Adaptation process to a low-intensity exercise with cycle ergometer in patients with acute myocardial infarction undergoing phase I cardiac rehabilitation.

接受第一阶段心脏康复的急性心肌梗死患者对自行车测力计低强度运动的适应过程。

• 批准号: 15500383
• 负责人: MASUDA Takashi
• 金额: $ 2.3万
• 依托单位: KITASATO UNIVERSITY
• 依托单位国家: 日本
• 项目类别: Grant-in-Aid for Scientific Research (C)
• 财政年份: 2003
• 资助国家: 日本
• 起止时间: 2003 至 2005
• 项目状态: 已结题
• 来源: https://kaken.nii.ac.jp/en/grant/KAKENHI-PROJECT-15500383/
• 关键词: Cardiac rehabilitation; Exercise capacity; Autonomic nervous system; Muscle strength; Acute myocardial infarction; Activities of daily living; Activities of daily living; Depression; Muscle stregth; Acute myocardial infaction; Activities of dial

BACKGROUND : There are few studies in which adaptation of patients with acute myocardial infarction (AMI) to phase I rehabilitation program has been assessed.METHODS and RESULTS : Forty-two male patients(62±8 yo) with AMI were classified into the exercise tolerant group (group A, n=25) and the excessive response group (their systolic blood pressure (SBP) increase of>30mmHg during exercise ; group B, n=17). Hemodynamic parameters during exercise using a cycle-ergometer were monitored for the first three days. The power of low and high frequency components (LF:0.05-0.2Hz, HF:0.2-1Hz) was analyzed by heart rate variability. The anxiety status was assessed using the Spielberger's State-Trait Anxiety Inventory. Patients in group B were significantly older, had a lower cardiac function and a longer hospitalization as compared to group A (P<0.05, respectively). The excessive elevation of SBP on Day 1 decreased and became <30mmHg on Day 3 in group B. The decreases in HF during exercise on Days 1 and 3 were significantly smaller in group B than in group A (P<0.05 and P<0.05, respectively). The LF/HF ratio on Day 1 was significantly higher in group B than in group A (P<0.05). In group B, the anxiety score before exercise was significantly higher than that at the time of discharge (P<0.05), while there was no change in group A.CONCLUSION : We concluded that the factors influencing a significant elevation of BP during a phase I rehabilitation, were aging, physical deconditioning, imbalance of autonomic nervous activities and anxiety.

背景技术背景：方法和结果：42例男性急性心肌梗死（AMI）患者，年龄62±8岁，分为运动耐量组（A组，n=25）和过度反应组（运动时收缩压升高> 30 mmHg; B组，n=17）。前三天使用自行车测力计监测运动过程中的血流动力学参数。通过心率变异性分析低频和高频成分（低频：0.05-0.2Hz，高频：0.2-1Hz）的功率。焦虑状态采用Spielberger状态-特质焦虑量表进行评估。B组患者年龄大、心功能差、住院时间较A组明显延长（P<0.05）。B组第1天过高的收缩压下降，第3天降至<30 mmHg。运动后第1天和第3天，B组HF的下降幅度明显小于A组（P<0.05和P<0.05）。第1天，B组LF/HF比值显著高于A组（P<0.05）。B组运动前焦虑评分显著高于出院时（P<0.05），而A组运动前焦虑评分无显著变化。结论：影响I期康复期间血压显著升高的因素有年龄、躯体功能失调、自主神经活动失衡和焦虑。

项目成果

松永 篤彦: "入院期心臓リハビリテーションプログラム終了時の虚血性心疾患患者の下肢筋力と連動耐容能の関係"理学療法ジャーナル. 37・2. 156-162 (2003)

Atsuhiko Matsunaga：“住院心脏康复计划结束时缺血性心脏病患者下肢肌肉力量与关节耐受性的关系”物理治疗杂志 37・2（2003）。

糖尿病を合併する急性心筋梗塞患者の副交感神経機能と嫌気性代謝閾値との関連について.

糖尿病急性心肌梗死患者副交感神经功能与无氧代谢阈值的关系.

• 发表时间: 2005
• 期刊: 心臓リハビリテーション 10(1)
• 作者: Hiroyuki Miyamoto;Hiroko Hayashi;Stephane Aubry;Pierre Morizet-Mahoudeaux;笠原酉介
• 通讯作者: 笠原酉介

虚血性心疾患患者の運動機能が月常生活活動におよぼす影響について

运动功能对缺血性心脏病患者每月日常活动的影响

• 发表时间: 2004
• 期刊: 心臓リハビリテーション 9(1)
• 作者: Hiroyuki Miyamoto;Hiroko Hayashi;Stephane Aubry;Pierre Morizet-Mahoudeaux;笠原酉介;Masakazu Saitoh;神谷 健太郎
• 通讯作者: 神谷 健太郎

合併症を有する心疾患患者に心臓リハビリテーションを施行する際の留意点.

对有并发症的心脏病患者进行心脏康复时应记住的要点。

• 发表时间: 2005
• 期刊: 心臓リハビリテーション 10(2)
• 作者: Seki;Y.;Ito;K.;上脇玲奈
• 通讯作者: 上脇玲奈

糖尿病を合併した虚血性心疾患患者のQOL特性の検討

缺血性心脏病合并糖尿病患者的生活质量特征检测

• 发表时间: 2004
• 期刊: 心臓リハビリテーション 9(1)
• 作者: Hiroyuki Miyamoto;Hiroko Hayashi;Stephane Aubry;Pierre Morizet-Mahoudeaux;笠原酉介;Masakazu Saitoh;神谷 健太郎;岩村 貴美
• 通讯作者: 岩村 貴美