Pearls of Exercise-based Cardiac Rehabilitation Frame in Post Coronary Artery Bypass Graft

Abstract

Patients undergoing coronary artery bypass grafting (CABG) have a risk of postoperative complications resulting in long hospital stays and even death. In patients undergoing CABG, cardiac rehabilitation is recognized as an essential adjunct therapy for secondary prevention. Encouraging exercise-based cardiac rehabilitation might help speed up the postoperative recovery process, decrease in-hospital stay, prevent complications, and reduce public health costs. Exercise-based cardiac rehabilitation in both pre and post CABG surgery, consist of exercise or physical activity, education and counselling, inspiratory strength muscle conditioning, effective cough exercises, chest physiotherapy, breathing exercises, and gymnastics for respiratory muscle stretching. This literature review aims to analyze the exercise-based cardiac recovery of patients undergoing CABG and its effects in terms of physiological and clinical criteria, such as cardiovascular outcomes, aerobic ability, quality of life, and mortality. 

Key words: Cardiac rehabilitation; Coronary artery bypass grafting; Exercise; Physical activity

Citation: Dewi IP, Dewi KP, Tanojo T, Mulia EPB, Adriana M. Pearls of exercise-based cardiac rehabilitation frame in post coronary artery bypass graft. Anaesth. pain intensive care 2021;25(3):367–375. DOI: doi.org/10.35975/apic.v25i3.1383

Received: November 2, 2020, Reviewed: February 22, 2021, Accepted: March 26, 2021