Exercise responses before and after physical conditioning in patients with severely depressed left ventricular function.

Exercise responses before and after physical conditioning in patients with severely depressed left ventricular function.
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左心室功能严重抑制患者身体调理前后的运动反应。

DOI:
10.1016/0002-9149(82)90504-5
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发表时间:
1982
期刊:
The American journal of cardiology
影响因子:
--
通讯作者:
Wallace,AG
Wallace,AG
中科院分区:
--
文献类型:
--
作者:
Conn,EH;Williams,RS;Wallace,AG

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评估左心功能严重受损患者进行短期运动和参加心脏康复计划并获得体能训练效果的能力。对 10 名既往患有心肌梗塞且经放射性核素血管造影测定静息时左心室射血分数低于 27%(范围 13 至 26)的患者进行了跑步机运动测试。所有患者均参加了监督锻炼计划,随访期为 4 至 37(平均 12.7)个月。基线运动能力显示出明显的变异性,范围为 4.5 至 9.4(平均 7.0 ± 1.9)METS,并在调节后改善至 5.5 至 14(平均 8.5 ± 2.9)METS(p = 0.05)。调节前后的氧脉冲(最大摄氧量/最大心率)用于评估训练效果,并从 12.8 ± 2.0 显着增加至 15.7 ± 3.2 ml/次(p < 0.01)。尽管有两名患者在研究期间死亡,但没有出现与运动相关的发病率或死亡率。结论是,选定的左心室功能严重受损的患者可以安全地参加调理计划并达到心血管训练效果。
The ability of patients with severely impaired left ventricular function to perform short-term exercise and to participate in a cardiac rehabilitation program and attain physical training effects was evaluated. Treadmill exercise tests were performed before and after physical conditioning in 10 patients with a prior myocardial infarction and a left ventricular ejection fraction at rest of less than 27 percent (range 13 to 26) determined by radionuclide angiography. All patients participated in a supervised exercise program with a follow-up period of 4 to 37 (mean 12.7) months. Baseline exercise capacity showed marked variability, ranging from 4.5 to 9.4 (mean 7.0 ± 1.9) METS, and improved to 5.5 to 14 (mean 8.5 ± 2.9) METS after conditioning (p= 0.05). The oxygen pulse (maximal oxygen uptake/maximal heart rate) before and after conditioning was used to assess a training effect and increased significantly from 12.8 ± 2.0 to 15.7 ± 3.2 ml/beat (p< 0.01). There was no exercise-related morbidity or mortality, although two patients died during the study period. It is concluded that selected patients with severely impaired left ventricular function can safely participate in a conditioning program and achieve cardiovascular training effects.
DOI: 10.1016/0033-0620(76)90008-6
发表时间: 1976-01-01
影响因子: 9.1
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发表时间: 1966
期刊: The American journal of cardiology
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DOI: --
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