植入式心律转复除颤器患者的心脏康复:范围综述。

IF 1.3
Pacing and clinical electrophysiology : PACE Pub Date : 2025-09-01 Epub Date: 2025-08-21 DOI:10.1111/pace.70032
Carolina Castro Gómez, Maria Juliana Devia Quiñonez, Daniela López Gómez, Helen Johana Ortiz Rojas, Andrés Fernando Vallejo Andrade, Leonardo Arzayus-Patiño
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引用次数: 0

摘要

心脏性猝死(SCD)是一个严重的全球性健康问题。因此,植入式心律转复除颤器(ICD)在各种临床条件下被认为是SCD一级和二级预防的策略。这些患者受益于心脏康复(CR)计划,旨在改善心肺健康,增加运动耐受性,减少对体育活动的恐惧。本综述旨在描述ICD患者基于运动的CR的结果。方法:根据乔安娜布里格斯研究所手册中描述的方法、Arksey和O'Malley提出的方案以及Levac、Colquhoun和O'Brien提出的改进建议进行范围审查。本综述包括确定研究问题,确定相关研究,并系统检索数据库:PubMed、谷歌Scholar、Science Direct、Lilacs、SCOPUS、Embase、Epistemonikos和PEDro(物理治疗证据数据库)。结果:共纳入4篇文章。作者实施了有氧运动和力量训练相结合的训练计划,几乎都是12周的持续时间。大多数在最大心率的50%到80%之间工作,建议的最大目标心率比植入式心律转复除颤器的激活阈值低10-20次。CR可改善心肺参数,无不良心脏事件,运动期间因心动过速或心室颤动发作而出现休克的可能性较低。结论:文献分析表明,ICD患者基于运动的CR是一种安全的干预措施,并发症发生率低,可显著改善VO2, MET, 6分钟步行距离,影响患者的生活质量和功能。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Cardiac Rehabilitation in Patients With Implantable Cardioverter-Defibrillator: A Scoping Review.

Introduction: Sudden cardiac death (SCD) represents a serious global health problem. Therefore, an implantable cardioverter-defibrillator (ICD) is indicated in various clinical conditions as a strategy for the primary and secondary prevention of SCD. These patients benefit from a cardiac rehabilitation (CR) program aimed at improving cardiorespiratory fitness, increasing exercise tolerance, and reducing the fear of physical activity. This review aims to describe the outcomes of exercise-based CR in patients with an ICD.

Methods: A scoping review was performed following the methodology described in the Joanna Briggs Institute Manual, the protocol presented by Arksey and O'Malley, and the improvements suggested by Levac, Colquhoun, and O'Brien. This review included defining the research question, identifying relevant studies, and systematic searches of databases: PubMed, Google Scholar, Science Direct, Lilacs, SCOPUS, Embase, Epistemonikos, and PEDro (Physiotherapy Evidence Database).

Results: Four articles were included. The authors implemented a combined training program with aerobic exercise and strength training, almost all with 12 12-week duration. Most worked between 50% and 80% of maximum heart rate, and the suggested maximum target heart rate was 10-20 beats below the activation threshold of the implantable cardioverter defibrillator. CR generates an improvement in cardiopulmonary parameters without adverse cardiac events, with a low probability of presenting shocks due to episodes of tachycardia or ventricular fibrillation during exercise sessions.

Conclusions: The literature analyzed suggests that exercise-based CR in patients with an ICD is a safe intervention, with a low complication rate, that generates significant improvement in VO2, MET, distance covered in the 6-min walk, impacting the quality of life and functionality of patients.

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