• Title/Summary/Keyword: cardiopulmonary function

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Effect of Cardiopulmonary Bypass on Platelet (체외순환이 혈소판에 미치는 영향)

  • Choe, Jun-Yeong;Seo, Gyeong-Pil
    • Journal of Chest Surgery
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    • v.21 no.1
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    • pp.26-35
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    • 1988
  • The effect of cardiopulmonary bypass on platelet count, platelet function, and bleeding time was studied in 60 patients. Platelet count was significantly reduced during and after cardiopulmonary bypass. Platelet function also had a reduced aggregation response to adenosine diphosphate. Bleeding time was prolonged to over 30 minutes during cardiopulmonary bypass and not returned to normal level until postbypass 1 hour. The amount of postoperative bleeding was proportional to the degree of decrease in platelet count and function, degree of decrease in platelet count and function. There was no significant correlation between duration of cardiopulmonary bypass and platelet count, platelet function, bleeding time, or amount of postoperative bleeding. Patients with cyanotic congenital heart disease showed a larger amount of postoperative bleeding than patients with acyanotic congenital heart disease [P<0.01], and this difference was due to the fact that platelet function was more significantly affected by cardiopulmonary bypass in cyanotic group. Patients using membrane oxygenator showed a less amount of postoperative bleeding than patients using bubble oxygenator [p<0.005] reflecting better preservation of platelet count and function by membrane oxygenator.

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Effect of Cardiopulmonary Physiotherapy on Patients With Percutaneous Coronary Intervention - Systematic Review and Meta-Analysis (경피적 관상동맥 중재술을 받은 환자를 대상으로 심장호흡물리치료에 대한 효과 - 체계적 고찰과 메타분석)

  • Kang, Na-yoon;Park, Beom-seok;Kim, Min-hee
    • Journal of the Korean Society of Physical Medicine
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    • v.14 no.1
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    • pp.63-73
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    • 2019
  • PURPOSE: This study examined the effects of cardiopulmonary physiotherapy on the cardiopulmonary function, metabolism, inflammatory markers, and quality of life in patients with coronary artery disease who underwent percutaneous coronary intervention (PCI). METHODS: Electronic bibliographic databases of a regional information sharing system (RISS) and PubMed were searched to identify studies with randomized and non-randomized controlled trials. As the final outcome, 320 publications were identified and 18 studies met the inclusion and exclusion criteria. All studies were assessed for the quality of study using Cochrane's risk of bias. RESULTS: Sixteen studies met the inclusion criteria, in which meta-analysis had been conducted to examine the effectiveness of cardiopulmonary physiotherapy on the cardiopulmonary function, metabolism, inflammatory markers, and quality of life in patients undergoing PCI. Meta-analysis based on a random effect model showed that the cardiopulmonary physiotherapy was beneficial in improving the cardiopulmonary function, metabolism, inflammatory markers, and quality of life. In particular, there was a significant effect on the peak oxygen uptake (effect size 5.30%; 95% confidence interval 3.62~6.97). Cardiopulmonary physiotherapy for a during period of 6 weeks or more was effective in significantly improving the cardiopulmonary function and metabolism function in a subgroup analysis, but cardiopulmonary physiotherapy for less than 6 weeks was not effective. CONCLUSION: Cardiopulmonary physiotherapy has positive effects on the cardiopulmonary function, metabolism, inflammatory markers, and quality of life in patients undergoing PCI.

Correlation between Cardiopulmonary System Function and Body Fat by Circuit Training and Ephedra Herba in Taeumin Women (Circuit training과 마황(麻黃) 복용이 태음인 여성의 심폐기능향상과 체지방감소에 미치는 상관성 연구)

  • Park, Sung-Ho;Cho, Hyun-Chol;Choi, Seung-Peom;Song, Yun-Kyung;Lim, Hyung-Ho
    • Journal of Korean Medicine Rehabilitation
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    • v.15 no.1
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    • pp.39-65
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    • 2005
  • Objectives : This study was aimed to find out correlation of relation between cardiopulmonary function and body fat. Methods : We studied tendency of change of cardiopulmonary function and body fat for medication of Ephedrae Herba capsule by ergogenic aids with circuit training. We got the results for Exercise stress test and Segmental Bioelectrical Impedence Analysis. Results : 1. Sample Group of Ephedrae Herba medication and Circuit training generally showed the insignificant improvement of Body composition, but Control Group of Placebo and Circuit training significantly(p<.05) showed significant improvement of Body composition. 2. Sample Group of Ephedrae Herba medication and Circuit training generally showed the significant improvement of cardio-pulmonary function. Control Group of Placebo and Circuit training showed insignificant elevation of Cardiopulmonary function. 3. In the case of Sample Group, there wasn't closely correlation relationship of improvement of cardiopulmonary function and body composition, but in the case of Control Group, there was closely correlation relationship of improvement of cardiopulmonary function and body composition. Conclusions : It might be recognized that cardiopulmonary function has the correlation of body composition, and Ephedrae Herba might help the reduction of Body Fat by elevation of Cardiopulmonary function for ergogenic aids and it might be needed further study In various viewpoints.

Review of Analysis of the Effect of Tai Chi Exercise on Blood Pressure and Cardiopulmonary Function (타이치 운동이 혈압과 심폐기능에 미치는 영향에 대한 논문 분석)

  • Eun, Young;Lee, Hea-Young;Choi, Jung-Hyun;Lee, Eun-Ok
    • Journal of muscle and joint health
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    • v.12 no.2
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    • pp.132-142
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    • 2005
  • Purpose: The purpose of this study is to analyze the effect of Tai Chi exercise on Cardiorespiratory function and to identify directions for future research. Method: 19 articles from Medline search of english journals(1981-2004) and 2 from Korean nursing journals were surveyed. The contents analysis were focused on outcome measures and relative factors regarding cardiopulmonary function. Results: There are 21 articles including 8 articles with quasi experimental design, 7 articles with randomized controlled design and 6 articles with comparative non experimental research design. The major subjects of research were older adults, but hypertensive patients, cardiac rehabilitative patient, and osteoarthritic patient also included. The major style of Tai Chi was Yang style with 108-form. The duration of Tai Chi exercise was from 12weeks to 13.2 years in comparative non experimental studies, but 6 weeks to 16weeks in randomized controlled experimental studies. The most effective duration for cardiopulmonary function was over 16weeks. The variables for cardiopulmonary function were blood pressure, heart rate and cardiopulmonary function via $VO_2$ max(ml/kg/min). To reduce the blood pressure in the result was found in 2 articles, to reduce the heart beat was found in 1 article, to improve the cardiopulmonary function via $VO_2$ max in results were found in 7 articles(73%) among 11 articles. Conclusion: The Tai Chi exercise over 16weeks improves the cardiopulmonary function. It is suggested that to verify the effect of Tai Chi on cardiopulmonary function, the difference of gender, age, health status will be identified through repeated experiments.

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Reliable Prognostic Cardiopulmonary Function Variables in 110 Patients With Acute Ischemic Heart Disease

  • Lee, Jeong Jae;Park, Chan-hee;You, Joshua (Sung) Hyun
    • Physical Therapy Korea
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    • v.29 no.3
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    • pp.200-207
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    • 2022
  • Background: The oxygen uptake efficiency slope (OUES) is the most important index for accurately measuring cardiopulmonary function in patients with acute ischemic heart disease. However, the relationship between the OUES variables and important cardiopulmonary function parameters remain unelucidated for patients with acute ischemic heart disease, which accounts for the largest proportion of heart disease. Objects: The present cross sectional clinical study aimed to determine the multiple relationships among the cardiopulmonary function variables mentioned above in adults with acute ischemic heart disease. Methods: A convenience sample of 110 adult inpatients with ischemic heart disease (age: 57.4 ± 11.3 y; 95 males, 15 females) was enrolled at the hospital cardiac rehabilitation center. The correlation between the important cardiopulmonary function indicators including peak oxygen uptake (VO2 peak), minute ventilation (VE)/carbon dioxide production (VCO2) slope, heart rate recovery (HRR), and ejection fraction (EF) and OUES was confirmed. Results: This study showed that OUES was highly correlated with VO2 peak, VE/VCO2 slope, and HRR parameters. Conclusion: The OUES can be used as an accurate indicator for cardiopulmonary function. There are other factors that influence aerobic capacity besides EF, so there is no correlation with EF. Effective cardiopulmonary rehabilitation programs can be designed based on OUES during submaximal exercise in patients with acute ischemic heart disease.

Influence of Smokers's Jogging Exercises on Cardiopulmonary Function of Normal Adults in Their Twenties (20대 성인 흡연자의 조깅운동이 심장호흡기능에 미치는 영향)

  • Lee, Sam-Cheol
    • Journal of Korean Physical Therapy Science
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    • v.23 no.1
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    • pp.9-17
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    • 2016
  • Background and Purpose : Effects of smokers's jogging exercises on oxygen uptake, ventilation, heart rate, and vital-capacity of normal adults have not been studied in details on. In this study, people that had completed the established jogging exercises was selected for the study. We could examine the effects of imposed jogging in smokers who might be considered by an experienced physical therapist to be well practiced and proficient in this exercises. Subjects and Methods : A total number of 24 young healthy subjects participated in a randomized crossover controlled study and completed the study. The subjects of this study were divided into jogging and controlled groups which were composed 14 people respectively. The members of exercise group had jogging exercises 50 minutes a day, five times a week, for 5 weeks in same conditions, otherwise controlled group did not. Results : The results of this study were as follows. The jogging group demonstrated significant increases in cardiopulmonary function, vital-capacity and exercise capacity, compared with control group, which demonstrated no change in baseline measurements of 5 weeks. Conclusion : Jogging exercises can increase cardiopulmonary function in people after they have undergone successful PA. These results suggested that it was improved on cardiopulmonary function and lung capacity, since jogging exercise had. The results of this study could be applied for valuable criterion cardiopulmonary function. It is necessary to selects in various groups of the purpose of enhancing confidence in of this research.

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The Effects of Table Tennis Program on Self Efficacy, Cardiopulmonary Function, Serum Lipids, Catalase Activity in the Physical Disabilities (탁구프로그램이 지체장애인의 자기효능감, 심폐기능, 혈청지질, Catalase 활성도에 미치는 영향)

  • Jeong, Yeong-Ju;Park, Jae-Gyeong;Yu, Gyeong-Won;Lee, Hee-Kyung;Kim, Mi-Ran;Kim, Kweon-Young
    • Journal of Korean Biological Nursing Science
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    • v.11 no.1
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    • pp.1-13
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    • 2009
  • Purpose: This study was conducted to evaluate the effects of table tennis program on self efficacy, cardiopulmonary function, serum lipids, catalase activity in the physical disabilities. Method: Physical disabilities were allocated to one of two groups: control group (n=7), experiment group (n=8). The experiment group took table tennis program four times a week for 12 weeks. Self efficacy was measured by questionnaire. Serum lipid profiles, catalase and cardiopulmonary function were checked after the exercise program and compared with pre-exercise data. Result: Self efficacy was significantly higher in the table tennis group. Maximum oxygen consumption and forced vital capacity were significantly increased and heart rate at rest was decreased in the table tennis group. Total cholesterol and triglyceride were decreased in the table tennis group. There was no significant change in catalase activity between two groups. Conclusion: These results indicate that table tennis program has positive effects on the health of the physical disabilities by improving the self efficacy and cardiopulmonary function and serum cholesterol profile.

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Compare of Graded Load Exercise on Cardiopulmonary Function and Energy Metabolism of Normal Persons and Stroke Patients (점증 부하 운동 시 정상인과 뇌졸중 환자의 심폐기능 및 에너지 대사 비교)

  • Kim, Ji-Hye;Yeom, Ju-No;Ryu, In-Tae;Lim, Chae-Gil;Hwang, Byong-Yong
    • The Journal of the Korea Contents Association
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    • v.12 no.2
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    • pp.331-338
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    • 2012
  • The purpose of this study is to investigate the cardiopulmonary function and the energy metabolism of stroke patients and normal persons of graded load exercise using lower ergometer. Targeting 11 normal persons(male: 6, female: 5) and 9 stroke patients (male: 4, female: 5), an graded load exercise was performed with the use of lower ergometer by increasing 25 watts every 6 minute and Quark $b_2$ were used for the cardiopulmonary function and the energy metabolism. With respect to normal persons, there were significant increases in the phase of graded load exercise, maximum oxygen uptake time, exercise time with respect to the cardiopulmonary function. In addition, there was a significant correlation between cardiopulmonary function and energy metabolism, but there was no significant difference energy metabolism. As a result, there were no significant differences between stroke patients and normal persons of the cardiopulmonary function and the energy metabolism within 18 minutes, but it had significant differences between maximum oxygen uptake and exercise time. Moreover, it was possible to identify that the cardiopulmonary function and the energy metabolism of stroke patients and normal persons are related with maximum oxygen uptake.

Physical Therapy Approaches for Respiratory Diseases (호흡계 질환의 물리치료적 접근방법)

  • Kim, Ki-Song
    • Journal of Korean Physical Therapy Science
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    • v.16 no.3
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    • pp.67-74
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    • 2009
  • Background: Various functional factors should be incorporated during assessment and intervention for patient rehabilitation. Stable respiratory function is one of required factors for functional restoration. To maximize respiratory physical therapy intervention outcome, it is required to understand clinical features of respiratory diseases and physical therapy approaches. Methods: Previous studies were systematically reviewed through computerized search. Methodological qualities of selected studies were evaluated and the levels of recommendations were determined. Results: Assessment for respiratory pattern and thoracic mobility is of importance to improve cardiopulmonary fitness during physical reconditioning. Application of optimal therapeutic protocol can increase thoracic mobility and respiratory function. Interdisciplinary communication is critical during rehabilitation for respiratory patients. Health care provider should have professional knowledge and experience for cardiopulmonary fitness and obligation to endeavor for patients' respiratory rehabilitation. It is necessary to standardize therapeutic intervention, and rehabilitative respiratory exercise should be applied to confirm the effects of intervention. Conclusion: Respiratory diseases that may reduce patients' quality of life and cardiopulmonary fitness should be resolved through physical therapy approaches. Through conducting research, effect of evidence-based and patients' function-oriented intervention can be determined.

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Clinical Effect of Albumin Addition to the Prime solution in Cardiopulmonary Bypass (체외순환시 산화기 충전액에 첨가된 알부민의 임상적 효과)

  • Lee, Hyeong-Gyo;Yu, Se-Yeong
    • Journal of Chest Surgery
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    • v.23 no.6
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    • pp.1152-1157
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    • 1990
  • Colloid solution is commonly used to increase the oncotic pressures of priming solutions used in the cardiopulmonary bypass circuit. To study the effectiveness of this practice, we retrospectively evaluated 24 patients undergoing cardiac operations to receive isoelectric solution plus 50 gm of albumin[group A], isoelectric solution plus 25 gm of albumin[group B] and isoelectric solution without albumin[group C] as the prime solution for the bypass circuit. Various clinical parameters related to the perioperative fluid balance, cardiopulmonary function, and renal function were studied. There were no differences between the three groups with regard to postoperative clinical parameter of cardiopulmonary, liver function and renal function. But at the previous report by Cho et al. [38], there was a significant difference between groups with regard to hematologic property, especially in crenated red blood cells. These hematologic events did not affect the clinical outcome but thorough evaluations are needed in order to prove the clinical effect of crenated red blood cell. We conclude that there is no clinically detectable advantage for the routinely supplementing of albumin to the priming solution of bypass circuit in cardiac operations. Whether this practice can be of value in selected cases needs to be further studied.

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