Outcomes and Adverse Events Among Patients With Implantable Cardiac Defibrillators in Cardiac Rehabilitation A CASE-CONTROLLED STUDY
Outcomes and Adverse Events Among Patients With Implantable Cardiac Defibrillators in Cardiac Rehabilitation A CASE-CONTROLLED STUDY
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DOI：
10.1097/hcr.0b013e31819276f7
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发表时间：
2009-01-01
影响因子：
3.8
通讯作者：
Balady, Gary J.
中科院分区：
文献类型：
--
作者：
Fan, Sarah;Lyon, Caroline E.;Balady, Gary J.
目得：本研究旨在评估植入式心脏复律器（ICD）患者在心脏康复programmes.METHODS：数据进行了比较，连续42例ICD患者和42例对照组患者的年龄，性别和左心室射血分数相匹配，没有ICD，并在同一程序。结果：两组患者心脏康复训练次数分别为828次和925次。仅1例患者在运动期间发生ICD击发;两组均无心脏骤停和死亡。两组患者对心脏康复的依从性相似，大多数患者因非医学原因而脱落，心脏相关原因的脱落率相似。两组之间运动能力的改善相似（ICD患者为30%，对照组为37%）。结论：尽管需要更大规模的研究，但这些数据表明，ICD患者的监督运动训练似乎是安全有效的。
PURPOSE: This study aimed to assess the clinical outcomes and adverse events among patients with implantable cardiac defibrillators (ICDs) in cardiac rehabilitation programs.METHODS: Data were compared for 42 consecutive patients with ICDs and 42 control patients matched by age, gender, and left ventricular ejection fraction without ICDs and enrolled in the same program. 90RESULTS: The number of cardiac rehabilitation exercise sessions for each group was 828 and 925, respectively. Only 1 patient experienced an ICD firing during exercise; there were no cardiac arrests and no deaths in either group. Compliance with cardiac rehabilitation was similar in both groups with most dropouts for nonmedical reasons and similar rates for cardiac-related reasons. improvements in exercise capacity were similar between groups (30% in ICD patients and 37% in controls).CONCLUSIONS: Although larger studies are needed, these data suggest that supervised exercise training in patients with ICDs appears to be safe and effective.