用定制"心脏支持网"治疗治疗心力衰竭患者的心脏康复:一个病例报告
Kiyonori Kobayashi1, Toshiaki Akita2, Sho Akita2
1Department of Rehabilitation, Nagoya University Hospital, Nagoya, Japan.
Nagoya journal of medical science
|October 13, 2023
概括
这项研究表明,定制的心脏支持网 (CSN) 能够为心力衰竭患者成功进行心脏康复 (CR). 患者表现出改善的强度和运动耐受性,没有住院治疗后.
科学领域:
- 心脏病学 心脏病学
- 生物医学工程 生物医学工程
- 康复医学 康复医学 康复医学
背景情况:
- 扩张性心肌病 (DCM) 对心力衰竭 (HF) 患者构成重大挑战,往往限制了他们心脏康复 (CR) 的能力.
- 患者特异性心脏支持网 (CSN) 为严重的心脏病提供了一种新的治疗方法.
- 本案例研究研究了在DCM患者中植入CSN后的CR程序.
研究的目的:
- 描述患者特异性心脏支持网 (CSN) 治疗后心力衰竭 (HF) 患者的心脏康复 (CR).
- 评估在DCM患者中CSN治疗的安全性和有效性.
- 评估CSN植入和CR后的功能改善和长期结果.
主要方法:
- 一名65岁的男性患者因左心室非紧缩而患有DCM (纽约心脏协会三级),接受了CSN治疗.
- 在CSN植入后启动了一个适应的早期CR程序.
- 测量了功能参数,包括腿部肌肉强度,6分钟的步行距离和氧气吸收的峰值.
主要成果:
- 患者的术后过程是没有事件的.
- 在腿部肌肉强度 (61.4%BW至77.3%BW) 中观察到显著改善.
- 运动耐受性增加,由6分钟的步行距离 (576m至600m) 和氧气吸收峰值 (12.5至13.3毫升/公斤/分钟) 的增强证明.
- 患者在出院后的2年内没有住院治疗HF.
结论:
- 患者特异性心脏支持网 (CSN) 治疗在扩张性心肌病 (DCM) 患者中是可行的.
- 植入CSN可以成功实施心脏康复 (CR) 计划.
- 与CR相结合的CSN治疗可以导致显著的功能恢复,并改善HF患者的长期结果.
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