Influence of Bicycle Ergometric Loads on the Energy Supply System in Patients After Surgery with an Artificial Circulation

Kuular Arzhana Makarovna; Kakuchaya Tea Tamazovna; Dzhitava Tamara Georgievna; Pachuashvili Nona Vazhaevna; Filatova Angelina Gennadevna

doi:doi:10.11648/j.cmr.20221104.15

Influence of Bicycle Ergometric Loads on the Energy Supply System in Patients After Surgery with an Artificial Circulation

Kuular Arzhana Makarovna, Kakuchaya Tea Tamazovna, Dzhitava Tamara Georgievna, Pachuashvili Nona Vazhaevna, Filatova Angelina Gennadevna

Published in Clinical Medicine Research (Volume 11, Issue 4)

Received: 9 January 2022 Accepted: 4 February 2022 Published: 29 August 2022

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Abstract

The reduction in the risk of repeated hospitalizations was revealed against the background of ongoing cardiac rehabilitation after CABG. A number of studies have revealed a reduction in the risk of repeated hospitalizations on the background of ongoing cardiac rehabilitation after CABG. Physical cardiorehabilitation is an effective means of restoring the adaptive capabilities of the organism. The goal of the cardiorehabilitation training program after cardiac surgery is optimization of energy supply systems. Objective: To study the effectiveness of the optimal сardiac rehabilitation program for the lactate system in cardiac patients. Methods: We examined 36 patients undergoing coronary artery bypass grafting under conditions of artificial circulation, with an IR duration of 56 ± 20.5 minutes, were divided into two groups: a control group (n = 15) - without performing bicycle ergometric, the age of 54.2 ± 1.4 years, the main group (n = 21) - with the exercise of the bicycle ergometric load at the age of 53.9 ± 1.3 years (p> 0.05). Of these, 17 men (62.5%), 14 women (37.5%). Gender was not considered. Anaerobic exercise carried out on exercise bikes SCHILLER 10 days after CABG. The load power was from 25 to 70-90 W. Before cardiorehabilitation estimated lactate, glucose, pH, PCO₂, pO₂, BE blood before and after the load ergometric data of external respiration, heart rate and blood pressure. After the rehabilitation course, the above parameters were evaluated. Results: When assessing the indices in the basis of the group at the end of the course of cardiac rehabilitation, a significant decrease in systolic blood pressure after exercise is 155 ± 5.7 mm Hg. (P <0.05), an increase in the value of VO₂peak to 19.0 ± 0.9 ml / kg / min (p <0.05), lactate in the blood decreased to 1.7 ± 0.2 mmol / l (p <0.05). There were no significant changes in pH, blood glucose, or heart rate. Conclusions: Analysis of the results showed that a properly fitted load ergometric parameters can optimize the anaerobic glycolysis in patients undergoing surgery with cardiopulmonary bypass, as well as increase the functionality of patients.

Published in	Clinical Medicine Research (Volume 11, Issue 4)
DOI	10.11648/j.cmr.20221104.15
Page(s)	114-119
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Cardiorehabilitation, Anaerobic and Aerobic Energy Supply, Artificial Circulation

References

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[2]	Arutiunov G., et al. Кардиореабилитация /Kardioreabilitatsiia [Cardiac Rehabilitation]. Vol. 336, Moscow, Medpress-Inform, 2013. (in Russian).
[3]	Ashikhmina, E., et al. “Hyperlactatacidemia in the Immediate Postoperative Period after Open Heart Surgery in Conditions of Artificial Blood Circulation: Predictor of Complications or Artifact?” Medical Almanac, vol. 10, no. 4, 2015, 10.24022/1814-6910-2020-17-4-319-328. (in Russian).
[4]	Association of Cardiovascular Surgeons of Russia, et al. Показания к реваскуляризации: (Российский согласительный документ). Pokazaniia K Revaskuliarizatsii: (Rossiĭskiĭ Soglasitelʹnyĭ Dokument). [Indications for Revascularization: Russian Consensus Document]. Moscow, Bakulev Scientific Center for Cardiovascular Surgery, 2011, p. 162. (in Russian).
[5]	Beaver, W., et al. “On-Line Computer Analysis and Breath-By-Breath Graphical Display of Exercise Function Tests.” Journal of Applied Physiology, vol. 34, no. 1, Jan. 1973, pp. 128–132, pdfs.semanticscholar.org/34da/d7021cfc5550a6e1b01ab3be78b56e4e5035.pdf, 10.1152/jappl.1973.34.1.128. Accessed 23 Mar. 2020.
[6]	Bokerija, L., et al. Topical Issues of Cardiovascular and Endovascular Surgery Development in the Russian Federation. 13 (5) ed., Bulletin of Bakulev Scientific Center for Cardiovascular Surgery, 2012, pp. 34–40. (in Russian).
[7]	Daubeney, P., et al. Pediatric Heart Disease: A Practical Guide. Oxford, Uk; Hoboken, Nj, Wiley-Blackwell, 2012.
[8]	Galtseva, N. V. “Rehabilitation in cardiology and cardiosurgery.” The Clinician, vol. 9, no. 2, 13 Aug. 2015, pp. 13–22, 10.17650/1818-8338-2015-9-2-13-22.
[9]	Heran, Balraj S, et al. “Exercise-Based Cardiac Rehabilitation for Coronary Heart Disease.” Cochrane Database of Systematic Reviews, 6 July 2011, www.ncbi.nlm.nih.gov/pmc/articles/PMC4229995/, 10.1002/14651858.cd001800.pub2.
[10]	Janssen, P. Training Lactate Pulse Rate. Murmansk, Tuloma, 2006, p. 13.
[11]	Kakuchaia T. Современные аспекты кардиореабилитации / Sovremennye Aspekty Kardioreabilitatsii. Moscow, Bakulev Scientific Center for Cardiovascular Surgery, 2015. (in Russian).
[12]	Kerbikov, O., et al. “Cardiopulmonary Exercise Testing in Clinical Practice.” Clinical Practice, 2012, p. 62. (in Russian).
[13]	Kirillova, N., and I. Smetanin. Development of Aerobic Capacity of the Body by Non-Traditional Forms of Physical Education in the System of Higher Education: Method. Instructions. Vol. 44, Vladimir, 2008. (in Russian).
[14]	“Lactate in Human Blood. The Value of Research. Interpretation of Results.” Labix.com.ua, labix.com.ua/files/1379078313.pdf mmm. Accessed 2 Aug. 2017.
[15]	Maillet, Jean-Michel, et al. “Frequency, Risk Factors, and Outcome of Hyperlactatemia after Cardiac Surgery.” Chest, vol. 123, no. 5, May 2003, pp. 1361–1366, 10.1378/chest.123.5.1361.
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[17]	Tavrovskaja, T. / Bicycle Ergometry / Practical Guide for Doctors. Vol. 138, S.-Peterburg, 2007, p. 14. (in Russian).

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Kuular Arzhana Makarovna, Kakuchaya Tea Tamazovna, Dzhitava Tamara Georgievna, Pachuashvili Nona Vazhaevna, Filatova Angelina Gennadevna. (2022). Influence of Bicycle Ergometric Loads on the Energy Supply System in Patients After Surgery with an Artificial Circulation. Clinical Medicine Research, 11(4), 114-119. https://doi.org/10.11648/j.cmr.20221104.15

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ACS Style

Kuular Arzhana Makarovna; Kakuchaya Tea Tamazovna; Dzhitava Tamara Georgievna; Pachuashvili Nona Vazhaevna; Filatova Angelina Gennadevna. Influence of Bicycle Ergometric Loads on the Energy Supply System in Patients After Surgery with an Artificial Circulation. Clin. Med. Res. 2022, 11(4), 114-119. doi: 10.11648/j.cmr.20221104.15

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AMA Style

Kuular Arzhana Makarovna, Kakuchaya Tea Tamazovna, Dzhitava Tamara Georgievna, Pachuashvili Nona Vazhaevna, Filatova Angelina Gennadevna. Influence of Bicycle Ergometric Loads on the Energy Supply System in Patients After Surgery with an Artificial Circulation. Clin Med Res. 2022;11(4):114-119. doi: 10.11648/j.cmr.20221104.15

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@article{10.11648/j.cmr.20221104.15,
  author = {Kuular Arzhana Makarovna and Kakuchaya Tea Tamazovna and Dzhitava Tamara Georgievna and Pachuashvili Nona Vazhaevna and Filatova Angelina Gennadevna},
  title = {Influence of Bicycle Ergometric Loads on the Energy Supply System in Patients After Surgery with an Artificial Circulation},
  journal = {Clinical Medicine Research},
  volume = {11},
  number = {4},
  pages = {114-119},
  doi = {10.11648/j.cmr.20221104.15},
  url = {https://doi.org/10.11648/j.cmr.20221104.15},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.cmr.20221104.15},
  abstract = {The reduction in the risk of repeated hospitalizations was revealed against the background of ongoing cardiac rehabilitation after CABG. A number of studies have revealed a reduction in the risk of repeated hospitalizations on the background of ongoing cardiac rehabilitation after CABG. Physical cardiorehabilitation is an effective means of restoring the adaptive capabilities of the organism. The goal of the cardiorehabilitation training program after cardiac surgery is optimization of energy supply systems. Objective: To study the effectiveness of the optimal сardiac rehabilitation program for the lactate system in cardiac patients. Methods: We examined 36 patients undergoing coronary artery bypass grafting under conditions of artificial circulation, with an IR duration of 56 ± 20.5 minutes, were divided into two groups: a control group (n = 15) - without performing bicycle ergometric, the age of 54.2 ± 1.4 years, the main group (n = 21) - with the exercise of the bicycle ergometric load at the age of 53.9 ± 1.3 years (p> 0.05). Of these, 17 men (62.5%), 14 women (37.5%). Gender was not considered. Anaerobic exercise carried out on exercise bikes SCHILLER 10 days after CABG. The load power was from 25 to 70-90 W. Before cardiorehabilitation estimated lactate, glucose, pH, PCO2, pO2, BE blood before and after the load ergometric data of external respiration, heart rate and blood pressure. After the rehabilitation course, the above parameters were evaluated. Results: When assessing the indices in the basis of the group at the end of the course of cardiac rehabilitation, a significant decrease in systolic blood pressure after exercise is 155 ± 5.7 mm Hg. (P 2peak to 19.0 ± 0.9 ml / kg / min (p <0.05), lactate in the blood decreased to 1.7 ± 0.2 mmol / l (p <0.05). There were no significant changes in pH, blood glucose, or heart rate. Conclusions: Analysis of the results showed that a properly fitted load ergometric parameters can optimize the anaerobic glycolysis in patients undergoing surgery with cardiopulmonary bypass, as well as increase the functionality of patients.},
 year = {2022}
}

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TY - JOUR
T1 - Influence of Bicycle Ergometric Loads on the Energy Supply System in Patients After Surgery with an Artificial Circulation
AU - Kuular Arzhana Makarovna
AU - Kakuchaya Tea Tamazovna
AU - Dzhitava Tamara Georgievna
AU - Pachuashvili Nona Vazhaevna
AU - Filatova Angelina Gennadevna
Y1 - 2022/08/29
PY - 2022
N1 - https://doi.org/10.11648/j.cmr.20221104.15
DO - 10.11648/j.cmr.20221104.15
T2 - Clinical Medicine Research
JF - Clinical Medicine Research
JO - Clinical Medicine Research
SP - 114
EP - 119
PB - Science Publishing Group
SN - 2326-9057
UR - https://doi.org/10.11648/j.cmr.20221104.15
AB - The reduction in the risk of repeated hospitalizations was revealed against the background of ongoing cardiac rehabilitation after CABG. A number of studies have revealed a reduction in the risk of repeated hospitalizations on the background of ongoing cardiac rehabilitation after CABG. Physical cardiorehabilitation is an effective means of restoring the adaptive capabilities of the organism. The goal of the cardiorehabilitation training program after cardiac surgery is optimization of energy supply systems. Objective: To study the effectiveness of the optimal сardiac rehabilitation program for the lactate system in cardiac patients. Methods: We examined 36 patients undergoing coronary artery bypass grafting under conditions of artificial circulation, with an IR duration of 56 ± 20.5 minutes, were divided into two groups: a control group (n = 15) - without performing bicycle ergometric, the age of 54.2 ± 1.4 years, the main group (n = 21) - with the exercise of the bicycle ergometric load at the age of 53.9 ± 1.3 years (p> 0.05). Of these, 17 men (62.5%), 14 women (37.5%). Gender was not considered. Anaerobic exercise carried out on exercise bikes SCHILLER 10 days after CABG. The load power was from 25 to 70-90 W. Before cardiorehabilitation estimated lactate, glucose, pH, PCO2, pO2, BE blood before and after the load ergometric data of external respiration, heart rate and blood pressure. After the rehabilitation course, the above parameters were evaluated. Results: When assessing the indices in the basis of the group at the end of the course of cardiac rehabilitation, a significant decrease in systolic blood pressure after exercise is 155 ± 5.7 mm Hg. (P 2peak to 19.0 ± 0.9 ml / kg / min (p <0.05), lactate in the blood decreased to 1.7 ± 0.2 mmol / l (p <0.05). There were no significant changes in pH, blood glucose, or heart rate. Conclusions: Analysis of the results showed that a properly fitted load ergometric parameters can optimize the anaerobic glycolysis in patients undergoing surgery with cardiopulmonary bypass, as well as increase the functionality of patients.
VL - 11
IS - 4
ER -

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Author Information

Kuular Arzhana Makarovna

Federal State Budgetary Institution “A.N. Bakulev National Research Center for Cardiovascular Surgery” of the Ministry of Health of the Russian Federation (A.N. Bakulev NMRCVS), Moscow, Russia
Kakuchaya Tea Tamazovna

Federal State Budgetary Institution “A.N. Bakulev National Research Center for Cardiovascular Surgery” of the Ministry of Health of the Russian Federation (A.N. Bakulev NMRCVS), Moscow, Russia
Dzhitava Tamara Georgievna

Federal State Budgetary Institution “A.N. Bakulev National Research Center for Cardiovascular Surgery” of the Ministry of Health of the Russian Federation (A.N. Bakulev NMRCVS), Moscow, Russia
Pachuashvili Nona Vazhaevna

Federal State Budgetary Institution “A.N. Bakulev National Research Center for Cardiovascular Surgery” of the Ministry of Health of the Russian Federation (A.N. Bakulev NMRCVS), Moscow, Russia
Filatova Angelina Gennadevna

Federal State Budgetary Institution “A.N. Bakulev National Research Center for Cardiovascular Surgery” of the Ministry of Health of the Russian Federation (A.N. Bakulev NMRCVS), Moscow, Russia

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APA Style

Kuular Arzhana Makarovna, Kakuchaya Tea Tamazovna, Dzhitava Tamara Georgievna, Pachuashvili Nona Vazhaevna, Filatova Angelina Gennadevna. (2022). Influence of Bicycle Ergometric Loads on the Energy Supply System in Patients After Surgery with an Artificial Circulation. Clinical Medicine Research, 11(4), 114-119. https://doi.org/10.11648/j.cmr.20221104.15

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ACS Style

Kuular Arzhana Makarovna; Kakuchaya Tea Tamazovna; Dzhitava Tamara Georgievna; Pachuashvili Nona Vazhaevna; Filatova Angelina Gennadevna. Influence of Bicycle Ergometric Loads on the Energy Supply System in Patients After Surgery with an Artificial Circulation. Clin. Med. Res. 2022, 11(4), 114-119. doi: 10.11648/j.cmr.20221104.15

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AMA Style

Kuular Arzhana Makarovna, Kakuchaya Tea Tamazovna, Dzhitava Tamara Georgievna, Pachuashvili Nona Vazhaevna, Filatova Angelina Gennadevna. Influence of Bicycle Ergometric Loads on the Energy Supply System in Patients After Surgery with an Artificial Circulation. Clin Med Res. 2022;11(4):114-119. doi: 10.11648/j.cmr.20221104.15

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@article{10.11648/j.cmr.20221104.15,
  author = {Kuular Arzhana Makarovna and Kakuchaya Tea Tamazovna and Dzhitava Tamara Georgievna and Pachuashvili Nona Vazhaevna and Filatova Angelina Gennadevna},
  title = {Influence of Bicycle Ergometric Loads on the Energy Supply System in Patients After Surgery with an Artificial Circulation},
  journal = {Clinical Medicine Research},
  volume = {11},
  number = {4},
  pages = {114-119},
  doi = {10.11648/j.cmr.20221104.15},
  url = {https://doi.org/10.11648/j.cmr.20221104.15},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.cmr.20221104.15},
  abstract = {The reduction in the risk of repeated hospitalizations was revealed against the background of ongoing cardiac rehabilitation after CABG. A number of studies have revealed a reduction in the risk of repeated hospitalizations on the background of ongoing cardiac rehabilitation after CABG. Physical cardiorehabilitation is an effective means of restoring the adaptive capabilities of the organism. The goal of the cardiorehabilitation training program after cardiac surgery is optimization of energy supply systems. Objective: To study the effectiveness of the optimal сardiac rehabilitation program for the lactate system in cardiac patients. Methods: We examined 36 patients undergoing coronary artery bypass grafting under conditions of artificial circulation, with an IR duration of 56 ± 20.5 minutes, were divided into two groups: a control group (n = 15) - without performing bicycle ergometric, the age of 54.2 ± 1.4 years, the main group (n = 21) - with the exercise of the bicycle ergometric load at the age of 53.9 ± 1.3 years (p> 0.05). Of these, 17 men (62.5%), 14 women (37.5%). Gender was not considered. Anaerobic exercise carried out on exercise bikes SCHILLER 10 days after CABG. The load power was from 25 to 70-90 W. Before cardiorehabilitation estimated lactate, glucose, pH, PCO2, pO2, BE blood before and after the load ergometric data of external respiration, heart rate and blood pressure. After the rehabilitation course, the above parameters were evaluated. Results: When assessing the indices in the basis of the group at the end of the course of cardiac rehabilitation, a significant decrease in systolic blood pressure after exercise is 155 ± 5.7 mm Hg. (P 2peak to 19.0 ± 0.9 ml / kg / min (p <0.05), lactate in the blood decreased to 1.7 ± 0.2 mmol / l (p <0.05). There were no significant changes in pH, blood glucose, or heart rate. Conclusions: Analysis of the results showed that a properly fitted load ergometric parameters can optimize the anaerobic glycolysis in patients undergoing surgery with cardiopulmonary bypass, as well as increase the functionality of patients.},
 year = {2022}
}

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