Patient education and rehabilitation after pulmonary thromboembolism
Keywords:pulmonary thromboembolism, physical rehabilitation, quality of life
Persistent or worsening of dyspnea and limitation of physical activities in patients after an episode of acute pulmonary thromboembolism, reported in long-term studies, may subsequently be the main determinant of impaired quality of life. Physical rehabilitation and patient education after a thromboembolic event has not taken its place in the management of this group of patients. We set out to implement of patient education and the partially supervised physical rehabilitation program at home for patients after PE in the first 3 months after the acute event. The results of our study demonstrated the increase in functional capacity, the improvement of the quality of life, the reduction of the symptom of dyspnea. This article is part of the results of the study within the state project with the figure 20.80009.8007.28.
Klok F.A, van der Hulle T, den Exter P.L, Lankeit M, Huisman M.V, Konstantinides S. The Post-PE Syndrome: A New Concept for Chronic Complications of Pulmonary Embolism. Blood Rev. 2014, 28, 221–226
Albertsen I.E., Piazza G., Goldhaber S.Z. Let’s Stop Dichotomizing Venous Thromboembolism as Provoked or Unprovoked. Circulation 2018, 138, 2591–2593
Konstantinides S.V, Torbitsky A, Agnelli G,et al. ESC recommendations 2014 on the diagnosis and treatment of acute pulmonary embolism. European Heart J. 2014; 35:3033–3069
Nopp S, Klok F.A, Moik F, Petrovic M, Derka I, Ay C, Zwick R.H. Outpatient pulmonary rehabilitation in patients with persisting symptoms after pulmonary embolism. J Clin Med. 2020;9(1811)
Konstantinides S.V., Meyer G., Galié N., et al. 2019 ESC Guidelines for the Diagnosis and Management of Acute Pulmonary Embolism Developed in Collaboration with the European Respiratory Society (ERS). European Heart Journal (2020) 41, 543 603
Aiping Yu, Weiping Ding, Wanmi Lin, Juan Cai, and Weina Huang. Application of pulmonary rehabilitation in patients with pulmonary embolism (Review). Exp Ther Med. 2022 Jan; 23(1): 96
Nagaki T, Terada J, Tanabe N, et al. Home-based pulmonary rehabilitation in patients with inoperable or residual chronic thromboembolic pulmonary hypertension: a preliminary study. Respir Investig.2014;52(6):357-64
Boon GJAM, Janssen SMJ, Barco S, Bogaard HJ, Ghanima W, Kroft LJM, Meijboom LJ, Ninaber MK, Nossent EJ, Spruit MA, et al. Efficacy and safety of a 12-week outpatient pulmonary rehabilitation program in Post-PE syndrome. Thromb Res. 2021;206:66–75
Cires-Drouet R.S, Mayorga-Carlin M, Toursavadkohi S, et al. Safety of exercise therapy after acute pulmonary embolism. Phlebology. 2020;35:824–832.
Habib GMM, Rabinovich R, Divgi K, et al. Systematic review of clinical effectiveness, components, and delivery of pulmonary rehabilitation in low-resource settings. NPJ Prim Care Respir Med. 2020;30(52)
Rolving N, Brocki B.C, Andreasen J. Coping with everyday life and physical activity in the aftermath of an acute pulmonary embolism: A qualitative study exploring patients’ perceptions and coping strategies. Thromb Res. 2019;182:185–191
Klok F.A, van Kralingen K.W, van Dijk A.P, et al. Prevalence and potential determinants of exertional dyspnea after acute pulmonary embolism. Respir Med 2010;104:1744–1749
Kahn S.R, Hirsch A.M, Akaberi A, et al. Functional and Exercise Limitations After a First Episode of Pulmonary Embolism: Results of the ELOPE Prospective Cohort Study. Chest 2017, 151, 1058–1068
Nagel C, Prange F, Guth S, et al. Exercise training improves exercise capacity and quality of life in patients with inoperable or residual chronic thromboembolic pulmonary hypertension. PLoS One. 2012;7(7)
Wang Z, Sun Y, An Y. Reduced exercise training on the rehabilitation status of patients with acute pulmonary embolism. Sci Technol Eng. 2017;17:154–159
Man W.D, Chowdhury F, Taylor R.S, et al. Building consensus for provision of breathlessness rehabilitation for patients with chronic obstructive pulmonary disease and chronic heart failure. Chronic Respir Dis. 2016;13(3):229–39.
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