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Virtual Reality Applications in the Management of Coronary Artery Diseases

Yıl 2025, Cilt: 6 Sayı: 2, 430 - 441, 26.08.2025
https://doi.org/10.59244/ktokusbd.1725718

Öz

Coronary artery disease is known as one of the leading causes of death worldwide. There are various treatment approaches applied in the management of coronary artery disease. Cardiac rehabilitation, one of these, plays an important role in this disease in terms of recovery, increasing quality of life and reducing the risk of rehospitalization. However, the participation rate in traditional cardiac rehabilitation programs is low. Therefore, new technological approaches, especially virtual reality systems, stand out as an alternative solution. Virtual reality helps to ensure continuity in rehabilitation programs by providing individuals with a motivating and immersive digital environment. Virtual reality application in individuals with coronary artery disease provides positive effects on many parameters such as rehabilitation, exercise capacity, motivation, stress and anxiety management. The aim of this review study is to evaluate the role of virtual reality technology in cardiac rehabilitation, which is one of the treatment steps in individuals with coronary artery disease, to reveal the physical, psychological and motivational effects of virtual reality applications, and to analyze the potential benefits and current limitations in a comprehensive manner in line with the literature.

Kaynakça

  • Akıncı, B., & Zeren, M. (2022). Koroner Arter Hastalıklarında Fizyoterapi ve Rehabilitasyon Yönüyle Teknoloji Temelli Yaklaşımlar. Turkiye Klinikleri Physiotherapy and Rehabilitation-Special Topics, 8(1), 70-78.
  • AminiSaman, J., Mohammadi, S., Karimpour, H., Hemmatpour, B., Sharifi, H., & Kawyannejad, R. (2018). Transcutaneous electrical nerve stimulation at the acupuncture points to relieve pain of patients under mechanical ventilation: A randomized controlled study. Journal of Acupuncture and Meridian Studies, 11(5), 290–295. https://doi.org/10.1016/j.jams.2018.06.008
  • Avrupa Kardiyoloji Derneği (ESC) Kararlı Koroner Arter Hastalığı Yönetimi Görev Grubu, Q 2013 ESC Kararlı Koroner Arter Hastalığı Yönetimi Kılavuzu. URL: https://www.journalagent.com/tkd/pdfs/TKDA_42_80_73_134.pdf Erişim Tarihi: 23/06/2025
  • Bashir, Z. S., Misquith, C., Has, P., & Bukhari, S. M. (2024). The effectiveness of virtual reality on anxiety and pain management in patients undergoing cardiac procedures: A systematic review and meta-analysis. Cureus, 16(4), e57557. https://doi.org/10.7759/cureus.57557
  • Bauersachs, R., Zeymer, U., Brière, J. B., Marre, C., Bowrin, K., & Huelsebeck, M. (2019). Burden of Coronary Artery Disease and Peripheral Artery Disease: A Literature Review. Cardiovascular Therapeutics, 8295054. https://doi.org/10.1155/2019/8295054
  • Bond, S., Laddu, D. R., Ozemek, C., Lavie, C. J., & Arena, R. (2021). Exergaming and virtual reality for health: Implications for cardiac rehabilitation. Current Problems in Cardiology, 46(3), 100472. https://doi.org/10.1016/j.cpcardiol.2019.100472
  • Bouraghi, H., Mohammadpour, A., Khodaveisi, T., Ghazisaeedi, M., Saeedi, S., & Familgarosian, S. (2023). Virtual reality and cardiac diseases: A systematic review of applications and effects. Journal of Healthcare Engineering, 8171057. https://doi.org/10.1155/2023/8171057
  • Burrai, F., Othman, S., Brioni, E., Silingardi, M., Micheluzzi, V., Luppi, M., ... & La Manna, G. (2018). Virtual reality in dialysis: A new perspective on care. Journal of Renal Care, 44(4), 195–196. https://doi.org/10.1111/jorc.12264
  • Buztepe, S., & Çapık, C. (2024). Sanal gerçeklik ve sağlık alanında kullanımının önemi. YOBÜ Sağlık Bilimleri Fakültesi Dergisi, 5(1), 115–124.
  • Cacau, L. D. A. P., Oliveira, G. U., Maynard, L. G., Araújo Filho, A. A. D., Silva Junior, W. M. D., Cerqueria Neto, M. L., ... & Santana-Filho, V. J. (2013). The use of the virtual reality as intervention Çiloğlu ve ark. 2025
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  • Chen, Y., Cao, L., Xu, Y., Zhu, M., Guan, B., & Ming, W. K. (2022). Effectiveness of virtual reality in cardiac rehabilitation: A systematic review and meta-analysis of randomized controlled trials. International Journal of Nursing Studies, 133, 104323. https://doi.org/10.1016/j.ijnurstu.2022.104323
  • Choi, S. D., Guo, L., Kang, D., & Xiong, S. (2017). Exergame technology and interactive interventions for elderly fall prevention: A systematic literature review. Applied Ergonomics, 65, 570–581. https://doi.org/10.1016/j.apergo.2016.10.013
  • Chuang, T. Y., Sung, W. H., Chang, H. A., & Wang, R. Y. (2006). Effect of a virtual reality–enhanced exercise protocol after coronary artery bypass grafting. Physical Therapy, 86(10), 1369–1377. https://doi.org/10.2522/ptj.20050335
  • Coppa, G. F. (1999). Cybersurgery: Advanced technologies for surgical practice. Annals of Surgery, 230(6), 824.,
  • Dalen, J. E., Alpert, J. S., Goldberg, R. J., & Weinstein, R. S. (2014). The epidemic of the 20th century: Coronary heart disease. The American Journal of Medicine, 127(9), 807-812. https://doi.org/10.1016/j.amjmed.2014.04.015
  • Drazich, B. F., McPherson, R., Gorman, E. F., Chan, T., Teleb, J., Galik, E., & Resnick, B. (2023). In too deep? A systematic literature review of fully‐immersive virtual reality and cybersickness among older adults. Journal of the American Geriatrics Society, 71(12), 3906-3915. https://doi.org/10.1111/jgs.18553
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Koroner Arter Hastalıklarının Yönetiminde Sanal Gerçeklik Uygulamaları

Yıl 2025, Cilt: 6 Sayı: 2, 430 - 441, 26.08.2025
https://doi.org/10.59244/ktokusbd.1725718

Öz

Koroner arter hastalığı, dünya genelinde önde gelen ölüm nedenlerinden biri olarak bilinmektedir. Koroner arter hastalığı yönetiminde uygulanan çeşitli tedavi yaklaşımları bulunmaktadır. Bunlardan biri olan kardiyak rehabilitasyon bu hastalıkta iyileşme, yaşam kalitesini arttırma ve yeniden hastaneye yatış riskini azaltma açısından önemli bir rol oynamaktadır. Ancak geleneksel kardiyak rehabilitasyon programlarına katılım oranı düşüktür. Bu nedenle yeni teknolojik yaklaşımlar, özellikle sanal gerçeklik sistemleri, alternatif bir çözüm yolu olarak öne çıkmaktadır. Sanal gerçeklik bireylere motive edici ve sürükleyici dijital bir ortam sunarak rehabilitasyon programlarında sürekliliği sağlamaya yardımcı olmaktadır. Koroner arter hastalığı olan bireylerde sanal gerçeklik uygulaması rehabilitasyon, egzersiz kapasitesi, motivasyon, stres ve anksiyete yönetimi gibi birçok parametre üzerinde olumlu etkiler sağlamaktadır. Bu derleme çalışmasının amacı, koroner arter hastalığı bulunan bireylerde sanal gerçeklik teknolojisinin tedavi basamaklarından biri olan kardiyak rehabilitasyon sürecindeki rolünü değerlendirmek, sanal gerçeklik uygulamalarının fiziksel, psikolojik ve motivasyonel etkilerini ortaya koymak, sunduğu potansiyel faydaları ve mevcut sınırlılıkları literatür doğrultusunda kapsamlı bir şekilde analiz etmektir.

Etik Beyan

Etik Beyan yoktur

Kaynakça

  • Akıncı, B., & Zeren, M. (2022). Koroner Arter Hastalıklarında Fizyoterapi ve Rehabilitasyon Yönüyle Teknoloji Temelli Yaklaşımlar. Turkiye Klinikleri Physiotherapy and Rehabilitation-Special Topics, 8(1), 70-78.
  • AminiSaman, J., Mohammadi, S., Karimpour, H., Hemmatpour, B., Sharifi, H., & Kawyannejad, R. (2018). Transcutaneous electrical nerve stimulation at the acupuncture points to relieve pain of patients under mechanical ventilation: A randomized controlled study. Journal of Acupuncture and Meridian Studies, 11(5), 290–295. https://doi.org/10.1016/j.jams.2018.06.008
  • Avrupa Kardiyoloji Derneği (ESC) Kararlı Koroner Arter Hastalığı Yönetimi Görev Grubu, Q 2013 ESC Kararlı Koroner Arter Hastalığı Yönetimi Kılavuzu. URL: https://www.journalagent.com/tkd/pdfs/TKDA_42_80_73_134.pdf Erişim Tarihi: 23/06/2025
  • Bashir, Z. S., Misquith, C., Has, P., & Bukhari, S. M. (2024). The effectiveness of virtual reality on anxiety and pain management in patients undergoing cardiac procedures: A systematic review and meta-analysis. Cureus, 16(4), e57557. https://doi.org/10.7759/cureus.57557
  • Bauersachs, R., Zeymer, U., Brière, J. B., Marre, C., Bowrin, K., & Huelsebeck, M. (2019). Burden of Coronary Artery Disease and Peripheral Artery Disease: A Literature Review. Cardiovascular Therapeutics, 8295054. https://doi.org/10.1155/2019/8295054
  • Bond, S., Laddu, D. R., Ozemek, C., Lavie, C. J., & Arena, R. (2021). Exergaming and virtual reality for health: Implications for cardiac rehabilitation. Current Problems in Cardiology, 46(3), 100472. https://doi.org/10.1016/j.cpcardiol.2019.100472
  • Bouraghi, H., Mohammadpour, A., Khodaveisi, T., Ghazisaeedi, M., Saeedi, S., & Familgarosian, S. (2023). Virtual reality and cardiac diseases: A systematic review of applications and effects. Journal of Healthcare Engineering, 8171057. https://doi.org/10.1155/2023/8171057
  • Burrai, F., Othman, S., Brioni, E., Silingardi, M., Micheluzzi, V., Luppi, M., ... & La Manna, G. (2018). Virtual reality in dialysis: A new perspective on care. Journal of Renal Care, 44(4), 195–196. https://doi.org/10.1111/jorc.12264
  • Buztepe, S., & Çapık, C. (2024). Sanal gerçeklik ve sağlık alanında kullanımının önemi. YOBÜ Sağlık Bilimleri Fakültesi Dergisi, 5(1), 115–124.
  • Cacau, L. D. A. P., Oliveira, G. U., Maynard, L. G., Araújo Filho, A. A. D., Silva Junior, W. M. D., Cerqueria Neto, M. L., ... & Santana-Filho, V. J. (2013). The use of the virtual reality as intervention Çiloğlu ve ark. 2025
  • tool in the postoperative of cardiac surgery. Brazilian Journal of Cardiovascular Surgery, 28, 281–289. https://doi.org/10.5935/1678-9741.20130039
  • Camici, G. G., & Liberale, L. (2017). Aging: The next cardiovascular disease? European Heart Journal, 38(21), 1621–1623. https://doi.org/10.1093/eurheartj/ehx239
  • Caserman, P., Garcia-Agundez, A., Gámez Zerban, A., & Göbel, S. (2021). Cybersickness in current-generation virtual reality head-mounted displays: systematic review and outlook. Virtual Reality, 25(4), 1153-1170. https://doi.org/10.1007/s10055-021-00513-6
  • Çelikcan, U. (2022). Eğitimde ve tıpta sanal gerçeklik uygulamaları: Geçmişten geleceğe uzanan bir inceleme. Dicle Üniversitesi Mühendislik Fakültesi Mühendislik Dergisi, 13(2), 235–251. https://doi.org/10.24012/dumf.1097748
  • Chen, Y., Cao, L., Xu, Y., Zhu, M., Guan, B., & Ming, W. K. (2022). Effectiveness of virtual reality in cardiac rehabilitation: A systematic review and meta-analysis of randomized controlled trials. International Journal of Nursing Studies, 133, 104323. https://doi.org/10.1016/j.ijnurstu.2022.104323
  • Choi, S. D., Guo, L., Kang, D., & Xiong, S. (2017). Exergame technology and interactive interventions for elderly fall prevention: A systematic literature review. Applied Ergonomics, 65, 570–581. https://doi.org/10.1016/j.apergo.2016.10.013
  • Chuang, T. Y., Sung, W. H., Chang, H. A., & Wang, R. Y. (2006). Effect of a virtual reality–enhanced exercise protocol after coronary artery bypass grafting. Physical Therapy, 86(10), 1369–1377. https://doi.org/10.2522/ptj.20050335
  • Coppa, G. F. (1999). Cybersurgery: Advanced technologies for surgical practice. Annals of Surgery, 230(6), 824.,
  • Dalen, J. E., Alpert, J. S., Goldberg, R. J., & Weinstein, R. S. (2014). The epidemic of the 20th century: Coronary heart disease. The American Journal of Medicine, 127(9), 807-812. https://doi.org/10.1016/j.amjmed.2014.04.015
  • Drazich, B. F., McPherson, R., Gorman, E. F., Chan, T., Teleb, J., Galik, E., & Resnick, B. (2023). In too deep? A systematic literature review of fully‐immersive virtual reality and cybersickness among older adults. Journal of the American Geriatrics Society, 71(12), 3906-3915. https://doi.org/10.1111/jgs.18553
  • Eisma, R., Dickinson, A., Goodman, J., Syme, A., Tiwari, L., & Newell, A. F. (2004). Early user involvement in the development of information technology-related products for older people. Universal Access in the Information Society, 3(2), 131-140. https://doi.org/10.1007/s10209-004-0092-z
  • Ferreira-González, I. (2014). The epidemiology of coronary heart disease. Revista Española de Cardiología (English Edition), 67(2), 139-144. https://doi.org/10.1016/j.rec.2013.10.002
  • Foreman, K. J., Marquez, N., Dolgert, A., Fukutaki, K., Fullman, N., McGaughey, M., ... & Murray, C. J. (2018). Forecasting life expectancy, years of life lost, and all-cause and cause-specific mortality for 250 causes of death: reference and alternative scenarios for 2016–40 for 195 countries and territories. The Lancet, 392(10159), 2052-2090. https://doi.org/10.1016/s0140-6736(18)31694-5
  • García-Bravo, S., Cuesta-Gómez, A., Campuzano-Ruiz, R., López-Navas, M. J., Domínguez-Paniagua, J., Araújo-Narváez, A., Barreñada-Copete, E., García-Bravo, C., Flórez-García, M. T., Botas-Rodríguez, J., & Cano-de-la-Cuerda, R. (2021). Virtual reality and video games in cardiac rehabilitation programs: A systematic review. Disability and Rehabilitation, 43(4), 448–457. https://doi.org/10.1080/09638288.2019.1631892
  • Golwala, H., Pandey, A., Ju, C., Butler, J., Yancy, C., Bhatt, D. L., ... & Fonarow, G. C. (2015). Temporal trends and factors associated with cardiac rehabilitation referral among patients hospitalized with heart failure: Findings from Get With The Guidelines–Heart Failure Registry. Journal of the American College of Cardiology, 66(8), 917–926. https://doi.org/10.1016/j.jacc.2015.06.1089
  • Güner, S. G., & Nural, N. (2020). Koroner arter hastalığı: Etiyoloji ve patogenez. Turkiye Klinikleri Internal Medicine Nursing-Special Topics, 6(1), 1-6.
  • Javaid, M., & Khan, I. H. (2022). Virtual reality (VR) applications in cardiology: A review. Journal of Industrial Integration and Management, 7(02), 183–202. https://doi.org/10.1142/S2424862221300015
  • Jones, R. E., & Abdelfattah, K. R. (2020). Virtual interviews in the era of COVID-19: A primer for applicants. Journal of Surgical Education, 77(4), 733–734. https://doi.org/10.1016/j.jsurg.2020.03.020
  • Jóźwik, S., Cieślik, B., Gajda, R., & Szczepańska-Gieracha, J. (2021). Evaluation of the impact of virtual reality-enhanced cardiac rehabilitation on depressive and anxiety symptoms in patients with coronary artery disease: A randomised controlled trial. Journal of Clinical Medicine, 10(10), 2148. https://doi.org/10.3390/jcm10102148
  • Maresky, H. S., Oikonomou, A., Ali, I., Ditkofsky, N., Pakkal, M., & Ballyk, B. (2019). Virtual reality and cardiac anatomy: Exploring immersive three‐dimensional cardiac imaging, a pilot study in undergraduate medical anatomy education. Clinical Anatomy, 32(2), 238–243. https://doi.org/10.1002/ca.23292
  • Matthews, D. (2018). Virtual-reality applications give science a new dimension. Nature, 557(7703), 127–128. https://doi.org/10.1038/d41586-018-04997-2
  • McMahon, S. R., Ades, P. A., & Thompson, P. D. (2017). The role of cardiac rehabilitation in patients with heart disease. Trends in Cardiovascular Medicine, 27(6), 420–425. https://doi.org/10.1016/j.tcm.2017.02.005
  • Micheluzzi, V., Casu, G., Burrai, F., Canu, A., Sircana, A., Merella, P., ... & Vellone, E. (2025). The experience of immersive virtual reality in patients with heart failure during cardiac rehabilitation: A qualitative study. Frontiers in Medicine, 12, 1578399. https://doi.org/10.3389/fmed.2025.1578399
  • Micheluzzi, V., Navarese, E. P., Merella, P., Talanas, G., Viola, G., Bandino, S., ... & Casu, G. (2024). Clinical application of virtual reality in patients with cardiovascular disease: State of the art. Frontiers in Cardiovascular Medicine, 11, 1356361. https://doi.org/10.3389/fcvm.2024.1356361
  • Mishra, R., Narayanan, M. K., Umana, G. E., Montemurro, N., Chaurasia, B., & Deora, H. (2022). Virtual reality in neurosurgery: Beyond neurosurgical planning. International Journal of Environmental Research and Public Health, 19(3), 1719. https://doi.org/10.3390/ijerph1903171
  • Monaghesh, E., & Hajizadeh, A. (2020). The role of telehealth during COVID-19 outbreak: A systematic review based on current evidence. BMC Public Health, 20, 1–9. https://doi.org/10.1186/s12889-020-09301-4
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  • Peek, S. T., Wouters, E. J., van Hoof, J., Luijkx, K. G., Boeije, H. R., & Vrijhoef, H. J. (2014). Factors influencing acceptance of technology for aging in place: A systematic review. International Journal of Medical Informatics, 83(4), 235–248. https://doi.org/10.1016/j.ijmedinf.2014.01.004
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  • Valdis, M., Chu, M. W., Schlachta, C. M., & Kiaii, B. (2015). Validation of a novel virtual reality training curriculum for robotic cardiac surgery: A randomized trial. Innovations, 10(6), 383–388. https://doi.org/10.1097/IMI.0000000000000222
  • Voelker, W., Petri, N., Tönissen, C., Störk, S., Birkemeyer, R., Kaiser, E., & Oberhoff, M. (2016). Does simulation‐based training improve procedural skills of beginners in interventional cardiology? A stratified randomized study. Journal of International Cardiology, 29(1), 75-82. https://doi.org/10.1111/joic.12257
  • Wolf, S., Schievano, E., Amidei, C., Kucher, N., Valerio, L., Barco, S., & Fedeli, U. (2024). Mortality trend of ischemic heart disease (2008–2022): A retrospective analysis of epidemiological data. International Journal of Cardiology, 392, 132042. https://doi.org/10.1016/j.ijcard.2024.132042
  • Zhang, M., Liu, S., Xiong, X., Liu, M., Wang, Y., Yang, Y., & Xiang, Q. (2024). Effectiveness of virtual reality in cardiac rehabilitation patients for exercise capacity and negative emotions: A systematic review and meta-analysis. Medicine, 103(49), e40812. https://doi.org/10.1097/MD.0000000000040812
  • Zinchenko, Y. P., Khoroshikh, P. P., Sergievich, A. A., Smirnov, A. S., Tumyalis, A. V., Kovalev, A. I., ... & Golokhvast, K. S. (2020). Virtual reality is more efficient in learning human heart anatomy especially for subjects with low baseline knowledge. New Ideas in Psychology, 59, 100786. https://doi.org/10.1016/j.newideapsych.2020.100786
Toplam 56 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Fizyoterapi
Bölüm Derleme
Yazarlar

Şule Çiloğlu 0009-0005-8265-4044

Şerife Şeyma Yaylacı 0009-0003-5607-1641

Ayşe Beyza Paçacı 0009-0007-9315-5704

Cansu Şahbaz Pirinççi 0000-0002-3921-0721

Erken Görünüm Tarihi 24 Ağustos 2025
Yayımlanma Tarihi 26 Ağustos 2025
Gönderilme Tarihi 24 Haziran 2025
Kabul Tarihi 14 Ağustos 2025
Yayımlandığı Sayı Yıl 2025 Cilt: 6 Sayı: 2

Kaynak Göster

APA Çiloğlu, Ş., Yaylacı, Ş. Ş., Paçacı, A. B., Şahbaz Pirinççi, C. (2025). Koroner Arter Hastalıklarının Yönetiminde Sanal Gerçeklik Uygulamaları. KTO Karatay Üniversitesi Sağlık Bilimleri Dergisi, 6(2), 430-441. https://doi.org/10.59244/ktokusbd.1725718