Abhijit Diwate

Contexte: La coronaropathie est la cause la plus fr quente de morbidit et de mortalit dans le monde. En Inde galement, c'est le principal probl me de sant et la premi re cause de d c s. Le pontage aortocoronarien est la proc dure chirurgicale la plus courante pour les maladies des art res coronaires. La stratification du risque pr op ratoire est effectu e pour conna tre la gravit de la maladie avant l'op ration. Lorsque nous avons envisag la stratification des risques postop ratoires, nous n'avons obtenu aucun effet entre les groupes stratifi s en fonction du risque. Cependant, nous avons constat des changements significatifs sur le plan clinique entre les groupes.But et objectifs: Le but de cette tude tait de d couvrir l'effet de la stratification du risque pr op ratoire sur la r adaptation cardiaque de phase 1 en termes de param tres cardiaques et pulmonaires.La m thodologie: Dans cette tude d'observation longitudinale, 109 sujets au total ont t inclus et ont subi un pontage aorto-coronarien. Les sujets ont t divis s en trois groupes, savoir un risque faible, un risque mod r et un risque lev selon les crit res de stratification du risque. Les param tres h modynamiques (fr quence cardiaque, fr quence respiratoire, SpO2, pression art rielle) ont t enregistr s les jours 1, 3, 5 et 7 apr s l'op ration, et la distance de marche de 6 minutes a t mesur e le 7e jour apr s l'op ration.

Background: Coronary artery disease is the commonest cause of morbidity & mortality worldwide. Also in India, it is the major health issue & leading cause of death. Coronary artery bypass grafting (CABG) is the commonest surgical procedure for coronary artery disease. Preoperative risk stratification is done to know the severity of the disease before surgery. When we considered risk stratification postoperatively, we did not get any effect between the risk-stratified groups. However, we found significant changes clinically between the groups. Aim and objectives: The purpose of this study was to find out the effect of preoperative risk stratification on phase 1 Cardiac Rehabilitation in terms of cardiac and pulmonary parameters.Methodology: In this longitudinal observational study, a total of 109 subjects were included who underwent CABG. The subjects were divided into three groups, i.e. low risk, moderate risk, and high risk according to the risk stratification criteria. Hemodynamic parameters (Heart rate, Respiratory Rate, SpO2, blood pressure) were recorded on postoperative days 1, 3, 5& 7, and 6-minute walk distance was measured on postoperative day 7.

Background: Cardiovascular Disease is the top leading cause of death in a south-Asian country like India. Cardiothoracic surgery is one of the treatments of choice in severe morbidity condition to reduce mortality rate and disability. Despite recent advances and updated technical instrumentation postoperative pulmonary complication is a critical problem. Physiotherapy works efficiently to minimise postoperative complication to improve the health status of the patient. Aims and objectives: The purpose of the study is to evaluate the immediate effect of Stacked Breathing technique on Peak Expiratory Flow rate PEFR] and Oxygen Saturation SpO2] in Cardiothoracic surgery Patient.Methodology: Out of a total of 119 screened patients, only 105 were able to complete the intervention. Stacked Breathing was performed by the patient twice daily Morning and Afternoon] for 1st, 2nd and 3rd postoperative days termed as six-session IA, IB, IIA, IIB, IIIA, IIIB where, A=morning, B= afternoon and I to III is Postoperative day 1 to 3] pre and post-exercise outcome were measured and data collected.