慢性心力衰竭心脏康复的循证医学依据

被引：22

作者：

张永珍

机构：

[1] 北京大学第三医院心内科

来源：

岭南心血管病杂志 | 2013年 / 19卷 / 04期

基金：

北京市自然科学基金;

关键词：

心脏康复; 心力衰竭; 循证医学; 运动训练;

D O I：

暂无

中图分类号：

R541.6 [血液循环衰竭];

学科分类号：

100201 [内科学];

摘要：

<正>心力衰竭(heart failure,HF)包括射血分数降低HF(即收缩性心力衰竭)和射血分数保留HF(即舒张性心力衰竭)。标准化药物,如血管紧张素转换酶抑制剂(angiotensin converting enzyme inhibitors,ACEI)、β-受体阻断药和螺内酯等,以及装置(心脏同步化治疗)可显著降低射血分数,降低HF患者的病死率,改善临床结果,但对射血分数保留HF患者的益处并不明确。HF仍是住院的主要原因,症状性HF的1年病死率高达45%。

引用

页码：377 / 380

页数：4

共 7 条

[1]

Impact of Exercise Training on Adverse Event Risk and Quality of Life in Patients With Heart Failure [J].

Cahalin, Lawrence P. ;

Arena, Ross .

PHYSICAL THERAPY, 2012, 92 (11) :1371-1375

[2]

6-Min Walk Test Provides Prognostic Utility Comparable to Cardiopulmonary Exercise Testing in Ambulatory Outpatients With Systolic Heart Failure [J].

Forman, Daniel E. ;

Fleg, Jerome L. ;

Kitzman, Dalane W. ;

Brawner, Clinton A. ;

Swank, Ann M. ;

McKelvie, Robert S. ;

Clare, Robert M. ;

Ellis, Stephen J. ;

Dunlap, Mark E. ;

Bittner, Vera .

JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2012, 60 (25) :2653-2661

[3]

Effects of exercise training for heart failure with preserved ejection fraction: A systematic review and meta-analysis of comparative studies [J].

Taylor, Rod S. ;

Davies, Edward J. ;

Dalal, Hasnain M. ;

Davis, Russell ;

Doherty, Patrick ;

Cooper, Christopher ;

Holland, David J. ;

Jolly, Kate ;

Smart, Neil A. .

INTERNATIONAL JOURNAL OF CARDIOLOGY, 2012, 162 (01) :6-13

[4]

The Role of Exercise Training in Heart Failure [J].

Downing, Jill ;

Balady, Gary J. .

JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2011, 58 (06) :561-569

[5]

Superior cardiovascular effect of aerobic interval training versus moderate continuous training in heart failure patients - A randomized study [J].

Wisloff, Ulrik ;

Stoylen, Asbjorn ;

Loennechen, Jan P. ;

Bruvold, Morten ;

Rognmo, Oivind ;

Haram, Per Magnus ;

Tjonna, Arnt Erik ;

Helgerud, Jan ;

Slordahl, Stig A. ;

Lee, Sang Jun ;

Videm, Vibeke ;

Bye, Anja ;

Smith, Godfrey L. ;

Najjar, Sonia M. ;

Ellingsen, Oyvind ;

Skjaerpe, Terje .

CIRCULATION, 2007, 115 (24) :3086-3094

[6]

Exercise training meta-analysis of trials in patients with chronic heart failure (ExTraMATCH) [J].

Piepoli, MF ;

Davos, C ;

Francis, DP ;

Coats, AJS ;

Belardinelli, R ;

Purcaro, A ;

Dubach, P ;

Myers, J ;

Giannuzzi, P ;

Temporelli, PL ;

Hambrecht, R ;

Linke, A ;

Kiilavuori, K ;

Leinonen, H ;

McKelvie, RS ;

Teo, KK ;

Volterrani, M ;

Giordano, A ;

Wielenga, RP ;

Baselier, MRP ;

Willenheimer, R ;

Rydberg, E ;

Adamopoulos, S ;

Dickestein, K ;

Gordon, A ;

Kostis, JB ;

Sellier, P ;

Toman, J .

BMJ-BRITISH MEDICAL JOURNAL, 2004, 328 (7433) :189-192

[7]

Efficacy and safety of exercise training in patients with chronic heart failure: HF-ACTION randomized controlled trial..CM O’Connor;DJ Whellan;KL Lee;SJ Keteyian;LS Cooper;SJ Ellis;ES Leifer;WE Kraus;DW Kitzman;JA Blumenthal;DS Rendall;NH Miller;JL Fleg;KA Schulman;RS McKelvie;F Zannad;IL Pina;.JAMA.2009, 14

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