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Abstract

Eight Weeks of Pulmonary Rehabilitation in Patients with Pulmonary Embolism: A Preliminary Report †

1
Laboratory of Cardio-Pulmonary Exercise Testing, Department of Respiratory Medicine, Faculty of Medicine, University of Thessaly, Larissa, Biopolis 41500, Greece
2
Department of Respiratory Medicine, Faculty of Medicine, University of Thessaly, Larissa, Biopolis 41500, Greece
3
Department of Cardiology, University General Hospital of Larissa, Larissa, Biopolis 41222, Greece
4
Anatomy and Physiology Lab, Nursing Department, University of Thessaly, Larissa 41110, Greece
*
Author to whom correspondence should be addressed.
Presented at the 9th Greek Conference of Biochemistry and Physiology of Exercise, Thessaloniki, Greece, 18–20October 2019.
Proceedings 2019, 25(1), 37; https://doi.org/10.3390/proceedings2019025037
Published: 10 September 2019
(This article belongs to the Proceedings of The 9th Conference of Biochemistry and Physiology of Exercise)

Abstract

:
Aim: Pulmonary rehabilitation (PR) is an important and safe intervention which can improve health indicators and quality of life. The purpose of our study was to investigate the effect of 8 weeks of PR in patients with pulmonary embolism (PE) during (tele)rehabilitation and self-selected exercise (SSE) versus supervised exercise in a rehabilitation center (SE). Material & Method: 14 patients with PE participated in our study (age, 50.7 ± 15.1 yrs; BMI, 30.0 ± 3.3 kg/m2; male, 78.6%) and were divided into two groups (SSE, n = 7, vs. SE, n = 7). Inclusion criteria were diagnosis of PE > 6 months and weekly exercise ≤ 100 min. For each patient, demographics, characteristics of PE episodes, follow-up after the thromboembolic event, and echocardiography were recorded. Before and after the PR program we recorded anthropometric characteristics and questioners [Quality of life (SF-36) and Pittsburg sleep quality index (PSQI)], and we performed blood sampling for NT-proBNB measurement. Patients underwent cardiopulmonary exercise testing until exhausting.The PR exercise program included the following: SE, 3/w, 30-min intermittent exercise 1/1 in cycle ergometer at 70% VO2max calculated from heart rate, 10-min respiratory physiotherapy, and 10-min strength exercises; SSE, 50-min walking at 60% VO2max, 10-min (tele)respiratory physiotherapy and 10-min strength exercise. Results: The SSE group differed in mean arterial pressure at the end of ergospirometry pre- and post-PR (87.6 ± 3.3 vs. 95.0 ± 5.5 mmHg, p< 0.05). All patients showed differences pre-and post-PR in SF-36 (general health, 57.5 ± 14.9 vs. 63.8 ± 20.5 p< 0.05; physical health, 63.8 ± 189 vs. 75.6 ± 14.5, p< 0.05) and PSQI (cannot get to sleep within 30 min, 5.3 ± 2.2 vs. 3.5 ± 1.7, p< 0.05; enthusiasm, 1.3 ± 0.7 vs. 0.3 ± 0.5 p< 0.05) but we observed no differences between groups. The ΝΤ-proBNB (73.8 ± 11.8 vs. 104.0 ± 55.7 pg/mL) and ergospirometry parameters were not significantly different pre- and post-PR or between groups. Conclusions: PR may present a safe intervention in patients with PE. Post-PR results are similar in patients with SE and SSE.

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MDPI and ACS Style

Stavrou, V.; Griziotis, M.; Raptis, D.; Bardaka, F.; Karetsi, E.; Kiritsis, A.; Daniil, Z.; Tsarouhas, K.; Triposkiadis, F.; Gourgoulianis, K.I.; et al. Eight Weeks of Pulmonary Rehabilitation in Patients with Pulmonary Embolism: A Preliminary Report. Proceedings 2019, 25, 37. https://doi.org/10.3390/proceedings2019025037

AMA Style

Stavrou V, Griziotis M, Raptis D, Bardaka F, Karetsi E, Kiritsis A, Daniil Z, Tsarouhas K, Triposkiadis F, Gourgoulianis KI, et al. Eight Weeks of Pulmonary Rehabilitation in Patients with Pulmonary Embolism: A Preliminary Report. Proceedings. 2019; 25(1):37. https://doi.org/10.3390/proceedings2019025037

Chicago/Turabian Style

Stavrou, Vasileios, Michalis Griziotis, Dimitrios Raptis, Fotini Bardaka, Eleni Karetsi, Athanasios Kiritsis, Zoe Daniil, Konstantinos Tsarouhas, Filippos Triposkiadis, Konstantinos I. Gourgoulianis, and et al. 2019. "Eight Weeks of Pulmonary Rehabilitation in Patients with Pulmonary Embolism: A Preliminary Report" Proceedings 25, no. 1: 37. https://doi.org/10.3390/proceedings2019025037

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