cardiovascularКардиоваскулярная терапия и профилактикаCardiovascular Therapy and Prevention1728-88002619-0125«SILICEA-POLIGRAF» LLC10.15829/1728-8800-2021-2998cardiovascular-2998Research ArticleОБЗОРЫ ЛИТЕРАТУРЫREVIEW ARTICLESПреабилитация как важный этап перед кардиохирургическими вмешательствамиPrehabilitation as an important stage before cardiac surgeryhttps://orcid.org/0000-0003-2250-5942БубноваМ. Г.BubnovaM. G.

Марина Геннадьевна Бубнова — доктор медицинских наук, профессор, руководитель отдела реабилитации и вторичной профилактики сердечно-сосудистых заболеваний.

Москва, Тел.: +7 (903) 752-21-86

MD, PhD, Professor; head of department of rehabilitation and secondary prevention for Cardiovascular Disease

Moscow

mbubnova@gnicpm.ruhttps://orcid.org/0000-0003-0484-9805АроновД. М.AronovD. M.

Марина Геннадьевна Бубнова — доктор медицинских наук, профессор, руководитель отдела реабилитации и вторичной профилактики сердечно-сосудистых заболеваний.

Москва, Тел.: +7 (903) 752-21-86

MD, PhD, Professor; chief scientific researcher

Moscow

aronovdm@mail.ruhttps://orcid.org/0000-0003-0875-4205СприкутА. А.SprikutA. A.

Анна Александровна Сприкут — кандидат медицинских наук, зав. отделением кардиореабилитации.

Челябинск

сandidate of Medicine, Head of Cardiac Rehabilitation Department.

Chelyabinsk

mbubnova@gnicpm.ruhttps://orcid.org/0000-0003-0342-539XСтанкевичД. И.StankevichD. I.

Дарья Игоревна Станкевич — кардиолог отделения кардиореабилитации.

Челябинск

cardiologist of Cardiac Rehabilitation Department

Chelyabinsk

mbubnova@gnicpm.ruhttps://orcid.org/0000-0002-9155-9189ПоддубскаяЕ. А.PoddubskayaE. A.

Елена Александровна Поддубская — кандидат медицинских наук, ученый секретарь.

Москва

сandidate of Medicine, scientific secretary

Moscow

EPoddubskaya@gnicpm.ruhttps://orcid.org/0000-0002-8508-5327Персиянова-ДуброваА. Л.Persiyanova-DubrovaA. L.

Анна Леонидовна Персиянова-Дуброва — кандидат медицинских наук, старший научный сотрудник отдела реабилитации и вторичной профилактики сердечно-сосудистых заболеваний.

Москва

сandidate of Medicine, senior scientific researcher of department of rehabilitation and secondary prevention for Cardiovascular Disease.

Moscow

apersiyanova@gnicpm.ruФГБУ Национальный медицинский исследовательский центр терапии и профилактической медицины Министерства здравоохранения Российской ФедерацииNational Medical Research Center for Therapy and Preventive MedicineМБУЗ Городская клиническая больница № 2City Clinical Hospital № 220211510202120629982998Copyright © Бубнова М.Г., Аронов Д.М., Сприкут А.А., Станкевич Д.И., Поддубская Е.А., Персиянова-Дуброва А.Л., 20212021Бубнова М.Г., Аронов Д.М., Сприкут А.А., Станкевич Д.И., Поддубская Е.А., Персиянова-Дуброва А.Л.Bubnova M.G., Aronov D.M., Sprikut A.A., Stankevich D.I., Poddubskaya E.A., Persiyanova-Dubrova A.L.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://cardiovascular.elpub.ru/jour/article/view/2998

В обзоре обсуждаются вопросы подготовки пациентов к операциям на сердце и других органов. Рассматривается важность введения нового этапа медицинской и кардиологической реабилитации — преабилитации. Представляются результаты рандомизированных клинических исследований, систематических обзоров и метаанализов, посвященных оценке эффективности респираторных техник и физических тренировок на этапе преабилитации. Особое внимание уделяется вовлечению в программы преабилитации пациентов перед планируемой операцией коронарного шунтирования. Обсуждаются методологические проблемы, возникающие при разработке преабилитационных программ.

The review discusses the preparation of patients for surgery on the heart and other organs. We considered the importance of introducing a new stage of medical and cardiology rehabilitation — prehabilitation. The results of randomized clinical trials, systematic reviews and metaanalyzes evaluating the effectiveness of respiratory techniques and physical training during the prehabilitation are presented. Particular attention is paid to the involvement of patients in prehabilitation programs before the elective coronary artery bypass grafting. Methodological problems arising in the development of prehabilitation programs are discussed.

преабилитациякардиореабилитациякоронарное шунтированиефизические тренировкипредоперационная подготовкаprehabilitationcardiac rehabilitationcoronary artery bypass graftingphysical trainingpreoperative preparationReferencesБокерия Л. А. Сердечно-сосудистая хирургия-2019. М.: НЦССХ им. А. Н. Бакулева, 2020. 294 с. ISBN: 978-5-7982-0367-3.Bokeriya LA. Serdechno-sosudistaya khirurgiya-2019. M.: Bakoulev SCCS RAMS, 2020. 294 p. (In Russ.) ISBN: 978-5-7982-0367-3.Neumann F-J, Sousa-Uva M, Ahlsson A, et al. 2018 ESC/EACTS Guidelines on myocardial revascularization. The Task Force on myocardial revascularization of the European Society of Cardiology (ESC) and European Association for Cardio-Thoracic Surgery (EACTS). Eur Heart J. 2019;40:87-165. doi:10.1093/eurheartj/ehy394.Neumann F-J, Sousa-Uva M, Ahlsson A, et al. 2018 ESC/EACTS Guidelines on myocardial revascularization. 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The authors declare that there are no conflicts of interest present.