Ergometric efficiency criteria for intensive care in cardiac surgery patients

In the article, the authors discuss the results of the metabolic and cardiorespiratory adaptation monitoring aimed at optimizing the intensive cardiac care for patients with coronary artery disease in the Cardiovascular Surgery Department of the FSBI “RI Cardiology” SO RAMS. The study included 96 patients. Forty three patients received ergospirometry examination the day before surgery to assess the level of metabolic and cardiorespiratory adaptation and effectiveness of the treatment. At the various stages of the operation, monitoring of metabolic and cardiorespiratory adaptation levels was performed via the determination of anaerobic threshold. Implementation of the method evaluating metabolic and cardiorespiratory adaptation allowed to optimize the doses of inotropic drugs and the regimes of overdrive pacing, to improve surgery outcomes, and to reduce the duration of inotropic support and the ICU length of stay.