原发性经皮冠状动脉介入治疗后心脏康复计划对不同年龄组患者功能能力和代谢特征的影响

IF 3.1 Q2 PERIPHERAL VASCULAR DISEASE
Ayah Tarek Elsayegh, Khaled Karim, Adel Shabana
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引用次数: 0

摘要

现代心脏康复(CR)是一种全面的方法,包括多臂,旨在提高生活质量和功能能力。目的:研究年龄对首次经皮冠状动脉介入治疗(PCI)成功后心脏康复计划获益的影响。方法:这项回顾性研究包括250例经皮冠状动脉介入治疗(PCI)后的患者,他们接受了为期12周的心脏康复计划。在基线和完成项目后,对功能容量、代谢谱和舒张功能参数进行评估和比较。对四个年龄层进行了各参数改进的比较。结果:在整个患者组中,代谢当量(METS)的工作量和最大运动时间显著增加。在代谢方面,身体质量指数(BMI)、总胆固醇、低密度脂蛋白(LDL)和甘油三酯显著降低。高密度脂蛋白(HDL)升高,但未达到显著性水平。反映舒张功能不全的回声数据也明显改善。我们发现上述所有参数的改善幅度在四个年龄组之间没有统计学上的显著差异。结论:经皮冠状动脉介入治疗(PCI)后心脏康复计划可显著改善功能容量、代谢谱和舒张功能。加入CR计划永远不会太老或太年轻。不同年龄组的人从康复中受益均等。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Impact of Cardiac Rehabilitation Programs Post Primary Percutaneous Coronary Intervention on Functional Capacity and Metabolic Profile Through Different Age Groups.

Introduction: Modern cardiac rehabilitation (CR) is a thorough approach including multiple arms that aim at improving quality of life and functional capacity.

Aim: To study the impact of age on the benefits of cardiac rehabilitation program post-successful primary percutaneous coronary intervention (PCI).

Methods: This retrospective study includes 250 patients post primary percutaneous coronary intervention (PCI) who underwent a complete 12-week cardiac rehabilitation program. Functional capacity, metabolic profile, and parameters of diastolic function were assessed and compared at baseline and after completing the program. Four age strata were compared in terms of improvement of the various parameters studied.

Results: In the whole patient group, the workload achieved in metabolic equivalents (METS) and maximum exercise time significantly increased. Regarding metabolic profile, body mass index (BMI), total cholesterol, low-density lipoprotein (LDL), and Triglycerides significantly decreased. While high-density lipoproteins (HDL) increased but didn't reach significance. Echo data reflecting diastolic dysfunction also improved significantly. We found that the magnitude of improvement in all the earlier-mentioned parameters showed no statistically significant difference among the four age groups studied.

Conclusion: Cardiac rehabilitation program post primary percutaneous coronary intervention (PCI) significantly improves functional capacity, metabolic profile, and diastolic function. It is never too old or too young to join the CR program. Different age groups benefit equally from rehabilitation.

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来源期刊
CiteScore
5.70
自引率
3.30%
发文量
57
期刊介绍: High Blood Pressure & Cardiovascular Prevention promotes knowledge, update and discussion in the field of hypertension and cardiovascular disease prevention, by providing a regular programme of independent review articles covering key aspects of the management of hypertension and cardiovascular diseases. The journal includes:   Invited ''State of the Art'' reviews.  Expert commentaries on guidelines, major trials, technical advances.Presentation of new intervention trials design.''Pros and Cons'' or round tables on controversial issues.Statements on guidelines from hypertension and cardiovascular scientific societies.Socio-economic issues.Cost/benefit in prevention of cardiovascular diseases.Monitoring of healthcare systems.News and views from the Italian Society of Hypertension (including abstracts).All manuscripts are subject to peer review by international experts. Letters to the editor are welcomed and will be considered for publication.
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