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- Title
CREATING A PROTOCOL FOR THE TESTING OF PATIENTS WITH IMPLANTED PACEMAKER FOR THE NEEDS OF KINESITHERAPY.
- Authors
Zlatkova, Krasimira
- Abstract
One of the most important discoveries of the 20th century in cardiology is the implantation of a pacemaker. Indisputable evidence exist of the effectiveness of this procedure for the improvement of quality of life. With the aging of the population and the increasing indications for implanting a pacemaker, the number of people, which have an implant, constantly increases. The aim of this study is to create a protocol with which to track the condition of patients with implanted pacemakers. From a literary reference, which we made, we could not find a template, with which the condition of patients with implanted pacemaker can be tracked. We suggest our protocol for examination to include the following components: personal information, data for the heart rate and blood pressure values, Borg’s scale, 6-minute walk test, gait analysis, assessing orthostatic reactivity, questionnaires, and telemetry. The personal information includes name, gender, age, primary reason for the implantation of pacemaker as well as the type of pacemaker. In the first hours after implantation, it is necessary to follow the values of heart rate and arterial blood pressure, in order to observe if the implanted device functions properly. The gait analysis assesses the cadence and speed of movement. An active orthostatic test is used to assess the reactivity, in which the heart rate is measured in laying, standing, and again in laying position. Borg’s scale is used for a subjective determination of the exertion rating when performing a physical effort. The 6-minute walk test is used to assess the functional capacity by measuring the distance walked in six minutes. According to the literary reference, we believe, that it is appropriate to include the flowing questioners to assess the quality of life: Minnesota Living with Heart Failure, Assessment of QUAlity of Life and RELated Events – AQUAREL, Medical Outcomes Study 36 Items Short Form (SF-36) and Mini geriatric depression scale. We suggest the data from the telemetry performed to be included, because that is the main tool that assesses the function of the implanted pacemaker. In conclusion, we can summarize, that interventional cardiology is a modern approach of treatment, which is more and more popular. The number of people with implanted pacemaker increases. The modern look cardiology rehabilitation requires the use of modern methods for testing, in which the physical and mental condition of the patient is considered. That is why it is needed to create a common protocol, with which to track the condition of the patients (physically and emotionally).
- Subjects
COMPUTER network protocols; CARDIAC pacemakers; MECHANOTHERAPY; PERSONAL information management; BLOOD pressure
- Publication
Knowledge: International Journal, 2019, Vol 35, Issue 4, p1181
- ISSN
2545-4439
- Publication type
Article