Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Wertheim cung cấp cho các bạn kiến thức về ngành y đề tài: Phase 1 cardiovascular rehabilitation: be aggressive? | Carvalho Journal of Cardiothoracic Surgery 2011 6 140 http content 6 1 140 JCTS JOURNAL OF CARDIOTHORACIC SURGERY LETTERS TO THE EDITOR Open Access Phase 1 cardiovascular rehabilitation be aggressive Vitor Oliveira Carvalho Background It is well known that the most common respiratory complications after cardiac surgery are related to sternotomy extracorporeal circulation and its inflammatory reaction 1 . Phase 1 cardiovascular rehabilitation is widely indicated to minimize the adverse effects of cardiac surgery including respiratory function 2 3 . However is there a critical day to physiotherapists The study by Moreno et al 4 is very important and adds important information to what we know about respiratory function and physiotherapy after cardiac surgery. This study aimed to assess the pulmonary function in patients after coronary artery bypass graft surgery treated with a physiotherapy protocol. The authors showed that the day 3 after cardiac surgery showed the worst values of forced vital capacity maximal inspiratory pressure and maximal expiratory pressure in the follow up of 30 days. However the authors did not show data about the incidence of atelectasis and pulmonary complications along the follow up. The results showed by Moreno et al 4 raised some questions should physiotherapists be more aggressive in the third day after surgery If yes could the aggressive intervention impact in lung complications and survival This way new trials are important to elucidate the best physiotherapy strategy in patients after cardiac surgery. Moreover to investigate if an aggressive physiotherapy in the worst period of lung function after cardiac surgery decreases the incidence of atelectasis pulmonary complications and improves patients survival. Received 4 October 2011 Accepted 17 October 2011 Published 17 October 2011 Correspondence Laboratório de Insuficiência Cardíaca e Transplante do Instituto do Corapão do Hospital .
