患有多变性心肌病的患者同时进行抵抗和心肺呼吸训练:试点研究
Adrián Bayonas-Ruiz1,2, Francisca M Muñoz-Franco3, María Sabater-Molina4,5,6
1Department of Physiology, Human Physiology Area, Sports Sciences Faculty, University of Murcia, C. Argentina, 19, 30720 San Javier, Murcia, Spain.
同时的运动训练改善了缩性心肌病 (HCM) 患者的功能能力和心脏功能. 这项试点研究表明,对生活质量和长期预后有好处.
科学领域:
- 心脏病学 心脏病学
- 运动生理学 运动生理学
- 运动医学 运动医学
背景情况:
- 运动训练对患有多变性心肌病 (HCM) 的患者有好处,包括改善功能能力和心脏功能.
- 在HCM患者中,不良的心脏重塑可以通过运动干预来逆转.
研究的目的:
- 评估同时进行抵抗和心肺呼吸训练计划对HCM患者的功能能力,生化标志物和心声学变量的影响.
- 评估12周个性化培训方案对HCM患者治疗结果的影响.
主要方法:
- 两名HCM患者接受了12周的并发训练 (每周2次).
- 评估包括心肺运动测试 (CPET),身体组成,心声学,心电学和血液分析.
- 对每个参与者进行了培训前和培训后数据的比较.
主要成果:
- 功能能力 (+4mL·kg-1·min-1) 和通风门的显著改善.
- 增加肌肉质量和力量 (62%的平均上/下肢力量增加).
- 保持心脏功能,改善腹功能,以及积极左心室重塑的迹象.
- 生物化学标记物 (心脏热素,NT-proBNP) 在训练后显示出不同但正常的范围.
结论:
- 同时进行抵抗和心肺呼吸训练对HCM患者的功能能力和心脏功能产生了积极的影响.
- 这种培训方法可以提高职能阶级,生活质量和长期预后.
- 需要对更大的队列进行进一步的研究来证实这些初步发现.
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