TY  - JOUR
T1  - Koroner Arter Hastalıklarının Yönetiminde Sanal Gerçeklik Uygulamaları
TT  - Virtual Reality Applications in the Management of Coronary Artery Diseases
AU  - Çiloğlu, Şule
AU  - Yaylacı, Şerife Şeyma
AU  - Paçacı, Ayşe Beyza
AU  - Şahbaz Pirinççi, Cansu
PY  - 2025
DA  - August
Y2  - 2025
DO  - 10.59244/ktokusbd.1725718
JF  - KTO Karatay Üniversitesi Sağlık Bilimleri Dergisi
JO  - KTOKUSB-D
PB  - KTO Karatay Üniversitesi
WT  - DergiPark
SN  - 2717-8501
SP  - 430
EP  - 441
VL  - 6
IS  - 2
LA  - tr
AB  - 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.
KW  - Koroner arter hastalıkları
KW  - sanal gerçeklik uygulamaları
KW  - kardiyak rehabilitasyon
N2  - 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.
CR  - 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.
CR  - 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
CR  - 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
CR  - 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
CR  - 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
CR  - 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
CR  - 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
CR  - 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
CR  - Buztepe, S., & Çapık, C. (2024). Sanal gerçeklik ve sağlık alanında kullanımının önemi. YOBÜ Sağlık Bilimleri Fakültesi Dergisi, 5(1), 115–124.
CR  - 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
CR  - tool in the postoperative of cardiac surgery. Brazilian Journal of Cardiovascular Surgery, 28, 281–289. https://doi.org/10.5935/1678-9741.20130039
CR  - 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
CR  - 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
CR  - 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
CR  - 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
CR  - 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
CR  - 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
CR  - Coppa, G. F. (1999). Cybersurgery: Advanced technologies for surgical practice. Annals of Surgery, 230(6), 824.,
CR  - 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
CR  - 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
CR  - 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
CR  - 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
CR  - 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
CR  - 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
CR  - 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
CR  - Güner, S. G., & Nural, N. (2020). Koroner arter hastalığı: Etiyoloji ve patogenez. Turkiye Klinikleri Internal Medicine Nursing-Special Topics, 6(1), 1-6.
CR  - 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
CR  - 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
CR  - 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
CR  - 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
CR  - 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
CR  - 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
CR  - 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
CR  - 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
CR  - 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
CR  - 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
CR  - Nesbitt, K., & Nalivaiko, E. (2018). Cybersickness. In N. Lee (Ed.), Encyclopedia of Computer Graphics and Games (pp. 1–6). Springer International Publishing.
CR  - Neubeck, L., Redfern, J., Fernandez, R., Briffa, T., Bauman, A., & Freedman, S. B. (2009). Telehealth interventions for the secondary prevention of coronary heart disease: A systematic review. European Journal of Cardiovascular Prevention & Rehabilitation, 16(3), 281–289. https://doi.org/10.1097/HJR.0b013e32832a4e7a
CR  - 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
CR  - Peinado-Rubia, A. B., Verdejo-Herrero, A., Obrero-Gaitán, E., Osuna-Pérez, M. C., Cortés-Pérez, I., & García-López, H. (2024). Non-immersive virtual reality-based therapy applied in cardiac rehabilitation: A systematic review with meta-analysis. Sensors, 24(3), 903. https://doi.org/10.3390/s24030903
CR  - Rey, M. C. B., Clark, T. K., Wang, W., Leeder, T., Bian, Y., & Merfeld, D. M. (2016). Vestibular perceptual thresholds increase above the age of 40. Froniers in Neurology. 7,162. https://doi.org/10.3389/fneur.2016.00162
CR  - Ribeiro, B. C., Poça, J. J. G. D., Rocha, A. M. C., Cunha, C. N. S. D., Cunha, K. D. C., Falcão, L. F. M., ... & Rocha, R. S. B. (2021). Different physiotherapy protocols after coronary artery bypass graft surgery: A randomized controlled trial. Physiotherapy Research International, 26(1), e1882. https://doi.org/10.1002/pri.1882
CR  - Riva, G., Wiederhold, B. K., & Mantovani, F. (2019). Neuroscience of virtual reality: From virtual exposure to embodied medicine. Cyberpsychology, Behavior, and Social Networking, 22(1), 82–96. https://doi.org/10.1089/cyber.2017.29099.gri
CR  - Rouleau, C. R., King-Shier, K. M., Tomfohr-Madsen, L. M., Aggarwal, S. G., Arena, R., & Campbell, T. S. (2018). A qualitative study exploring factors that influence enrollment in outpatient cardiac rehabilitation. Disability and Rehabilitation, 40(4), 469–478. https://doi.org/10.1080/09638288.2016.1261417
CR  - Seifert, A., & Schlomann, A. (2021). The use of virtual and augmented reality by older adults: Potentials and challenges. Frontiers in Virtual Reality, 2. https://doi.org/10.3389/frvir.2021.639718
CR  - Shahjehan, R. D., Sharma, S., & Bhutta, B. S. (2024). Coronary artery disease. In StatPearls [Internet]. StatPearls Publishing.
CR  - Silva, R. R. D., & Iwabe-Marchese, C. (2015). Uso da realidade virtual na reabilitação motora de uma criança com Paralisia Cerebral Atáxica: Estudo de caso. Fisioterapia e Pesquisa, 22(1), 97–102. https://doi.org/10.590/1809-2950/13375322012015
CR  - Szczepańska-Gieracha, J., Jóźwik, S., Cieślik, B., Mazurek, J., & Gajda, R. (2021). Immersive virtual reality therapy as a support for cardiac rehabilitation: A pilot randomized-controlled trial.
CR  - Cyberpsychology, Behavior, and Social Networking, 24(8), 543–549. https://doi.org/10.1089/cyber.2020.0297
CR  - TÜİK (Türkiye İstatistik Kurumu). (2023). Ölüm ve Ölüm Nedeni İstatistikleri 2023. Erişim adresi: https://data.tuik.gov.tr Erişim Tarihi: 23/06/2025
CR  - Vaduganathan, M., Mensah, G. A., Turco, J. V., Fuster, V., & Roth, G. A. (2022). The global burden of cardiovascular diseases and risk: a compass for future health. Journal of the American College of Cardiology, 80(25), 2361-2371. https://doi.org/10.1016/j.jacc.2022.11.005
CR  - 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
CR  - 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
CR  - 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
CR  - 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
CR  - 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
UR  - https://doi.org/10.59244/ktokusbd.1725718
L1  - https://dergipark.org.tr/tr/download/article-file/4984994
ER  -