET) as well as low maximal oxygen consump- tion (VO2max). A significant increase in ET and VO2max was registered in 6 and 12 months after OHT compared to baseline (р < 0,05), a trend to increasing PC values was noted in 6 to 12 months after OHT compared to baseline, 3 (20%) of 15 patients examined showed myocardial ischemia. Conclusion. The PC decrease revealed in 14–36 months after OHT may be indicative of vasculopathy development or progressive underlying athero- sclerotic process.

Keywords