对心房的患者进行基于运动的心脏康复:叙述性综述
Benjamin J R Buckley1,2, Liz van Hout3, Charlotte Fitzhugh2
1Liverpool Centre for Cardiovascular Science, University of Liverpool, Liverpool John Moores University and Liverpool Heart & Chest Hospital, Liverpool, UK.
European heart journal open
|March 31, 2025
概括
定期体力活动和基于运动的心脏康复 (ExCR) 可以帮助预防和治疗心房动 (AF). ExCR减少AF负担,降低心血管事件风险,改善生活质量.
科学领域:
- 心脏病学 心脏病学
- 预防医学 预防医学
- 运动生理学 运动生理学
背景情况:
- 身体活动和炼越来越多地被认为是预防和治疗心房动 (AF) 的重要因素.
- 基于运动的心脏康复 (ExCR) 正在研究为AF治疗,有时与节律控制策略一起进行.
- 要了解AF中ExCR的临床,实践和机制方面,需要进一步研究.
研究的目的:
- 提供关于ExCR在AF中的临床影响的证据的当代审查.
- 通过检查炼方案和患者特征,讨论ExCR的实施.
- 探索潜在的机制,使得ExCR的优势和障碍,其采用.
主要方法:
- 审查现有的随机对照试验和对AF中的ExCR的队列研究.
- 对不同炼方案和患者人口统计数据中可比效应的分析.
- 讨论临床医生,患者和系统层面对ExCR实施的障碍.
- 对ExCR对AF负担和不良事件影响的潜在机制的总结.
主要成果:
- 现有研究表明,ExCR可以减少AF负担,主要的不良心血管事件,并改善生活质量.
- 在各种运动方案和患者特征中观察到可比的有效性.
- 在临床医生,患者和系统层面存在ExCR吸收障碍.
- 潜在的机制包括改善心房/心室功能,自主平衡,炎症和风险因素修改.
结论:
- 埃克斯CR证明了AF患者的显著临床益处,包括改善生活质量和临床结果.
- 不同的炼方案和患者组显示出与ExCR相似的有效性.
- 解决已识别的障碍对于广泛实施ExCR至关重要.
- 在ESCAF-CARE途径中,建议在AF预防和管理方面更加重视体育活动和ExCR转诊.
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