Cardiac Rehabilitation

心臟病
血管疾病
及運動

運動降低心臟病患者死亡率

數個薈萃分析得出結論,心臟康復運動降低了心肌梗塞患者的死亡率1,2,3

1. O'Connor GT, Buring JE, Yusuf S, Goldhaber SZ, Olmstead EM, Paffenbarger RS Jr, Hennekens CH.. An overview of randomized trials of rehabilitation with exercise after myocardial infarction. Circulation 1989; 80:234–44.
2. Oldridge NB, Guyatt GH, Fischer ME, Rimm AA. Cardiac rehabilitation after myocardial infarction: combined experience of randomized clinical trials. JAMA 1988; 260: 945–50.
3. Jolliffe JA, Rees K, Taylor RS, Thompson DR, Oldridge N, Ebrahim S.. Exercise-based rehabilitation for coronary heart disease. Cochrane Database Syst Rev 2001(1): CD001800.

Harrison Medical

曾心臟病發、搭橋手術、通波仔、心絞痛、檢查發現冠心病患者,運動有幫助

心肌梗塞(心臟病發)

心血管繞道手術(搭橋手術)

檢查發現冠心病

冠狀動脈擴張術/動脈支架(通波仔)

心血管問題心絞痛

其中一項分析,對有心肌梗塞(心臟病發)、心血管繞道手術(搭橋手術)、冠狀動脈擴張術/動脈支架(通波仔)、心絞痛或冠狀動脈疾病的患者進行試驗,結論是,運動可使心臟病總死亡率降低31%3。結果顯示,運動是康復過程重要部分4

3. JOLLIFFE JA, REES K, TAYLOR RS, THOMPSON DR, OLDRIDGE N, EBRAHIM S.. EXERCISE-BASED REHABILITATION FOR CORONARY HEART DISEASE. COCHRANE DATABASE SYST REV 2001(1): CD001800.
4. Thompson PD, Buchner D, Pina IL, et al. American Heart Association Council on Clinical Cardiology Subcommittee on Exercise, Rehabilitation, and Prevention; American Heart Association Council on Nutrition, Physical Activity, and Metabolism Subcommittee on Physical Activity. Exercise and physical activity in the prevention and treatment of atherosclerotic cardiovascular disease: a statement from the Council on Clinical Cardiology (Subcommittee on Exercise, Rehabilitation, and Prevention) and the Council on Nutrition, Physical Activity, and Metabolism (Subcommittee on Physical Activity). Circulation 2003 Jun 24;107(24):3109-16.

心臟衰竭患者運動減低發病率及再入院

對腳腫水腫人士有幫助

研究發現運動對心臟衰竭患者有益,包括改善體能(最大增加10至30%5,6)、生活質素,減低發病率和再入院機會7

統計建議為每星期3-5次,30-60分鐘中等強度運動。可分段5-10分鐘進行8

5. Keteyian SJ, Levine AB, Brawner CA et al. Exercise training in patients with heart failure. A randomized, controlled trial. Ann Intern Med 1996; 124: 1051–7.
6. Papathanasiou G, Tsamis N, Georgiadou P, Adamopoulos S. Beneficial effects of physical training and methodology of exercise prescription in patients with heart failure. Hellenic J Cardiol, 2008; 49: 267–77.
7. Piepoli MF, Davos C, Francis DP, Coats AJ; ExTraMATCH Collaborative. Exercise training meta-analysis of trials in patients with chronic heart failure (ExTraMATCH). BMJ 2004; 328: 189.
8. Vanhees L, Rauch B, Piepoli M, van Buuren F, Takken T, Borjesson M, et al. Importance of characteristics and modalities of physical activity and exercise in the management of cardiovascular health in individuals with cardiovascular disease (Part III). Eur J Prev Cardiol. 2012 Dec;19(6):1333-56

開胸手術患者與運動9

開胸手術患者中等到強度運動應定期評估

01

運動必須謹慎遵照指示

02

每次運動經專業人員評估

03

定期檢測胸骨有否不穩定

9. ACSM’s Guidelines for exercise testing and prescription 2014

深部靜脈血栓(經濟艙症候群)

95名深部靜脈血栓患者,隨機對照雙中心,六個月試驗運動訓練計劃,發現運動組可以改善病情10

10. Kahn SR, Shrier I, Shapiro S, et al. Six-month exercise training program to treat post-thrombotic syndrome: a randomized controlled two-centre trial. CMAJ. 2011;183(1):37–44.

心血管繞道手術(搭橋手術)後,運動能改善血壓和靜息心臟功能,行走距離顯著改善11

10. Kahn SR, Shrier I, Shapiro S, et al. Six-month exercise training program to treat post-thrombotic syndrome: a randomized controlled two-centre trial. CMAJ. 2011;183(1):37–44.

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