在冠心病患者中,高强度与中等强度有氧运动的心血管风险
Øivind Rognmo1, Trine Moholdt, Hilde Bakken
1Jebsen Center of Exercise In Medicine, Department of Circulation and Medical Imaging, Norwegian University of Science and Technology, Trondheim, Norway. oivind.rognmo@ntnu.no
高强度运动比中等强度运动提供更大的心血管益处. 在心脏康复患者中,这两种运动类型都显示出心血管事件的风险较低,这表明高强度间歇训练是安全的选择.
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:
- 更高的运动强度可以提高有氧能力和心脏保护.
- 剧烈的运动可能暂时增加敏感个体的心脏事件的风险.
- 这种风险感知可以影响心脏康复策略.
研究的目的:
- 评估冠心病患者高强度间歇训练 (HIIT) 与中等强度训练 (MI) 期间心血管事件的风险.
- 在心脏康复环境中比较HIIT和MI的安全性.
主要方法:
- 一项涉及挪威3个心脏康复中心4846名冠心病患者的研究.
- 患者接受了HIIT和MI训练,累计了175,820个运动小时.
- 在训练期间监测心血管事件 (心脏骤停,心肌梗塞).
主要成果:
- 一次致命的心脏骤停发生在MI运动期间 (1每129456小时).
- 在HIIT期间发生了两次非致命的心脏骤停 (每23182小时发生1次).
- 对于任何训练强度都没有记录心肌梗塞.
结论:
- 心血管事件在心脏康复中在HIIT和MI期间都是罕见的.
- HIIT显示出显著的心血管适应,应考虑冠状动脉心脏病患者.
- 这项研究支持将HIIT纳入心脏康复计划的安全性和有效性.
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