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EUROPEAN JOURNAL OF PHYSICAL AND REHABILITATION MEDICINE

A Journal on Physical Medicine and Rehabilitation after Pathological Events


Official Journal of the Italian Society of Physical and Rehabilitation Medicine (SIMFER), European Society of Physical and Rehabilitation Medicine (ESPRM), European Union of Medical Specialists - Physical and Rehabilitation Medicine Section (UEMS-PRM), Mediterranean Forum of Physical and Rehabilitation Medicine (MFPRM), Hellenic Society of Physical and Rehabilitation Medicine (EEFIAP)
In association with International Society of Physical and Rehabilitation Medicine (ISPRM)
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Europa Medicophysica 2007 June;43(2):147-53

language: English

Pulmonary endarterectomy in chronic thromboembolic pulmonary hypertension: short-term functional assessment in a longitudinal study

Petrucci L. 1, Carlisi E. 2, Ricotti S. 1, Klersy C. 3, D’Armini A. M. 4, Viganò M. 4, Dalla Toffola E. 5

1 Department of Rehabilitation IRCCS Fondazione Policlinico S. Matteo, Pavia, Italy
2 School of Specialization in Physical Medicine and Rehabilitation, University of Pavia, Pavia, Italy
3 Department of Clinical Biometrics and Epidemiology IRCCS Fondazione Policlinico S. Matteo, Pavia, Italy
4 Unit of Cardiac Surgery University of Pavia, Pavia, Italy
5 Unit of Physical Medicine and Rehabilitation University of Pavia, Pavia, Italy


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Aim. Presently, the surgical treatment choice in chronic thromboembolic pulmonary hypertension (CTEPH) consists in a pulmonary endarterectomy (PEA). The aim of the present study is the functional assessment of patients submitted to PEA both preoperatively and shortly after the intervention. A longitudinal study was developed to study the quality and quantity of functional performance possible in these subjects.
Methods. Twenty-two subjects were assessed immediately prior to PEA and 3 months later in order to obtain quantitative measurements of short-term functional recovery. The functional assessment included the 6-min walk test (6mWT), the measurement of the oxygen percent saturation (HbS%O2) and the degree of dyspnea subjectively perceived by each patient.
Results. Three months after the surgical intervention, there was a definite increase in the number of meters walked during the 6mWT with respect to preintervention; the difference between the distances walked in the 6mWT (6mWD) in the pre and post-PEA was statistically significant (Paired t-test P<0.001).
Conclusion. In this study the 6mWT resulted to be a useful tool in the functional evaluation of patients affected by CTEPH and submitted to PEA. The average 6mWD significantly improved already at 3 months after the intervention, thus reaching the minimum limit of the range predicted for the healthy control, but remains lower than the average theoretical value predicted (about 75% of the same).

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