Pulmonary Rehabilitation in Patients with COPD

Ledi Necaj, Edmond Pistulli

Abstract: Shortness of breath associated with cardiorespiratory abnormalities and peripheral muscle discomfort are the major factors that limit exercise capacity in patients with chronic obstructive pulmonary disease (COPD) and those with congestive heart failure (CHF). Both of these symptoms negatively impact on patients daily physical activity levels. In turn, poor daily physical activity is commonly associated with increased rates of morbidity and mortality. Among those coronary artery disease patients referred, CR completion is associated with improved survival and decreased hospitalization. This is a prospective study of patient who underwent cardiac and pulmonary surgery at university hospital centre Mother Theresa in Tirana, Albania over the period 2012-2014. Patients were evaluated before and after cardiac rehabilitation (CR). Tailored pulmonary rehabilitation programs should be considered for COPD patients of all stages, who have respiratory symptoms and/or who have intolerance to physical effort despite optimal pharmacological treatment.

Keywords: cardio-pulmonary rehabilitation, exercise capacity, program