心臓リハビリテーションに入る患者のエアロビック能力
Philip A Ades1, Patrick D Savage, Clinton A Brawner
1Division of Cardiology, McClure 1, Cardiology, University of Vermont College of Medicine, Fletcher-Allen Health Care, Burlington, VT 05401, USA. philip.ades@vtmednet.org
Circulation
|June 7, 2006
まとめ
心臓リハビリエントリのピークエアロビック能力 (ピークVO2) 値は,特に女性では著しく低い. 規範的なデータの確立は,パーソナライズされた運動プログラムと患者の予後を改善するために不可欠です.
科学分野:
- 心臓病学 心臓病学
- 運動生理学 運動生理学
- リハビリテーション医学 リハビリテーション医学
背景:
- 症状制限のトレッドミルテストは,心臓リハビリテーション (CR) 入学のための標準です.
- このテストは,予後と運動プログラムの設計を伝える.
- CRのエントリー時のピークエアロビック能力 (ピークVO2) の規範値は,現在利用できません.
研究 の 目的:
- CRに入院する患者におけるピークVO2の基準値を確立する.
- ピークVO2を予測運動能力のパーセントに変換するためのノモグラムを開発する.
- これらの値を年齢,性別,心臓診断によって階層化します.
主な方法:
- CR (1996-2004) に入った2896人の患者からのピークVO2データを分析した.
- 患者の人口統計,診断,医薬品に関するデータを収集します.
- 個々のピークVO2を規範データと比較するためのノモグラムを開発した.
主要な成果:
- 平均ピークVO2は,女性よりも男性 (19.3 mL·kg−1·min−1) で有意に高かった (14.5 mL·kg−1·min−1).
- ピークVO2は年齢とともに低下し,男性ではより速いペースで減少した.
- 低ピークVO2は,冠動脈バイパス移植,胸痛,高血圧,ベータブロッカーの使用と関連していました.
結論:
- CRのエントリー時のピークVO2値は,特に女性では例外的に低い.
- これらの低値は,重度の慢性心不全で見られる値に接近します.
- CRは,身体的機能と長期的な結果を高めるために重要な心臓発作後のイベントです.
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