进入心脏康复治疗的患者的有氧能力
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
概括
进入心脏康复的峰值有氧能力 (峰值VO2) 值显著低,特别是在女性中. 建立规范性数据对于个性化炼计划和改善患者预后至关重要.
科学领域:
- 心脏病学 心脏病学
- 运动生理学 运动生理学
- 康复医学 康复医学 康复医学
背景情况:
- 限制症状的跑步机测试是进入心脏康复 (CR) 的标准.
- 这种测试为预后和炼计划设计提供了信息.
- 目前没有CR进入时的峰值有氧能力 (峰值VO2) 的规范值.
研究的目的:
- 在进入CR的患者中确定VO2峰值的规范值.
- 开发用于将峰值VO2转换为预测运动能力的百分比的诺莫грам.
- 将这些值按年龄,性别和心脏诊断进行分层.
主要方法:
- 分析了2896名进入CR (1996-2004) 的患者的VO2峰值数据.
- 收集有关患者人口统计,诊断和药物的数据.
- 开发了用于比较个人VO2峰值与规范数据的编号表.
主要成果:
- 平均VO2峰值在男性 (19.3mL·kg−1·min−1) 显著高于女性 (14.5mL·kg−1·min−1).
- 峰值VO2随着年龄的增长而下降,男性的下降速度更快.
- 较低的VO2峰值与女性的冠状动脉旁路移植,心痛,高血压和β-阻断剂使用有关.
结论:
- 在CR进入时的VO2峰值非常低,特别是在女性中.
- 这些低值接近于严重慢性心力衰竭中观察到的低值.
- 慢性心脏病是心脏病后的重要事件,可以提高身体功能和长期的结果.
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