Safety of exercise training for cardiac patients - Results of the French registry of complications during cardiac rehabilitation
Safety of exercise training for cardiac patients - Results of the French registry of complications during cardiac rehabilitation
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DOI：
10.1001/archinte.166.21.2329
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发表时间：
2006-11-27
影响因子：
--
通讯作者：
Corone, Sonia
中科院分区：
文献类型：
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作者：
Pavy, Bruno;Iliou, Marie Christine;Corone, Sonia
背景资料：心脏康复被广泛认为是降低死亡率的医疗管理程序，但运动训练的心血管安全性尚未明确确定。发表的数据是回顾性的或过时的，因为近年来患者管理取得了实质性进展。这项前瞻性登记的目的是确定目前的并发症发生率在心脏rehabilitation.Methods过程中进行的运动：这项研究是由功能评估和心脏康复工作组的法国心脏病学会。在一年的时间里，65个心脏康复中心报告了在运动负荷试验或训练期间或之后1小时发生的严重事件。严重的心血管事件进行了验证，由一个科学委员会。结果：共25 420例患者（78%男性，平均年龄61.3岁）被纳入本研究。心脏康复的初始适应症为心脏手术后（冠状动脉搭桥术，34.3%;瓣膜手术，18.4%）;近期经皮冠状动脉介入治疗（21.6%）;以及其他冠状动脉（13.2%）和非冠状动脉（12.5%）疾病。研究人群进行了42419次运动负荷试验和743471患者-小时的运动训练。报告了20起重度心脏事件：5起与运动试验相关，15起与运动训练相关。事件发生率为1/8484次运动负荷试验和1/49565患者-小时运动训练;心脏骤停发生率为1.3/百万患者-小时运动。没有致命的并发症，也没有紧急除颤reported.Conclusion：在法国的监督运动训练期间的主要心血管并发症的频率是相当低的。
Background: Cardiac rehabilitation is widely recognized as a medical management procedure that reduces mortality, but the cardiovascular safety of exercise training has not been clearly established. Published data are retrospective or outdated, as patient management has substantially progressed in recent years. The aim of this prospective registry was to determine the current complication rate during exercise performed in the course of cardiac rehabilitation.Methods: This study was conducted by the Functional Evaluation and Cardiac Rehabilitation Working Group of the French Society of Cardiology. During a 1-year period, 65 cardiac rehabilitation centers reported that serious events had occurred during or 1 hour after an exercise stress test or a training session. Severe cardiovascular events were validated by a scientific committee.Results: A total of 25 420 patients (78% men; mean age, 61.3 years) were included in the study. Initial indications for cardiac rehabilitation were post-cardiac surgery ( coronary bypass, 34.3%; valvular surgery, 18.4%); recent percutaneous coronary intervention (21.6%); and other coronary (13.2%) and noncoronary (12.5%) conditions. The study population underwent 42 419 exercise stress tests and 743 471 patient-hours of exercise training. Twenty severe cardiac events were reported: 5 were related to exercise testing and 15 were related to exercise training. The event rate was 1 per 8484 exercise stress tests and 1 per 49 565 patient-hours of exercise training; the cardiac arrest rate was 1.3 per million patient-hours of exercise. Neither fatal complications nor emergency defibrillations were reported.Conclusion: The frequency of major cardiovascular complications during supervised exercise training in France is quite low.