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Case Report: Cardiac Rehabilitation in a Patient with MVR & AVR & Tricuspid Valve Repair

Babak Gousheh, Shahrbanou Ra'eiyat, Mehri Haj-Mirzaei, Fatemeh Nasseri,
Volume 3, Issue 4 (1-2003)

Abstract

Patient is a 24 year .old male with valvular heart disease, severe mitral & aortic & tricuspid valve stenosis and regurgitation. After MVR & AVR & tricuspid surgical repair, he has undergone cardiac rehabilitation for 8 weeks (24 sittings). After completion of a cardiac rehabilitation, review of cardiovascular tests showed obvious improvement in the functional capacity, blood pressure and heart rate. Physically and mentally patient feels very comfortable and hopeful of a good healthy life.

Effects of Strength Training and Cardiac Rehabilitation Programs on the Biomechanical Parameters of Blood Flow Velocity and Blood Flow Rate and Its Relation With Arterial Stiffness Index in Brachial and Femoral Arteries with Coronary Artery Bypass Grafting Patients (CABG)

Atefeh Shokrallahnia-Roshan, Heydar Sadeghi, Shapour Shirani, Mostafa Nejatian,
Volume 14, Issue 2 (7-2013)

Abstract

Objective: Assuming that cardiac rehabilitation and exercise significantly reduces mortality rate in coronary artery disease and has an important role in secondary prevention, the purpose of this study is to assess the effects of strength training and cardiac rehabilitation programs on biomechanical parameters of blood flow velocity and blood flow rate and these relationships with the brachial and femoral artery stiffness index in patients with coronary artery bypass graft (CABG) in past 2 months.

Materials & Methods: This study was performed on 40 women and men, with 50 to 80 years old who were underwent CABG. Training group had 18 patients who participated in strength training and rehabilitation program for two months. There were three sessions in a week and patients trained according to determined level of each patient's functional capacity. The control group had 14 patients who did not participate in the training program. Variables blood flow velocity and arterial diameter in systole and diastole phases measured with Doppler ultrasound and the mean velocity of blood flow rate in arteries and arterial stiffness index was calculated for both groups. For statistical analysis dependent t-test was used in significance level of 0. 05 and Pearson correlation coefficient was applied for measuring the relation between parameters in significant level of 0.01.

Results: The significant changes in velocity, blood flow rate and decreased arterial stiffness index in arteries were observed in the training group.

Conclusion: According to our results, we can say strength training and cardiac rehabilitation programs can be effective in improvement of peripheral vascular and bleeding tendency in these patients.

The Effect of Foot Reflexology Massage on Anxiety and Physiological Indices in Patients under CABG Surgery: Randomized Placebo-Controlled Trial

Dr Majid Pourshaikhian, Dr Negar Pourvakhshoori, Mrs Mehri Shahidi, Dr Saman Maroufizadeh, Dr Mohammad Taghi Moghaddamnia,
Volume 26, Issue 2 (10-2025)

Abstract

Objective Patients experience high levels of anxiety after coronary artery bypass graft (CABG) surgery, with adverse outcomes such as instability of physiological parameters. Foot reflexology massage is one of the most common complementary treatments. This study was concluded to investigate the effect of foot reflexology massage on anxiety and physiological indices after CABG.
Materials & Methods 120 patients having undergone CABG divided into three groups intervention, control, and placebo. The study instrument included demographic characteristics, hemodynamic indices, and the Spielberger anxiety questionnaire. In the intervention group, a foot reflexology massage, in the control group no intervention and in the placebo group, superficial foot massage was performed. Data analyzed with, descriptive and inferential statistical tests and SPSS₂₄.
Results The mean score of anxiety in intervention and superficial foot massage groups was respectively (d=1.674, P<0.001, t₍₃₉₎ =10.46) and (d=0.342, P=0.039, t₍₃₉₎ =2.14) significantly decreased after the intervention, and the mean of physiological parameters in the groups of reflexology and superficial foot massage after the intervention decreased significantly(P<0.05) too, while in the control group there was no significant statistical difference.
Conclusion Reflexology foot massage can be used as a useful complementary treatment to reduce anxiety and improve physiological parameters in CABG patients.

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