左心室辅助器件患者的隔膜训练:对康复和临床影响的叙述性审查
Bruno Bordoni1, Bruno Morabito2, Allan R Escher3,4
1Physical Medicine and Rehabilitation, Foundation Don Carlo Gnocchi, Milan, ITA.
Cureus
|December 29, 2025
概括
本综述强调了腹膜康复的重要性,特别是鼓动肌肉训练 (IMT),在心脏康复 (CR) 计划中用于左心室辅助器件 (LVAD) 的患者. 结合IMT可以改善这些晚期心力衰竭患者的结果.
科学领域:
- 心脏病学 心脏病学
- 肺部康复治疗 肺部康复治疗
- 生物医学工程 生物医学工程
背景情况:
- 慢性心力衰竭 (HF) 影响全球数百万人,心脏移植 (HTx) 是末期病例的黄金标准.
- 越来越多的HF患者人口超过HTx的可用性,需要使用耐用左心室辅助装置 (LVAD) 等替代治疗方法.
- 心脏康复 (CR) 为LVAD患者提供了好处,但隔膜康复指导显著缺席.
研究的目的:
- 强调将启发性肌肉训练 (IMT) 纳入LVAD接受者的标准CR协议的关键需求.
- 审查LVAD技术的演变,重点关注HeartMate 3 (HM3) 设备.
- 讨论与LVAD和CR相关的病理生理学,不良事件和积极适应.
主要方法:
- 文献综述侧重于LVAD,心脏康复和启发性肌肉训练.
- 对HF和LVAD患者腹膜中的病理生理适应的分析.
- 检查与LVAD和CR相关的临床结果和不良事件.
主要成果:
- LVADs,特别是像HM3这样的新一代,对于等待或不符合HTx的末期HF患者来说,是重要的治疗选择.
- CR项目显示出显著的临床益处和改善了LVAD患者的生活质量.
- 在HF和LVAD患者中,隔膜经历了显著的病理生理变化,这强调了有针对性的康复的必要性.
结论:
- 鼓舞性肌肉训练 (IMT) 应该经常纳入心脏康复 (CR) 对于LVAD患者来解决隔膜功能障碍.
- 了解LVAD设备功能,不良事件和患者适应对于优化护理至关重要.
- 包括IMT在内的综合CR方法可以提高LVADs管理的晚期心力衰竭患者的康复和生活质量.
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