习惯性的体力活动改善了心肌梗塞患者的结果
Sidong Cai1, Fangmei Huang1, Run Wang1
1Division of Cardiology, Department of Medicine, The University of Hong Kong-Shenzhen Hospital, Shenzhen, China.
Frontiers in cardiovascular medicine
|June 28, 2023
概括
在心肌梗塞 (MI) 之前从事习惯性体力活动 (HPA) 与更好的患者结局有关. 高血压与心血管重大不良事件和心血管死亡率在心脏病发作后一年减少有关.
科学领域:
- 心脏病学 心脏病学
- 预防医学 预防医学
- 运动生理学 运动生理学
背景情况:
- 心肌梗塞 (MI) 带来了重大的健康风险.
- 了解影响心脏病后结果的因素对于患者护理至关重要.
- 习惯性体力活动 (HPA) 可能在心血管健康中起着保护作用.
研究的目的:
- 调查MI前习惯性体力活动 (HPA) 与患者结果之间的关联.
- 确定HPA是否可以独立预测心血管重大不良事件 (MACE),心血管 (CV) 死亡率和心脏再入院率.
主要方法:
- 新确诊的心脏病发作患者根据入院前的HPA (≥150分钟/周有氧活动) 被分类.
- 一年后评估的主要结局包括MACE,心血管死亡率和心脏再入院.
- 用二进制物流回归分析来评估HPA与结果的独立关联.
主要成果:
- 在1,266名患者中,45%参与HPA.
- 在入院时,HPA与较低的基利普级相关 (OR=0.48,p<0.001).
- 患有HPA的患者表现出显著较低的1年MACE (OR=0.74,p=0.038) 和心血管死亡率 (OR=0.50,p=0.017).
结论:
- 在心肌梗塞之前的习惯性体力活动独立地与改善的临床状态有关.
- 预先MI HPA显示,在一年内,主要心血管不良事件和心血管死亡率显著降低.
- HPA与1年心脏再入院率没有显著关联.
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