在患有外周动脉疾病的患者中,步行训练降低了步行后的心血管负荷,达到最大间歇性停滞
Aluisio Andrade-Lima1, Natan D Silva Junior2, Marcel R Chehuen2
1Postgraduate Program in Movement Sciences, Federal Rural University of Pernambuco, Pernambuco, Brazil; School of Physical Education and Sport, University of São Paulo, São Paulo, Brazil.
Current problems in cardiology
|October 21, 2024
概括
步行训练 (WT) 在外周动脉疾病 (PAD) 患者中显著降低了心血管负荷. 对行走的急性和慢性反应没有关联,这表明WT可能会降低PAD中心脏事件的直接风险.
科学领域:
- 心血管生理学心血管生理学
- 运动科学 运动科学
- 周围动脉疾病研究研究
背景情况:
- 周围动脉疾病 (PAD) 影响下肢的血液循环,导致间歇性关节障碍 (IC).
- 步行期间的心血管负荷是PAD患者的关键因素.
- 了解步行训练 (WT) 对心血管反应的影响对于管理PAD至关重要.
研究的目的:
- 为了确定步行训练 (WT) 是否会改变患有外周动脉疾病 (PAD) 的患者在步行到最大间歇性 (IC) 后的心血管负荷.
- 在PAD患者中调查急性和慢性心血管对行走的反应之间的关系.
主要方法:
- 一项为期12周的随机对照试验,将WT (n=16) 与患有PAD和IC的男性的对照 (CO) 组 (n=16) 相比较.
- WT包括15次2分钟的适度强度散步,休息间隔.
- 心血管参数 (BP,HR,RPP) 在基线和12周最大IC行走测试之前和之后被测量.
主要成果:
- 步行训练显著降低了静缩血压,腹缩血压,以及步行前后的血压产物.
- 没有观察到行走引起的急性和慢性心血管变化之间的显著相关性.
结论:
- 步行训练有效地降低了PAD患者进行最大IC测试的心血管负荷.
- 这些发现表明,在这个人群中,急性和慢性心血管对行走的反应是独立的.
- 在易受PAD患者中,WT可能会提供保护性作用,防止立即行走后发生的心脏事件.
相关概念视频
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