不同的持续训练强度改善了心声学参数,生活质量和心力衰竭患者的功能能力,这些患者心脏衰竭的射出分数减少
Heba A Abdeen1, Zeinab M Helmy1, Moustafa I Elnaggar2
1Department of Physical Therapy for Cardiovascular/Respiratory Disorder and Geriatrics, Faculty of Physical Therapy, Cairo University, Giza, 11432, Egypt.
International journal of general medicine
|September 6, 2023
概括
高强度持续训练 (HICT) 与中度或低强度训练相比,在心力衰竭患者中显著改善了心脏功能,运动能力和生活质量. 在HFrEF康复中,HICT提供了最多的好处.
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:
- 由于并发症和生理变化,心力衰竭降低射出分数 (HFrEF) 存在复杂的挑战.
- 基于运动的康复至关重要,但需要根据患者的病情量身定制的方法.
- 优化运动强度是HFrEF有效心脏康复的关键.
研究的目的:
- 为了比较高强度持续培训 (HICT),中等强度持续培训 (MICT) 和低强度持续培训 (LICT) 对HFrEF患者的影响.
- 评估不同强度的运动对左心室 (LV) 改造,功能能力和生活质量的影响.
- 在HFrEF中确定心脏康复的最佳运动强度.
主要方法:
- 一项随机对照试验,涉及60名男性HFrEF患者.
- 患者被分配到HICT,MICT或LICT组,在自行车人体表仪上每周炼3次,持续12周.
- 评估的结果包括心声学参数,NT-proBNP水平,生活质量 (明尼苏达州心力衰竭问卷) 和功能能力 (6分钟步行测试).
主要成果:
- 与MICT和LICT组相比,HICT组在所有测量变量中显示出明显更大的改善 (P <0.05).
- 这些改善在心声回声测量,NT-proBNP水平,生活质量和功能能力方面是一致的.
- 在改善心脏功能和患者报告的结果方面,HICT表现出卓越的疗效.
结论:
- 高强度持续训练 (HICT) 是改善HFrEF患者心脏功能,生活质量和功能能力的最有效的运动方式.
- HICT对左心室重塑产生积极影响,并降低NT-proBNP水平.
- 这些发现支持将HICT纳入标准HFrEF康复计划.
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