心力衰竭患者的运动训练:从病理生理学到运动处方
Gianluigi Cuomo1, Anna Di Lorenzo1, Anna Tramontano1
1Department of Translational Medical Sciences, "Federico II" University of Naples, 80131 Naples, Italy.
Reviews in cardiovascular medicine
|July 30, 2024
概括
运动训练 (ET) 通过提高身体能力和降低死亡率来改善心力衰竭 (HF) 的结果. 量身定制的ET计划至关重要,特别是对于脆弱的老年患者来说,以最大限度地提高效益和坚持.
科学领域:
- 心脏病学 心脏病学
- 老年病的医生 老年病的医生
- 康复医学 康复医学 康复医学
背景情况:
- 心力衰竭 (HF) 影响全球数以百万计的人,由于人口老龄化,患病率上升,造成了大量的医疗保健费用.
- 运动训练 (ET) 是一种成熟的,基于证据的辅助疗法,用于HF患者,日益关注的是老年人和脆弱的个体.
- COVID-19大流行影响了心脏康复服务,突出了适应性ET策略的需要.
研究的目的:
- 审查HF的流行病学和ET的好处背后的机制.
- 检查ET在脆弱的老年HF患者的疗效.
- 讨论挑战,并提出解决方案,以优化ET在高频管理.
主要方法:
- 使用PubMed,Medline和EMBASE进行文献搜索.
- 在高频中对ET的中心和外围适应的分析.
- 专注于针对患者量身定制的方法和ET处方的算法框架.
主要成果:
- ET诱导中央和外围的适应导致抗重塑效应,改善功能能力,降低发病率/死亡率.
- 针对患者量身定制的ET是必不可少的,特别是对于脆弱的老年HF患者.
- 考虑临床特征,脆弱性和患者偏好的算法有助于ET处方.
结论:
- 在复杂的高频管理中,结合和定制各种ET模式是必不可少的.
- 应对长期坚持和接触脆弱患者的挑战对于未来的ET计划至关重要.
- 以临床评估为指导的个性化ET策略是改善心力衰竭结果的关键.
关键词:
在 COVID-19 疫情中,心脏康复心脏康复持续的培训持续的培训年长的老人老年人老年人.运动训练 运动训练 运动训练脆弱 脆弱 脆弱 脆弱 脆弱功能性的电刺激.心脏衰竭是因为心脏衰竭.启发性肌肉训练是一项激发性肌肉训练.时间间隔训练是指时间间隔训练.死亡率 死亡率保存在的喷射分数.呼吸训练是指进行呼吸训练.力量训练 力量训练 力量训练 力量训练更多相关视频
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