在心脏病发作后的左心室功能障碍患者中通过运动训练减轻不利的重塑:左心室功能障碍 (ELVD) 试验中的运动结果
P Giannuzzi1, P L Temporelli, U Corrà
1Salvatore Maugeri Foundation, Clinica del Lavoro e della Riabilitazione, IRCCS, Division of Cardiology, Rehabilitation Institute of Veruno, Italy.
在心脏病发作后患有缩功能障碍的患者中,定期进行运动训练可以预防不良的心脏重塑并改善心脏功能. 这项研究表明,运动训练在六个月内对左心室重塑和喷射小部分有好处.
科学领域:
- 心脏病学 心脏病学
- 运动生理学 运动生理学
- 心脏康复心脏康复
背景情况:
- 心肌梗塞后建议运动,但其对心脏重塑的影响尚不清楚.
- 心肌梗塞后的缩功能障碍是一个重大的临床挑战.
研究的目的:
- 研究长期体育训练计划对左心室大小和功能在心脏病发作后患有缩功能障碍的患者的影响.
主要方法:
- 一个多中心的随机研究,涉及心肌梗塞后的患者,喷射分数<40%.
- 患者被分配到一个为期6个月的运动训练计划 (n=39) 或对照组 (n=38).
- 评估了劳动能力的变化,左心室体积和喷射分数.
主要成果:
- 运动组的劳动能力显著增加 (P<.01) 和弹射率改善 (34%至38%,P<.01).
- 对照组表现出左心室体积增加 (扩张期末和收缩期末,P<.01) 没有弹射分数的改善.
- 在训练组中,左心室体积保持稳定,喷射分数显著改善.
结论:
- 长期的运动训练可能会减轻心脏不良重塑在心脏病发作后患有缩功能障碍的患者.
- 在这种患者群体中,运动干预可以随着时间的推移导致心室功能得到改善.
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