八十岁的急性冠状动脉综合征后运动训练的影响 - 未来12个月的评估
Hanna Rymuza1, Justyna Mączyńska2, Natasza Krauze3
1CARDIOLOGY CLINIC, NATIONAL INSTITUTE OF CARDIOLOGY, WARSAW, POLAND.
概括
个性化运动训练在急性冠状动脉综合征 (ACS) 短期后改善了老年患者的身体表现. 然而,在停止培训后,这些好处就会消失,生活质量下降.
科学领域:
- 心脏病学 心脏病学
- 老年病的医生 老年病的医生
- 运动医学 运动医学
背景情况:
- 在急性冠状动脉综合征 (ACS) 后,75岁以上的老年患者经常经历了运动耐受性和生活质量 (QoL) 的降低.
- 个性化炼计划是缓解这些影响的潜在干预措施.
研究的目的:
- 评估个性化运动训练对疾病进展,运动能力和八十多岁的ACS后人体质量的影响.
- 为了比较运动训练组和接受标准建议的对照组之间的结果.
主要方法:
- 这是一项随机对照试验,涉及51名ACS后八十岁的年轻人.
- 参与者被分配到个人化炼训练 (ExT) 组或对照组 (CG).
- 评估包括运动耐受性测试 (ETT),6分钟步行测试 (6-MWT),疼痛和QoL问卷,实验室测试,心电图和心声回声在基线和随访 (2,6,12个月).
主要成果:
- 经过2个月的训练,ExT组在ETT运动时间 (12.5%) 和负载 (13%),以及6-MWT结果 (8.3%) 中显著改善.
- 这些改善并没有持续;在训练后6个月和12个月后,6MWT的结果恢复到基线.
- 在培训后12个月观察到ETT运动时间和负载的显著减少. 疼痛水平最初有所下降,但恢复到基线. 在停止培训12个月后,QoL显著恶化.
结论:
- 个性化心脏康复是安全和有效的,可以在短期内改善八十岁后的ACS后的身体表现.
- 运动训练的积极效果是暂时的,在停止训练后观察到的效益损失和QOL下降.
- 长期坚持或维持策略可能是必要的,以维持运动的好处在这个人群中.
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