Abstract
Clinical significance of preoperative physical training was studied in 29 patients with cardiovascular diseases who were to undergo elective abdominal surgery. The exercise testing on admission revealed that 11 of the 29 were in inadequate physical condition. These 11 underwent a preoperative physical training program which proved to be effective in 7. The incidence of postoperative complications was significantly higher in the 4 patients with inadequate physical fitness than in the 25 patients who were fit. Two cardiac deaths occurred postoperatively in the former group, while no cardiac complication or death was found in the latter group. These results indicate that preoperative physical training is a useful adjunct to regular methods for estimating cardiac risk and also to reduce the risk.
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References
Schulz, U. and Hissen, W.: Postoperative Todesfalle und ihre Ursachen, Langenbecks Arch. Chir. 340: 49–58, 1975.
Mauney, F.M., Jr., Ebert, P.A. and Sabiston, D.C., Jr.: Postoperative myocardial infarction: A study of predisposing factors, diagnosis and mortality in a high risk group of surgical patients, Ann. Surg. 172: 497–503, 1970.
Gage, A.A., Bhayana, J.N., Balu, V. and Hook, N.: Assessment of cardiac risk in surgical patients, Arch. Surg. 112: 1488–1492, 1977.
Tsuji, H. and Miyabe, M.: Cardiac work load in abdominal operations, Onken Kiyo (Bul. Res. Inst. Balneother.), 31: 18–23, 1979. English Abst.
Roy, W.L., Edelist, G. and Gilbert, B.: Myocardial ischemia during non-cardiac surgical procedures in patients with coronary-artery disease, Anesthesiology 51: 393–397, 1979.
Goldman, L., Caldera, D.L., Nussbaum, S.R., Southwick, F.S., Krogstad, D., Murray, B., Burke, D.S., O'Malley, T.A., Goroll, A.H., Caplan, C.H., Nolan, J., Carabello, B. and Slater, E.E.: Multifactorial index of cardiac risk in non-cardiac surgical procedures, New Engl. J. Med. 297: 845–850, 1977.
Jewin, I., Lerner, A.G., Green, S.H., Del Guercio, L.R.M. and Siegel, J.H.: Physical class and physiologic status in the prediction of operative mortality in the aged sick, Ann. Surg. 174: 217–231, 1971.
Owens, W.D., Felts, J.A. and Sptznagel, E.L., Jr.: ASA physical status classifications: A study of consistency of ratings, Anesthesiology 49: 239–243, 1978.
Morehause, L.E. and Miller, A.T.: Physiology of exercise (6th ed.), pp. 275–281, C.V. Mosby, Saint Louis, 1971.
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Asoh, T., Tsuji, H. Preoperative physical training for cardiac patients requiring non-cardiac surgery. The Japanese Journal of Surgery 11, 251–255 (1981). https://doi.org/10.1007/BF02468764
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DOI: https://doi.org/10.1007/BF02468764