关于患有周围动脉疾病的患者心血管功能的手臂曲棍运动的急性反应:一个随机交叉试验
Gustavo O Silva1,2, Paolo M Cunha2, Max D Oliveira1
1Post-graduate Programa in Rehabilitation Sciences, Universidade Nove de Julho, São Paulo, Brazil (Dr G.O. Silva, Mr Oliveira, Ms J.K.T.N.F. Silva, Dr Kanegusuku, Ms Correia, and Dr Ritti-Dias).
Journal of cardiopulmonary rehabilitation and prevention
|February 2, 2026
概括
在外周动脉疾病 (PAD) 患者中,动炼诱导了比步行更大的运动后低血压. 两种运动方式都没有改变血管功能,脑血流或心率变化.
科学领域:
- 心血管生理学心血管生理学
- 运动科学 运动科学
- 血管生物学 血管生物学
背景情况:
- 周围动脉疾病 (PAD) 的特点是下肢缺血,影响运动能力和心血管健康.
- 了解心血管对不同运动方式的反应对于优化PAD患者康复策略至关重要.
研究的目的:
- 在患有PAD的患者中,比较动手运动 (AC) 与步行运动的急性心血管影响.
- 为了评估在这些运动条件下血压,脑血流,心率变化和动脉功能的变化.
主要方法:
- 一个随机交叉试验,涉及17名PAD患有音的患者.
- 参与者接受了三个条件:手臂动运动,步行和对照期.
- 测量包括血压,脑血流,心率变化,以及在每个条件之前和之后的流量介导扩张.
主要成果:
- 双臂起动和步行都诱导了运动后低血压 (PEH).
- 与步行相比,在动动动运动后,缩性和腹缩性血压的降低显著更大.
- 在任何运动条件后,没有观察到手臂或大腿动脉流量介导扩张,脑血流或心率变异的显著变化.
结论:
- 在PAD患者中,臂运动和步行有效诱导运动后低血压.
- 与步行相比,动手臂的运动会产生更明显的低血压效应.
- 在这群人群中,这两种运动方式都没有严重影响血管功能,脑血流或心率变化.
相关概念视频
Exercise and Cardiovascular Response
4.5K
Exercise significantly impacts cardiovascular response, which is crucial for understanding patient health and designing effective treatment plans.
Light to moderate physical activity initiates a series of interconnected responses in the body. The heart rate modestly increases in anticipation of the workout, followed by widespread vasodilation as oxygen consumption by skeletal muscles increases. This results in decreased peripheral resistance, increased capillary blood flow, and accelerated...
Light to moderate physical activity initiates a series of interconnected responses in the body. The heart rate modestly increases in anticipation of the workout, followed by widespread vasodilation as oxygen consumption by skeletal muscles increases. This results in decreased peripheral resistance, increased capillary blood flow, and accelerated...
4.5K
Peripheral Artery Disease I: Introduction
378
Peripheral artery disease (PAD) predominantly results from atherosclerosis, which involves the accumulation of fatty deposits, or plaques, within the walls of arteries. This causes them to narrow and harden, significantly reducing blood flow. PAD predominantly affects the legs, particularly the arteries supplying the thighs and calves. In rare cases, it may involve other arteries, including those in the arms.Etiology of PAD:The principal cause of PAD is atherosclerosis, which results from fatty...
378
Peripheral Artery Disease IV: Nursing Management
384
The nursing management of a patient with peripheral artery disease (PAD) begins with a thorough assessment of the patient’s health history and clinical manifestations.AssessmentHealth History: Evaluate the patient’s history of hypertension, hyperlipidemia, family history of cardiovascular issues, and lifestyle factors such as dietary patterns, smoking, and physical activity.Physical Examination:Assess the affected extremity for decreased or absent peripheral pulses,...
384
Peripheral Artery Disease III: Interprofessional Care
343
Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...
343
Peripheral Artery Disease V: Postoperative Nursing Management
415
During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
415
Peripheral Arterial Disease II: Clinical Manifestations and Diagnostic Evaluation
438
Clinical manifestationsPeripheral Arterial Disease (PAD) manifests through a range of symptoms, from the characteristic intermittent claudication to atypical presentations and severe complications in advanced stages. Intermittent claudication, a hallmark symptom of PAD, presents as exercise-induced muscle pain that typically resolves within minutes of rest. This pain is reproducible and stems from inadequate blood flow, leading to the accumulation of lactic acid produced during anaerobic...
438


