Methods of Evaluation of Tolerance yo Physical Activity Based on Six-Minute Walking Test During Outpatient Rehabilitation of Patients with Ischemic Heart Disease
- 作者: Mikhailovskaya T.V.1, Mishina I.E.1, Nazarova O.A.1, Dovgalyuk Y.V.1, Chistyakova J.V.1
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隶属关系:
- Ivanovo State Medical Academy
- 期: 卷 3, 编号 1 (2021)
- 页面: 4-10
- 栏目: ORIGINAL STUDY ARTICLE
- URL: https://ogarev-online.ru/2658-6843/article/view/64360
- DOI: https://doi.org/10.36425/rehab64360
- ID: 64360
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Background. Even though the six-minute walking test is a simple and widely available tool for the evaluation of the functional capacity of cardiac patients, its interpretation is associated with some difficulties and contradictions. Aims: To evaluate the dynamics of tolerance to physical activity during outpatient rehabilitation of patients with ischemic heart disease using predicted values of distance in the six-minute walking test. Materials and methods. 97 patients (70 men and 27 women, average age 59.6 [50; 60] years) after acute coronary syndrome and after myocardial revascularization were included. The six-minute walking test was performed at the beginning of the 3-weeks stage of cardiac rehabilitation and before the patients’ discharge. The results of the test were reported as an absolute value, a change in absolute value, and the percentage of predicted values, estimated with the reference equation by Enright and colleagues. Results. The absolute value of distance in the six-minute walking test was increased significantly from 418 [385; 465] m to 485 [440; 525] m (p <0.001). The number of patients with a distance less than 300 m was decreased significantly (12 patients, 12% vs 2 patients, 2%, p <0.001). In most patients, the absolute increase in distance was 30 m and more (81 people, 84%). After comparing the perceived data with the calculated predicted values, it was revealed that the distance raised from 79 [71; 82]% to 92 [88; 96]% of the predicted values. And 56 patients (58%) had a distance equal to 90% or more from its predicted value. Conclusions. During the third stage of cardiac rehabilitation the significant increase of the absolute value of the six-minute walking test, the growth of the percentage of predicted values, and the decrease of patients with a distance less than 300 m were found. All these estimation methods may be used to demonstrate and prove favourable changes of tolerance to physical activity in patients with ischemic heart disease.
作者简介
Tatyana Mikhailovskaya
Ivanovo State Medical Academy
编辑信件的主要联系方式.
Email: tanyadoc8484@mail.ru
ORCID iD: 0000-0002-4329-098X
SPIN 代码: 7209-0144
Cand. Sci. (Med.), Associate Professor
俄罗斯联邦, IvanovoIrina Mishina
Ivanovo State Medical Academy
Email: mishina-irina@mail.ru
ORCID iD: 0000-0002-7659-8008
SPIN 代码: 2549-1182
Dr. Sci. (Med.), Professor
俄罗斯联邦, IvanovoOlga Nazarova
Ivanovo State Medical Academy
Email: oanazarova@mail.ru
ORCID iD: 0000-0002-6920-0874
SPIN 代码: 6135-6646
Dr. Sci. (Med.), Professor
俄罗斯联邦, IvanovoYuri Dovgalyuk
Ivanovo State Medical Academy
Email: yuriy.d@mail.ru
ORCID iD: 0000-0001-9099-400X
SPIN 代码: 1148-7850
Cand. Sci. (Med.), Associate Professor
俄罗斯联邦, IvanovoJulia Chistyakova
Ivanovo State Medical Academy
Email: chud.iv@mail.ru
ORCID iD: 0000-0002-9013-5763
SPIN 代码: 1193-2864
Cand. Sci. (Med.), Associate Professor
俄罗斯联邦, Ivanovo参考
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