Physical rehabilitation training program for peripheral artery disease in patients with ischemic heart disease
Introduction: The ankle-brachial index provides a simple method to diagnose peripheral artery disease; its use allows identifying patients with intermittent claudi-cation of the lower limbs who do not successfully complete a cardiovascular stress test, which hinders their inclusion in rehabilitation...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Cardiocentro Ernesto Che Guevara
2016-01-01
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| Series: | CorSalud |
| Online Access: | http://www.revcorsalud.sld.cu/index.php/cors/article/view/94 |
| _version_ | 1828421549731872768 |
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| author | Tessa Negrín Valdés Livian M. Lage López Cecilia Hernández Toledo Luis Castellanos Gallo Raykel Fardales Rodríguez Alexander Santos Pérez Amarilis Valero Hernández |
| author_facet | Tessa Negrín Valdés Livian M. Lage López Cecilia Hernández Toledo Luis Castellanos Gallo Raykel Fardales Rodríguez Alexander Santos Pérez Amarilis Valero Hernández |
| author_sort | Tessa Negrín Valdés |
| collection | DOAJ |
| description | Introduction: The ankle-brachial index provides a simple method to diagnose peripheral artery disease; its use allows identifying patients with intermittent claudi-cation of the lower limbs who do not successfully complete a cardiovascular stress test, which hinders their inclusion in rehabilitation programs.
Objective: To design a comprehensive rehabilitation program for patients with peripheral artery disease and ischemic heart disease.
Method: An observational, descriptive, prospective and longitudinal study was carried out with 28 patients after an acute coronary syndrome and peripheral artery disease. A training program was designed and after a three months follow up results were compared with those at the beginning of the investigation.
Results: Male predominance (67.8%), 17 of them (60.7%) had an ankle-brachial index less than 0.9 (p=0.002). The most affected age group was 55-59 years (35.7%).The primary diagnosis was acute coronary syndrome with ST segment elevation (42.85%). The most common risk factor was hypertriglyceridemia (82.1%). Smoking (75%; p=0.005) and diabetes mellitus (28.6%; p=0.001) were significantly associated with a ITB≤0,9. After three months of supervised physical activity, the ankle-brachial index improved and increased time on exercise (4:21 vs. 10:9 minutes) and onset of pain (2:31 vs. 7:6 minutes).
Conclusions: The introduction of supervised training programs for peripheral artery disease improves functional capacity of patients and their comprehensive evaluation, which favors joining cardiovascular rehabilitation programs. |
| first_indexed | 2024-12-10T15:33:04Z |
| format | Article |
| id | doaj.art-adb85c3b0fc14788b87699855025a888 |
| institution | Directory Open Access Journal |
| issn | 2078-7170 |
| language | English |
| last_indexed | 2024-12-10T15:33:04Z |
| publishDate | 2016-01-01 |
| publisher | Cardiocentro Ernesto Che Guevara |
| record_format | Article |
| series | CorSalud |
| spelling | doaj.art-adb85c3b0fc14788b87699855025a8882022-12-22T01:43:20ZengCardiocentro Ernesto Che GuevaraCorSalud2078-71702016-01-0181293797Physical rehabilitation training program for peripheral artery disease in patients with ischemic heart diseaseTessa Negrín Valdés0Livian M. Lage López1Cecilia Hernández Toledo2Luis Castellanos Gallo3Raykel Fardales Rodríguez4Alexander Santos Pérez5Amarilis Valero Hernández6Servicio de Cardiología. Hospital Provincial General Docente Camilo Cienfuegos. Sancti Spíritus, Cuba.Servicio de Cardiología. Hospital Provincial General Docente Camilo Cienfuegos. Sancti Spíritus, Cuba.Servicio de Cardiología. Hospital Provincial General Docente Camilo Cienfuegos. Sancti Spíritus, Cuba.Servicio de Cardiología. Hospital Provincial General Docente Camilo Cienfuegos. Sancti Spíritus, Cuba.Servicio de Cardiología. Hospital Provincial General Docente Camilo Cienfuegos. Sancti Spíritus, Cuba.Servicio de Cardiología. Hospital Provincial General Docente Camilo Cienfuegos. Sancti Spíritus, Cuba.Servicio de Cardiología. Hospital Provincial General Docente Camilo Cienfuegos. Sancti Spíritus, Cuba.Introduction: The ankle-brachial index provides a simple method to diagnose peripheral artery disease; its use allows identifying patients with intermittent claudi-cation of the lower limbs who do not successfully complete a cardiovascular stress test, which hinders their inclusion in rehabilitation programs. Objective: To design a comprehensive rehabilitation program for patients with peripheral artery disease and ischemic heart disease. Method: An observational, descriptive, prospective and longitudinal study was carried out with 28 patients after an acute coronary syndrome and peripheral artery disease. A training program was designed and after a three months follow up results were compared with those at the beginning of the investigation. Results: Male predominance (67.8%), 17 of them (60.7%) had an ankle-brachial index less than 0.9 (p=0.002). The most affected age group was 55-59 years (35.7%).The primary diagnosis was acute coronary syndrome with ST segment elevation (42.85%). The most common risk factor was hypertriglyceridemia (82.1%). Smoking (75%; p=0.005) and diabetes mellitus (28.6%; p=0.001) were significantly associated with a ITB≤0,9. After three months of supervised physical activity, the ankle-brachial index improved and increased time on exercise (4:21 vs. 10:9 minutes) and onset of pain (2:31 vs. 7:6 minutes). Conclusions: The introduction of supervised training programs for peripheral artery disease improves functional capacity of patients and their comprehensive evaluation, which favors joining cardiovascular rehabilitation programs.http://www.revcorsalud.sld.cu/index.php/cors/article/view/94 |
| spellingShingle | Tessa Negrín Valdés Livian M. Lage López Cecilia Hernández Toledo Luis Castellanos Gallo Raykel Fardales Rodríguez Alexander Santos Pérez Amarilis Valero Hernández Physical rehabilitation training program for peripheral artery disease in patients with ischemic heart disease CorSalud |
| title | Physical rehabilitation training program for peripheral artery disease in patients with ischemic heart disease |
| title_full | Physical rehabilitation training program for peripheral artery disease in patients with ischemic heart disease |
| title_fullStr | Physical rehabilitation training program for peripheral artery disease in patients with ischemic heart disease |
| title_full_unstemmed | Physical rehabilitation training program for peripheral artery disease in patients with ischemic heart disease |
| title_short | Physical rehabilitation training program for peripheral artery disease in patients with ischemic heart disease |
| title_sort | physical rehabilitation training program for peripheral artery disease in patients with ischemic heart disease |
| url | http://www.revcorsalud.sld.cu/index.php/cors/article/view/94 |
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