Abstract
The aim – evaluation of cardiorehabilitation on patients with pacemakers.
Material and methods. The study enrolled 31 patients, 15 of which were patients after the implantation of the pacemaker
that already had passed the physical cardiac rehabilitation, while the control group consisted of 16 patients
that did not undergo the rehabilitation.
The implantation of a permanent pacemaker was due to sick sinus syndrome: bradycardia tachycardia in 15 patients,
bradycardia in 6 and atrioventicular block in 9 patients. Both groups did not differ significantly by age, general clinical
parameters and treatment. Complete medical examination that included: SF-36 health survey, Holter monitoring,
transthoracic echocardiography and cardiopulmonary exercise testing (CPET).
Patients in study group underwent physical cardiorehabilitation a month after pacemaker implantation daily for two
weeks doing spinning on Schiller cycling bikes.
Results. In the main group a statistically significant improvement in echocardiogram and CPET was noted (the pump
function of the heart increased by 14% (p<0.01), end-diastolic dimension decreased by 6.5% (p<0.003), end-sistolic
dimension decreased by 5.1% (p<0.005), VO2 max rise by 8.9% (p<0.01). VCO2 by 23% (p<0.005) were noted as
compared do the control group. Besides, the duration of trainings increased, the systolic BP rise and the heart rate
at rest decreased, the chronotropic response to exercise improved.
Implantation of a permanent pacemaker followed by rehabilitation had a positive impact on the indicator of quality
of life, especially on its physical and social role, by 17.8% as compared to the control group.
Conclusion. Physical exercise after the pacemaker implantation did not cause any side effect or complication.
Active rehabilitation after the implantation of a permanent pacemaker, as compared to similar patients from the control
group, enhances exercise tolerance, improves the quality of life by the most significant scores of the SF-36 like
vitality, general health perceptions and physical role.
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About the authors
- Leo A. Bockeria, Academician of RAN and RAMN, Director, orcid.org/0000-0002-6180-2619
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Andrey G. Filatov, Dr. Med. Sc., Surgeon-Arimologist, Head of Laboratory, orcid.org/0000-0003-4557-844X
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Tea T. Kakuchaya, Dr. Med. Sc., Head of Department, orcid.org/0000-0001-9383-2073
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Tamara G. Dzhitava, Cand. Med. Sc., Deputy Head of Department, orcid.org/0000-0002-6141-2231
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Arzhana M. Kuular, Cand. Med. Sc., Cardiologist, orcid.org/0000-0002-2133-9674
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Angelina G. Filatova, Cardiologist, orcid.org/0000-0001-5070-2447
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Zarina K. Tokayeva, Cardiologist, orcid.org/0000-0002-8852-8197
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Nino E. Zakaraya, Junior Researcher, orcid.org/0000-0002-7604-5278
