EFFECTS OF PHYSICAL-TRAINING IN CHRONIC HEART-FAILURE
EFFECTS OF PHYSICAL-TRAINING IN CHRONIC HEART-FAILURE
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DOI：
10.1016/0140-6736(90)90536-e
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发表时间：
1990-01-13
期刊：
影响因子：
168.9
通讯作者：
SLEIGHT, P
中科院分区：
文献类型：
--
作者：
COATS, AJS;ADAMOPOULOS, S;SLEIGHT, P
11例继发于缺血性心脏病的慢性心力衰竭患者(平均年龄63.0[2.3]岁；左心室射血分数19[8]%)进行了8周的家庭自行车运动训练和8周的活动限制(休息)。训练使运动持续时间从14.2(1.1)分钟增加到16.8(1.3)分钟，最大耗氧量从14.3(1.1)ml.cntdo.Min-1.cntdo.Kg-1至16.7(1.3)ml.cntdot。Min-1.cntdo.Kg-1。通过训练，次最大工作负荷和心率-压力产品的心率显著降低，患者评估的症状评分也有显著改善。在培训阶段没有发生不良事件。因此，即使在严重的慢性心力衰竭患者中，以家庭为基础的体育训练计划也是可行的，并对运动耐量、最高耗氧量和症状有有益的影响。人们普遍认为休息是治疗慢性心力衰竭的主要手段，这一观点不应再被接受。
Eleven patients with chronic heart failure secondary to ischaemic heart disease (mean [SEM] age 63.0 [2.3]years; left ventricular ejection fraction 19 [8]% undertook 8 weeks of home-based bicycle exercise training and 8 weeks of activity restriction (rest) in a physician-blind, random-order, crossover, trial. Training increased exercise duration from 14.2 (1.1) min to 16.8 (1.3) min and peak oxygen consumption from 14.3 (1.1) ml .cntdot. min-1 .cntdot. kg-1 to 16.7 (1.3) ml .cntdot. min-1 .cntdot. kg-1. Heart rates of submaximum workloads and rate-pressure products were significantly reduced by training, and there was also a significant improvement in patient-rated symptom scores. No adverse events occurred during the training phase. Thus home-based physical training programmes are feasible even in severe chronic heart failure and have a beneficial effect on exercise tolerance, peak oxygen consumption, and symptoms. The commonly held belief that rest is the mainstay of treatment of chronic heart failure should no longer be accepted.