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학술저널
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서용곤 (삼성서울병원) 성지동 (삼성서울병원) 신말순 (고려대학교) 박윤진 (고려대학교) 민경빈 (고려대학교) 강규민 (고려대학교) 이종민 (기전대학교) 김명기 (고려대학교)
저널정보
한국운동재활학회 Journal of exercise rehabilitation Journal of exercise rehabilitation Vol.15 No.4
발행연도
2019.1
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610 - 615 (6page)

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There is a lack of evidence on the effect of exercise-based cardiac re-habilitation (EBCR) in patients treated with total thoracoscopic ablation (TTA) for atrial fibrillation (AF). Our study investigated the efficacy and safety of postoperative exercise intervention in patients recovering from TTA. Twenty-four patients participated in the study, and were divided into the two groups, exercise group (EG) (n=12) and control group (n= 12). Patients in EG performed the exercise intervention including the aerobic and resistance exercise program twice a week for 8 weeks, which was used as a hospital-based cardiac rehabilitation for the out-patient. A cardiopulmonary exercise test was administered to evaluate aerobic exercise capacity, and qualitative aspect of patient’s life was assessed using the Short Form 36 questionnaires to compare pre and postoperative wellness of patient’s life. Although there was an increase of VO2peak (peak oxygen uptake) after exercise intervention, no signifi-cant improvement was found (P=0.055). Two of 4 physical health scores (role-physical, P=0.013 and general health, P=0.05) and three of four mental health scores (vitality, P=0.027, social function, P=0.016, and mental health, P=0.003) were significantly improved after 8 weeks of EBCR. Each summarized scale in the physical (P=0.022) and mental (P= 0.004) survey section was also significantly improved in postoperative assessment compared to the preoperative one. In this context, we con-cluded that EBCR initiated at the time point of 4th week after TTA opera-tion can guarantee the secure postoperative physical activity, and the 8 weeks of EBCR can effectively improve the quality of life in AF Patients.

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