Exercise-Based Cardiac Rehabilitation for Elderly Patients with Coronary Artery Disease
Exercise-Based Cardiac Rehabilitation for Elderly Patients with Coronary Artery Disease
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发表时间：
2017
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通讯作者：
Shuhei Yamamoto;A. Matsunaga;Takaaki Ishida;Kayoko Misawa;Saeko Yamazaki;Satoko Higuchi;Masayoshi Ohira
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作者：
Shuhei Yamamoto;A. Matsunaga;Takaaki Ishida;Kayoko Misawa;Saeko Yamazaki;Satoko Higuchi;Masayoshi Ohira
自1970-1980年以来，以有氧运动和抗阻训练为主要内容的运动性心脏康复（exercised-based cardiac rehabilitation，CR）已被确立为降低冠心病（coronary artery disease，CAD）患者死亡率和心血管事件的基本干预措施。然而，由于行动不便的老年患者数量增加，传统训练的处方最近对于CAD患者来说很困难。特别地，CAD患者的活动性相对于健康人的活动性降低至约70%。活动减少对心血管事件和死亡率有直接影响。因此，老年CAD患者的主要目标是维持或改善活动能力，以及二级预防和降低死亡率。除了传统的训练计划（有氧和阻力训练）外，还提出了其他方法，即间歇训练、使用神经肌肉电刺激的训练或平衡训练。一些研究已经证明了这些培训计划的有效性。针对老年患者的临床特点或病情，制定循证医学培训方案。
The exercise-based cardiac rehabilitation (CR) composed of aerobic and resistance training has been established as a fundamental intervention to decrease mortality and cardiovascular events of patients with coronary artery disease (CAD) since 1970-1980 years. However, the prescription of traditional training is recently difficult for CAD patients because the number of elderly patients with low mobility has increased. In particular, mobility of CAD patients decreases to about 70% relative to that of healthy people. Reduced mobility has a direct effect on cardiovascular events and mortality. Therefore, the main goals of elderly patients with CAD are to maintain or improve mobility, in addition to secondary prevention and decreasing mortality ratios. Other methods, i.e. interval training, training using neuromuscular electrical stimulation or balance training, have been proposed in addition to traditional training program (aerobic and resistance training) for elderly patients with CAD. Some studies have proved the effectiveness of these training programs. We must prescribe the evidence-based methods for training program on considering elderly patients’ clinical characteristics or condition.