心力衰竭的运动训练:当前的证据和未来的方向
Loay Eleyan1, Ahmed R Gonnah2, Imran Farhad3
1Leeds Teaching Hospitals NHS Trust, Leeds LS1 3EX, UK.
Journal of clinical medicine
|January 25, 2025
概括
运动训练 (ET) 改善了心力衰竭 (HF) 患者的结果,包括那些患有HF保留喷射率 (HFpEF) 和HF减少喷射率 (HFrEF) 的患者. 需要进一步的研究来优化针对不同HF亚型的个性化炼处方.
科学领域:
- 心脏病学 心脏病学
- 运动生理学 运动生理学
- 康复医学 康复医学 康复医学
背景情况:
- 心力衰竭 (HF) 是一种普遍的疾病,对全球医疗保健产生重大影响.
- 虽然药理疗法是HFrEF存活的关键,但其对HFpEF死亡率的影响尚未确定.
- 运动训练 (ET) 在改善HF患者的预后和功能能力方面的作用是公认的.
研究的目的:
- 审查ET对HFpEF和HFrEF患者的影响.
- 为脆弱和肉性HF亚群提供运动模式建议.
- 探索ET对生活质量,心理健康和高频率患者的临床结果的影响.
主要方法:
- 对心力衰竭中的运动训练现有文献的系统审查.
- 对研究不同运动方式 (例如,HIT,MCT,抵抗训练) 的研究分析.
- 检查影响ET坚持和处方率的因素.
主要成果:
- ET在HFrEF和HFpEF的峰值氧气消耗 (pVO2) 和6分钟步行测试距离方面都显示出好处.
- 心脏康复和ET可以提高功能能力,运动持续时间和生活质量.
- ET对抑郁和焦虑产生积极影响,有可能减少住院治疗和死亡率.
结论:
- 运动训练是管理HFrEF和HFpEF的重要组成部分.
- 监督的炼计划提高了坚持,尽管处方率仍然不够理想.
- 更大,更强大的试验是必要的,以确定最佳的,个性化的ET策略,用于各种HF亚型.
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