Relevant bibliographies by topics / Cardiovascular system Surgery Complications Japan

Academic literature on the topic 'Cardiovascular system Surgery Complications Japan'

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Published: 10 December 2022
Last updated: 28 January 2023

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Journal articles on the topic "Cardiovascular system Surgery Complications Japan"

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Nakamura, Shinichi, Taku Rokutanda, Hirofumi Kurokawa, and Yoshirou Onoue. "Endovascular Treatment of Long Superficial Femoral Artery–Chronic Total Occlusions Using the Gogo Catheter With IVUS Via a Popliteal Puncture Method Is Effective, Safe, and Useful." Vascular and Endovascular Surgery 54, no. 3 (January 3, 2020): 225–32. http://dx.doi.org/10.1177/1538574419896735.

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Objectives: We aimed to investigate the usefulness of inserting a 6Fr sheath guided by duplex ultrasonography via a popliteal artery puncture. We also aimed to demonstrate endoluminal tracking using a retrograde approach using the Gogo catheter with intravascular ultrasound (IVUS). Background: The bidirectional approach is useful for increasing the success rate of the procedure for long superficial femoral artery–chronic total occlusions (SFA-CTOs). However, this procedure becomes somewhat complicated. Since the proximal blood vessel diameter is clearly larger than the distal end of the CTO and the body surface duplex guide can also be used in the proximal part, it is easier to introduce a retrograde guidewire (GW) into the proximal end. Methods: We performed endovascular treatment for long SFA-CTOs with a Gogo catheter + IVUS guide in 31 consecutive cases (male 20/female 11; mean age, 75.6 ± 7.6) from May 2017 to November 2018. We advanced the IVUS until the true lumen could be confirmed and advanced the Gogo catheter toward the IVUS for reinforcement. We attempted to approach the long CTO by repeating this procedure. We named this procedure the GIP method (GIP: Gogo catheter with IVUS via a popliteal puncture). Hemostasis of the popliteal artery was achieved using a commercially available compression hemostatic kit (Tometa-kun, XEMEX, Japan). Results: Successful revascularization was achieved in all cases (in 2 cases, a femoral artery puncture was added, and a bidirectional approach was used, and in 1 case, a CROSSER system was used). On average, the fluoroscopy time was 42.2 ± 30.4 minutes, radiation dose 93.7 ± 78.7 mGy, and amount of contrast medium used 15.0 ± 9.6 mL. The procedure time was defined as from the start of the popliteal artery puncture to the time the GW passed through the CTO lesion, including the posture transformation time from prone to the supine position. The procedure time was 42.1 ± 40.2 minutes. There were no major adverse events or other major complications, such as a distal embolism, rupture of the CTO lesion, arteriovenous fistula, or major hematoma requiring a transfusion or surgical treatment. Only 2 small hematomas occurred at the popliteal artery puncture site. The patients were treated conservatively and were discharged as usual. Conclusions: Endovascular treatment of long SFA-CTOs via the popliteal approach was effective and safe. Using the GIP method to address long SFA-CTOs is recommended.
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Murkin, John M. "Neurologic Complications in Noncardiac Surgery." Seminars in Cardiothoracic and Vascular Anesthesia 10, no. 2 (June 2006): 125–27. http://dx.doi.org/10.1177/10892532062889881.

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In this article, the incidence of nervous system injuries associated with noncardiac surgery is reviewed briefly. In general, these can be divided into injuries that are clinically apparent (eg, stroke or peripheral nerve damage), which may generally be detectable on clinical examination, and more subtle forms of brain injury (eg, personality changes and postoperative cognitive dysfunction), injuries that are primarily detected by neuropsychological testing.
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Kobayashi, Junjiro. "Discrepancy of Future Cardiovascular Surgery and Current Board Certification System in Japan." Japanese Journal of Cardiovascular Surgery 45, no. 4 (2016): m4—m4_2. http://dx.doi.org/10.4326/jjcvs.45.m4.

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Fujita, Tomoyuki, Hiroyuki Yamamoto, Junjiro Kobayashi, Satsuki Fukushima, Hiroaki Miyata, Kizuku Yamashita, and Noboru Motomura. "Mitral valve surgery for ischemic papillary muscle rupture: outcomes from the Japan cardiovascular surgery database." General Thoracic and Cardiovascular Surgery 68, no. 12 (June 25, 2020): 1439–46. http://dx.doi.org/10.1007/s11748-020-01418-y.

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Abstract Background Ischemic papillary muscle rupture (PMR) is a catastrophic complication following acute myocardial infarction (AMI). We evaluated early outcomes of PMR by using data from the Japan Cardiovascular Surgery Database, a nationwide Japanese registry. Methods We retrospectively analyzed data from 196 patients diagnosed with PMR following AMI in Japan between January 2014 and December 2017. Risk factors for operative mortality and severe complications following mitral valve surgery were analyzed. Results The 30-day and hospital mortality rates were 20% and 26%, respectively. Chronic hemodialysis, abrupt rupture after AMI, resuscitation before surgery, and preoperative venoarterial extracorporeal membrane oxygenation were associated with mortality. Mitral valve replacement was chosen mainly (90%) for surgical correction of mitral regurgitation in these patients. There was no significant difference in short-term outcomes between mitral valve replacement versus mitral valve repair, despite non-matched characteristics in background between the treatment groups. Concomitant coronary artery bypass grafting had no impact on short-term outcomes. Conclusions Information derived from the nationwide database of patients with AMI-associated PMR show that PMR is a rare condition in the modern era. However, PMR is a severe disease with a mortality rate as high as 26%. The severity of the condition is associated with the risk for poor outcomes.
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Watanabe, Go. "Successful Intracardiac Robotic Surgery Initial Results from Japan." Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery 5, no. 1 (January 2010): 48–50. http://dx.doi.org/10.1097/imi.0b013e3181c46db6.

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Objective The purpose of this study is to report our 2-year experience of performing endoscopic intracardiac procedures using the da Vinci Surgical System. Our teams at Kanazawa University and Tokyo Medical University groups began using the da Vinci Surgical System (Intuitive Surgical, Inc, Sunnyvale, CA) in 2005. This series represents the first Japanese application of robotic technology for totally endoscopic open-heart surgery. Methods From January 2008 to February 2009, 10 patients (mean age: 46.8 ± 16.3 years, 70% women) underwent endoscopic atrial septal defect closure and resection of the left atrial myxoma using the da Vinci Surgical System and peripheral cardiopulmonary bypass technique. Of the 10 patients, nine were classified as New York Heart Association class II and 1 patient exhibited atrial arrhythmias. In addition, two patients required mitral valve plasty (n = 2) and tricuspid annuloplasty (n = 1). Results Mean da Vinci Surgical System working time was 140.7 ± 57.4 minutes. Mean cardiopulmonary bypass and aortic cross clamp times were 103.1 ± 37.1 and 30.0 ± 16.9 minutes, respectively. There were no conversions to sternotomy or small thoracotomy. There were no hospital deaths. Mean intensive care unit and hospital stays were 1 day and 3.1 ± 0.3 days, respectively. All patients appreciated the cosmetic result and fast recovery. Conclusions Closed-chest atrial septal defect closure and myxoma resection performed using robotic techniques achieved excellent results and rapid postoperative recovery and provided an attractive cosmetic advantage over median sternotomy.
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Kovacevic-Kostic, Natasa, Radmila Karan, Mile Vranes, Dejan Markovic, Milos Velinovic, and Zivan Maksimovic. "Preoperative preparation of vascular patients undergoing nonvascular surgery." Acta chirurgica Iugoslavica 58, no. 2 (2011): 55–61. http://dx.doi.org/10.2298/aci1102055k.

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Patients with vascular diseases mainly caused by atherosclerosis, that are undergoing nonvascular surgery, often have co-existing conditions which affect their cardiovascular system. Cardiovascular complications are among the most common perioperative complications including respiratory complications and infections. These include coronary disease, hypertension, heart insufficiency, pulmonary hypertension, and renovascular hypertension, among others. Preoperative preparation must include the use of ?blocker therapy, antihypertensive, antithrombotic and antilipogenic therapy. Electrocardiogram (ECG) and trans-thoracic echocardiography are the minimum preoperative diagnostic evaluations that should be performed, because complications may arise even in patients without prior cardiovascular symptomatology. Venous diseases are the most common contemporary diseases affecting people of all age groups and races. Invasive-diagnostic-therapeutic procedures may cause lesions of venous endothelium, hence perioperative prevention of deep vein thrombosis (DVT) with the use of heparin or low-molecular -weight heparin (LMWH) should be undertaken.
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Takai, Koji, Masaru Sawazaki, Shiro Tomari, Koji Yamana, and Yutaka Ogawa. "Development of a new data entry system suitable for the Japan Adult Cardiovascular Surgery Database." General Thoracic and Cardiovascular Surgery 57, no. 4 (April 2009): 192–96. http://dx.doi.org/10.1007/s11748-008-0363-3.

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Stoliński, Jarosław, Robert Musiał, Dariusz Plicner, and Janusz Andres. "Respiratory System Function in Patients after Minimally Invasive Aortic Valve Replacement Surgery." Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery 12, no. 2 (March 2017): 127–36. http://dx.doi.org/10.1097/imi.0000000000000349.

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Objective The aim of the study was to comparatively analyze respiratory system function after minimally invasive, through right minithoracotomy aortic valve replacement (RT-AVR) to conventional AVR. Methods Analysis of 201 patients scheduled for RT-AVR and 316 for AVR between January 2010 and November 2013. Complications of the respiratory system and pulmonary functional status are presented. Results Complications of the respiratory system occurred in 16.8% of AVR and 11.0% of RT-AVR patients ( P = 0.067). The rate of pleural effusions, thoracenteses, pneumonias, or phrenic nerve dysfunctions was not significantly different between groups. Perioperative mortality was 1.9% in AVR and 1.0% in RT-AVR ( P = 0.417). Mechanical ventilation time after surgery was 9.7 ± 5.9 hours for AVR and 7.2 ±3.2 hours for RT-AVR patients ( P < 0.001). Stroke (odds ratio [OR] = 13.4, P = 0.008), increased postoperative blood loss (OR = 9.6, P <0.001), and chronic obstructive pulmonary disease (OR = 7.7, P < 0.001) were risk factors of prolonged mechanical lung ventilation. A week after surgery, the results of most pulmonary function tests were lower in the AVR than in the RT-AVR group ( P < 0.001 was seen for forced expiratory volume in the first second, vital capacity, total lung capacity, maximum inspiratory pressure and maximum expiratory pressure, P = 0.377 was seen for residual volume). Conclusions Right anterior aortic valve replacement minithoracotomy surgery with single-lung ventilation did not result in increased rate of respiratory system complications. Spirometry examinations revealed that pulmonary functional status was more impaired after AVR in comparison with RT-AVR surgery.
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Aydin, Ebuzer, Mehmet Senel Bademci, Cemal Kocaaslan, Emine Seyma Denli Yalvac, and Ahmet Oztekin. "Complications of iliofemoral deep venous thrombosis treatment with AngioJet pharmacomechanical thrombectomy system." Journal of Vascular Surgery: Venous and Lymphatic Disorders 8, no. 3 (May 2020): 496. http://dx.doi.org/10.1016/j.jvsv.2019.11.017.

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Egglin, Thomas K. P., Paul V. O'Moore, Alvan R. Feinstein, and Arthur C. Waltman. "Complications of peripheral arteriography:A new system to identify patients at increased risk." Journal of Vascular Surgery 22, no. 6 (December 1995): 787–94. http://dx.doi.org/10.1016/s0741-5214(95)70070-6.

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Books on the topic "Cardiovascular system Surgery Complications Japan"

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Cardiovascular anesthesia. New York: Springer-Verlag, 1985.

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1940-, Stanley Theodore H., and Bailey Peter L, eds. Anesthesiology and the cardiovascular patient: Papers presented at the 41st Annual Postgraduate Course in Anesthesiology February 1996. Dordrecht: Kluwer Academic, 1996.

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Akihiko, Matsumoto, DeBakey Michael E. 1908-, and Kondo J, eds. Advances in cardiovascular surgery: Proceedings of the 8th Congress of Michael E. DeBakey International Surgical Society, 11-15 September, 1990, Yokohama, Japan. Amsterdam: Excerpta Medica, 1991.

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G, Little Alex, ed. Complications in cardiothoracic surgery: Avoidance and treatment. Elmsford, N.Y: Blackwell Futura, 2004.

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Utah Postgraduate Course in Anesthesiology (32nd 1987 Salt Lake City, Utah). Anesthesia, the heart, and the vascular system. Dordrecht: M. Nijhoff, 1987.

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1938-, Petty W. Clayton, and Stanley Theodore H. 1940-, eds. Anesthesia, the heart, and the vascular system: Annual Utah Postgraduate Course in Anesthesiology, 1987. Dordrecht: M. Nijhoff, 1987.

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1940-, Stanley Theodore H., Sperry R. J, and Postgraduate Course in Anesthesiology (35th : 1990 : Snowbird, Utah), eds. Anesthesiology and the heart. Dordrecht: Kluwer Academic Publishers, 1990.

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Fixing hearts, damaging brains: The tangled history of cardiac care. Baltimore: Johns Hopkins University Press, 2013.

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A, Salerno Tomas, and Ricci Marco, eds. Myocardial protection. Elmsford, N.Y: Blackwell Pub., 2004.

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A, Bryant Ruth, and International Association for Enterostomal Therapy., eds. Acute and chronic wounds: Nursing management. St. Louis: Mosby Year Book, 1992.

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Book chapters on the topic "Cardiovascular system Surgery Complications Japan"

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Reynolds, Adam C., and Ronald L. Fellman. "Complications Specifically Related to Trabeculotomy in Adults." In Complications of Glaucoma Surgery. Oxford University Press, 2013. http://dx.doi.org/10.1093/oso/9780195382365.003.0072.

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Disruptive or ablative surgeries involving the trabecular meshwork and Schlemm’s canal, which have traditionally been applied to the developmental and congenital glaucomas, are currently receiving renewed interest in adult open-angle glaucoma because of the development of new technologies. The Trabectome® (NeoMedix Corporation, Tustin, California) procedure, canaloplasty with or without stent, direct trabecular bypass, excimer laser trabeculotomy (ELT), and other techniques in development are all based in their surgical approaches on classic trabeculotomy. Some of the proposed mechanisms of action, as well as the potential complications that occur in classic angle surgeries, are also likely quite similar. It is prudent to note that in some specific limited populations, adult trabeculotomy ab externo has long been employed. For example, in Japan trabeculotomy has been used in adult open-angle glaucoma, and even in North America there have been studies of trabeculotomy combined with cataract surgery. It is well accepted that any and all of the complications related to these procedures in congenital glaucoma can occur when applied to the adult eye, and mitigation and avoidance of them are likely very similar. Some specific complications may be more likely in adult eyes. By far the most common complication related to trabeculotomy, whether in adults or children, is hyphema. In fact it is expected, and some bleeding should be considered a sign that the procedure was done correctly rather than a complication. However, in several large clinical series from Japan, rates of clinically significant postoperative hyphema in adult trabeculotomy often approach 20%. It is thought that hyphema occurs due to disruption of the trabecular meshwork, as a barrier between retrograde flow of blood from the collector channel system into the anterior chamber is removed at least temporarily. Once the trabecular meshwork is disrupted, if the intraocular pressure (IOP) is lower than the episcleral venous pressure (EVP), retrograde flow of blood into the anterior chamber may result. One commonly employed technique to avoid significant hyphema in trabeculotomy is to temporarily “tamponade” the anterior chamber with viscoelastic.
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I. Lutfarakhmanov, Ildar, Peter I. Mironov, Ildar R. Galeev, and Valentin N. Pavlov. "Cardiovascular Changes during Robot-Assisted Pelvic Surgery." In Blood - Updates on Hemodynamics and Thalassemia. IntechOpen, 2022. http://dx.doi.org/10.5772/intechopen.99544.

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The application of robotic assistance in pelvic surgery has become popular across multiple specialties during the past decades, facilitating minimally invasive surgery. The most remarkable challenges regarding these procedures are the carbon dioxide pneumoperitoneum and steep Trendelenburg position. The combination of two factors affects the patient additionally or synergistically and have important physiological effects on cardiovascular system. All those changes are usually well tolerated in patients with normal cardiac function, but it can be different in elderly patients or even in patients with underlying heart conditions. In order to provide the proper management of patients undergone the robotic surgery, we aim to thoroughly understand these effects and overview the risks and possible related cardiovascular complications. Further, a short introduction on dangerous areas of robot-assisted pelvic surgery will be briefly reviewed.
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Hall, Andrew P., and Melanie J. Davies. "Diabetes management in surgery." In Oxford Textbook of Endocrinology and Diabetes, 1905–8. Oxford University Press, 2011. http://dx.doi.org/10.1093/med/9780199235292.003.1495.

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Diabetes mellitus is a common condition in the general population, and particularly so among hospital inpatients. Complications associated with diabetes mellitus further increase its incidence in surgical patients, particularly those requiring vascular, renal, or ophthalmic procedures. Patients with diabetes have a higher rate of morbidity and mortality associated with surgery. This includes cardiovascular and renal complications, infection, and impaired wound healing. The process of surgery, a controlled form of trauma, provokes a metabolic response due to the release of cytokines and stress-associated hormones. These agents promote a catabolic state that includes increased insulin resistance. The resulting hyperglycaemia leads to overflow of substrates in the mitochondria and the generation of excess free oxygen radicals, which can be toxic to the cell. It should, therefore, be possible to reduce these effects by avoiding or attenuating the stress response and/or counteracting its metabolic effects. The stress response is proportional to the degree of tissue trauma. Insulin administration and normoglycaemia have been shown to reverse catabolic changes and improve wound healing and skin grafting, and also to reduce the incidence of infective complications. Additionally, the stress response may be, in part, attenuated by the choice of anaesthetic technique. Neuraxial (spinal and epidural local anaesthetic) analgesia can reduce sympathetic nervous system tone and adrenal output. Additionally, much ophthalmic surgery is now performed with local anaesthesia techniques. Such approaches avoid the more prolonged starvation and cardiorespiratory risks associated with general anaesthesia.
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Balik, Martin. "Perioperative cardiac care of the high-risk non-cardiac patient." In The ESC Textbook of Intensive and Acute Cardiovascular Care, edited by Marco Tubaro, Pascal Vranckx, Eric Bonnefoy-Cudraz, Susanna Price, and Christiaan Vrints, 990–1008. Oxford University Press, 2021. http://dx.doi.org/10.1093/med/9780198849346.003.0075.

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Non-cardiac surgery conveys a cardiac risk related to the status of the patient's cardiovascular system. Cardiac-related risk of surgery can be assessed by integrating the risk and urgency of the procedure with cardiovascular risk factors, which include age, ischaemic heart disease, heart failure, stroke, diabetes mellitus, chronic obstructive pulmonary disease, and renal dysfunction. An individual assessment can include simple multivariate scoring systems, developed with the aim of evaluating cardiac risk prior to non-cardiac surgery. Patient assessment can be extended for indicated additional tests. The indications for further cardiac testing and treatments are the same as in the non-operative setting, but their timing is dependent on the urgency of surgery, and patient-specific and surgical risk factors. A delay in surgery, due to the use of both non-invasive and invasive preoperative testing, should be limited to those circumstances in which the results of such tests will clearly affect patient management. In high-risk patients, the result of the cardiac assessment helps to choose adequate perioperative monitoring and to indicate for an intensive care unit stay perioperatively. Chronic medications can be adjusted, according to the current knowledge on perioperative management. Drugs with the potential to reduce the incidence of post-operative cardiac events and mortality include beta-blockers, statins, and aspirin. Chronic platelet anti-aggregation and anticoagulation therapies have to be adapted by weighing the risk of bleeding against the risk of thrombotic complications.
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Memis Bilgin, Yavuz. "Clinical Effects and Possible Mechanisms of Transfusion-Related Immunomodulation." In Blood Donation and Transfusion [Working Title]. IntechOpen, 2022. http://dx.doi.org/10.5772/intechopen.107228.

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Allogeneic blood components are commonly transfused in trauma, surgery, and intensive care units and are related with adverse effects, such as postoperative infections, multi-organ failure, and mortality. The adverse effects of blood transfusions on the immune system are called as transfusion-related immunomodulation (TRIM). Many clinical trials are conducted to show the clinical effects of TRIM. They found in different clinical settings controversial results. There are many possible mechanisms of TRIM. Although until now, the exact mechanisms are not elucidated resulting in a challenge to unravel this complex interaction between immunomodulation and clinical events leading to morbidity and mortality. It has been postulated that allogeneic leukocytes are associated with the clinical adverse effects of TRIM that predominantly is observed in high-risk patients as cardiovascular surgery. Allogeneic leukocytes could activate inflammation cascade leading to adverse events in high-risk patients. Also other blood components as red cells, plasma, and platelets can play a role in the development of inflammatory complications after blood transfusions. In this review, we will discuss the clinical effects and the possible mechanisms of TRIM in relation with allogeneic leukocytes and mediators derived from allogeneic blood transfusions.
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Conference papers on the topic "Cardiovascular system Surgery Complications Japan"

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Poppv, S., A. Philapitsch, H. Murday, J. Fenyes, and P. G. Kirchhoff. "CONTINUOUS PERIOPERATIVE ADMINISTRATION OF Cl-ESTERASE-INHIBITOR CONCENTRATE AND APROTININ IN CARDIOVASCULAR SURGERY." In XIth International Congress on Thrombosis and Haemostasis. Schattauer GmbH, 1987. http://dx.doi.org/10.1055/s-0038-1644328.

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The results obtained in our randomised study in 3 groups of patients performed in 1982/83 suggested the administration of protease inhibitors to be effective in counteracting the activation of the kallikrein, coagulation and fibrinolytic systems during extracorporeal circulation (ECC) thus lowering the rate of postoperative bleeding complications. Since Cl-esterase-inhibitor (Cl-INH) proved to be the main inhibitor of the kallikrein (KK) system and aprotinin that of plasmin further studies to investigate the efficacy of a combined treatment and to develop an improved dosage regimen were initiated in 1985.Pilot:1: 3 patients/aprotinin; pilot 2: 3 patients/Cl-INH Concentrate; pilot 3: 5 patients/Cl-INH Concentrate + aprotinin. Test parameters included: protein/Biuret; Cl-INH/rocket immune electrophoresis and chromogenic substrate method; kaolin induced kallikrein generation; plasminogen activation using streptokinase; plasmin inhibiton capacity; coagulation factors I, II, V, VII, VIII, and X; reptilase clotting time, thrombin time; platelets and the thrombelastogram.15 blood samples were taken at regular intervals over approx. 16 hours before, during and after surgery, as well as on the first and second postoperative day.Dosage in pilot 1 and 2 was 500 × 103 KIU aprotinin and 1500 PU Cl-INH, respectively, followed by the continous i.v. infusion of 125 × 103 KIU aprotinin/h and 125 PU CI-INH/h, respectively over approx. 16 hours. This regimen still appeared inadequate to prevent the activation of the KK and fibrinolytic system. In pilot 3 therefore, the continous infusion of both concentrates was increased by 100 % (250 × 103 KIU aprotinin/h + 250 PU Cl-INH/h), while the bolus-injection remained the same as in pilot 1 and 2. Using this optimised combined regimen parameters of the kallikrein, coagulation and fibrinolytic system remained almost unchanged compared to values obtained prior to ECC.
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Crhová, Marie, Iva Hrnčiříková, Radka Střeštíková, Klára Šoltés-Mertová, Martin Komzák, Kateřina Kapounková, and Anna Ondračková. "Effect of a 3-month Exercise Intervention on Physical Performance, Body Composition, Depression and Autonomic Nervous System in Breast Cancer Survivors: A Pilot Study." In 12th International Conference on Kinanthropology. Brno: Masaryk University Press, 2020. http://dx.doi.org/10.5817/cz.muni.p210-9631-2020-50.

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Purpose: Breast cancer patients are at increased risk of developing comorbidities such as lymphedema, sarcopenia, osteoporosis and cardiovascular disease after breast cancer treatment. These complications contribute to a decrease in quality of life, cardiorespiratory fitness and muscle strength. Regular and long-term physical activity is an effective non-pharmacological strategy that can improve physical, psychological and social outcomes. The aim of our research was to evaluate the effect of various modes of an exercise intervention on physical performance, body composition, depression and autonomic nervous system in breast cancer survivors. Methods: 16 women after surgery with hormonal treatment enter the research. Thirteen of them completed the controlled, quasi-experimental study (54 ± 9 yrs, 164cm ± 6cm, 72 ± 12kg) and were divided into 3 groups according to their place of living: trained under supervision (n=5) (SUPERV), trained at home without supervision by videos (n=7) (HOME) and with no prescribed physical activity (n=4) (CON). Exercise intervention lasted 3 months and comprised of 60 min training units 3 × week (aerobic with resistant exercise in a 2 : 1 mode combined with regular weekly yoga and breathing exercises). The exercise intensity was set individually at 65–75% of HRR based on spiroergometry and was continuously controlled by heart rate monitors. The same principles applied to the HOME group, which, in addition to heart rate monitors, recorded frequency, length, HRmax, HRavg, and Borg scale of intensity perception. VO2max, BMI, fat mass, depression level (Beck’s depression inventory) and the power of the autonomic nervous system (total power and sympatho-vagal balance) were analyzed. For data evaluation we used descriptive statistics and Cohens d effect size. Results: 3 women dropped out of research because of medical reason. In all groups VO2max values increased. The largest increase in VO2max values was in SUPERV group by 36%, in HOME group by 20% and in CON group by 2%. Body weight decreased for groups SUPERV (˗1.2 kg) and CON (-0.1kg), for HOME group there was an increase (+0.2 kg). Body mass index decreased for SUPERV group (-0.4), for HOME and CON it increased (both +0.1). Total power decreased in SUPERV (-0.6) and HOME group (-0.2), in CON has not changed. The same results were achieved by the sympatho-vagal balance, only the CON group increased. Values from Beck’s depression inventory decreased for all groups, most for CON group. Conclusion: A 3-months of supervised and controlled exercise had a significant effect on physical fitness and body composition in comparison with non-supervised home-based physical intervention. Our results indicate that it is strongly advisable to apply a supervised exercise program to induce positive physiological changes in breast cancer survivors as part of aftercare.
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