经皮冠状动脉介入治疗术后运动康复专家共识
陈纪言,陈韵岱,韩雅玲,王磊
摘要(Abstract):
<正>经皮冠状动脉介入治疗(percutaneous coronary intervention,PCI)已成为冠心病患者最重要的血运重建手段。然而,仅通过PCI术和药物治疗并不能持续有效改善患者的预后。PCI术既不能逆转或减缓冠状动脉粥样硬化的生物学进程,也不能消除冠心病危险因素。多数患者存在的术后运动耐量下降及焦虑抑郁等精神问题,不仅严重影响生活质量,也
关键词(KeyWords): 经皮冠状动脉介入治疗;运动康复;心肺运动试验
基金项目(Foundation):
作者(Author): 陈纪言,陈韵岱,韩雅玲,王磊
参考文献(References):
- [1]Aragam KG,Dai D,Neely ML,et al.Gaps in referral to cardiac rehabilitation of patients undergoing percutaneous coronary intervention in the United States.J Am Coll Cardiol,2015,65(19):2079-2088.
- [2]Boden WE,O'Rourke RA,Teo KK,et al.Optimal medical therapy with or without PCI for stable coronary disease.N Engl JMed,2007,356(15):1503-1516.
- [3]Heran BS,Chen JM,Ebrahim S,et al.Exercise-based cardiac rehabilitation for coronary heart disease.Cochrane Database Syst Rev,2011(7):CD1800.
- [4]Taylor RS,Brown A,Ebrahim S,et al.Exercise-based rehabilitation for patients with coronary heart disease:systematic review and meta-analysis of randomized controlled trials.Am JMed,2004,116(10):682-692.
- [5]Rejeski WJ,Foy CG,Brawley LR,et al.Older adults in cardiac rehabilitation:a new strategy for enhancing physical function.Med Sci Sports Exerc,2002,34(11):1705-1713.
- [6]Oldridge N,Streiner D,Hoffmann R,et al.Profile of mood states and cardiac rehabilitation after acute myocardial infarction.Med Sci Sports Exerc,1995,27(6):900-905.
- [7]Suaya JA,Stason WB,Ades PA,et al.Cardiac rehabilitation and survival in older coronary patients.J Am Coll Cardiol,2009,54(1):25-33.
- [8]Belardinelli R,Paolini I,Cianci G,et al.Exercise training intervention after coronary angioplasty:the ETICA trial.J Am Coll Cardiol,2001,37(7):1891-1900.
- [9]Munk PS,Staal EM,Butt N,et al.High-intensity interval training may reduce in-stent restenosis following percutaneous coronary intervention with stent implantation A randomized controlled trial evaluating the relationship to endothelial function and inflammation.Am Heart J,2009,158(5):734-741.
- [10]JCS Joint Working Group.Guidelines for rehabilitation in patients with cardiovascular disease(JCS 2012).Circ J,2014,78(8):2022-2093.
- [11]Leon AS,Franklin BA,Costa F,et al.Cardiac rehabilitation and secondary prevention of coronary heart disease:an American Heart Association scientific statement from the Council on Clinical Cardiology(Subcommittee on Exercise,Cardiac Rehabilitation,and Prevention)and the Council on Nutrition,Physical Activity,and Metabolism(Subcommittee on Physical Activity),in collaboration with the American association of Cardiovascular and Pulmonary Rehabilitation.Circulation,2005,111(3):369-376.
- [12]Thomas RJ,King M,Lui K,et al.AACVPR/ACC/AHA 2007performance measures on cardiac rehabilitation for referral to and delivery of cardiac rehabilitation/secondary prevention services endorsed by the American College of Chest Physicians,American College of Sports Medicine,American Physical Therapy Association,Canadian Association of Cardiac Rehabilitation,European Association for Cardiovascular Prevention and Rehabilitation,Inter-American Heart Foundation,National Association of Clinical Nurse Specialists,Preventive Cardiovascular Nurses Association,and the Society of Thoracic Surgeons.J Am Coll Cardiol,2007,50(14):1400-1433.
- [13]Anderson JL,Adams CD,Antman EM,et al.ACC/AHA 2007guidelines for the management of patients with unstable angina/non-ST-Elevation myocardial infarction:a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines(Writing Committee to Revise the 2002Guidelines for the Management of Patients With Unstable Angina/Non-ST-Elevation Myocardial Infarction)developed in collaboration with the American College of Emergency Physicians,the Society for Cardiovascular Angiography and Interventions,and the Society of Thoracic Surgeons endorsed by the American Association of Cardiovascular and Pulmonary Rehabilitation and the Society for Academic Emergency Medicine.J Am Coll Cardiol,2007,50(7):e1-e157.
- [14]Levine GN,Bates ER,Blankenship JC,et al.2011 ACCF/AHA/SCAI Guideline for Percutaneous Coronary Intervention.Areport of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines and the Society for Cardiovascular Angiography and Interventions.J Am Coll Cardiol,2011,58(24):e44-e122.
- [15]Eagle KA,Guyton RA,Davidoff R,et al.ACC/AHA 2004guideline update for coronary artery bypass graft surgery:summary article.A report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines(Committee to Update the 1999 Guidelines for Coronary Artery Bypass Graft Surgery).J Am Coll Cardiol,2004,44(5):e213-e310.
- [16]European Guidelines on cardiovascular disease prevention in clinical practice(version 2012):the Fifth Joint Task Force of the European Society of Cardiology and Other Societies on Cardiovascular Disease Prevention in Clinical Practice(constituted by representatives of nine societies and by invited experts).Eur J Prev Cardiol,2012,19(4):585-667.
- [17]Stone JA,Arthur HM.Canadian guidelines for cardiac rehabilitation and cardiovascular disease prevention,second edition,2004:executive summary.Can J Cardiol,2005,21Suppl D:3D-19D.
- [18]Lavie CJ,Thomas RJ,Squires RW,et al.Exercise training and cardiac rehabilitation in primary and secondary prevention of coronary heart disease.Mayo Clin Proc,2009,84(4):373-383.
- [19]Marchionni N,Fattirolli F,Fumagalli S,et al.Improved exercise tolerance and quality of life with cardiac rehabilitation of older patients after myocardial infarction:results of a randomized,controlled trial.Circulation,2003,107(17):2201-2206.
- [20]Shah ND,Dunlay SM,Ting HH,et al.Long-term medication adherence after myocardial infarction:experience of a community.Am J Med,2009,122(10):961-967.
- [21]Lavie CJ,Milani RV.Adverse psychological and coronary risk profiles in young patients with coronary artery disease and benefits of formal cardiac rehabilitation.Arch Intern Med,2006,166(17):1878-1883.
- [22]Martin BJ,Hauer T,Arena R,et al.Cardiac rehabilitation attendance and outcomes in coronary artery disease patients.Circulation,2012,126(6):677-687.
- [23]Squires RW,Montero-Gomez A,Allison TG,et al.Long-term disease management of patients with coronary disease by cardiac rehabilitation program staff.J Cardiopulm Rehabil Prev,2008,28(3):180-188.
- [24]Goto Y,Sumida H,Ueshima K,et al.Safety and implementation of exercise testing and training after coronary stenting in patients with acute myocardial infarction.Circ J,2002,66(10):930-936.
- [25]Roffi M,Wenaweser P,Windecker S,et al.Early exercise after coronary stenting is safe.J Am Coll Cardiol,2003,42(9):1569-1573.
- [26]Soga Y,Yokoi H,Ando K,et al.Safety of early exercise training after elective coronary stenting in patients with stable coronary artery disease.Eur J Cardiovasc Prev Rehabil,2010,17(2):230-234.
- [27]Pavy B,Iliou MC,Meurin P,et al.Safety of exercise training for cardiac patients:results of the French registry of complications during cardiac rehabilitation.Arch Intern Med,2006,166(21):2329-2334.
- [28]中国康复医学会心血管病专业委员会,《心血管康复医学杂志》编辑委员会.中国经皮冠状动脉介入治疗后康复程序(试用稿).心血管康复医学杂志,2006,15(z1):125-130.
- [29]中国康复学会心血管病专业委员会,中国老年学学会心脑血管病专业委员会.在心血管科就诊患者的心理处方中国专家共识.中华心血管病杂志,2014,42(1):6-12.
- [30]Szwed H,Pachocki R,Domzal-Bochenska M,et al.Efficacy and tolerance of trimetazidine,a metabolic antianginal,in combination with a hemodynamic antianginal in stable exertion angina.TRIMPOL I,a multicenter study.Presse Med,2000,29(10):533-538.
- [31]Daiber A,Steven S,Weber A,et al.Targeting vascular(endothelial)dysfunction.Br J Pharmacol,2016.[Epub ahead of print].
- [32]Fletcher GF,Froelicher VF,Hartley LH,et al.Exercise standards.A statement for health professionals from the American Heart Association.Circulation,1990,82(6):2286-2322.
- [33]Mikus CR,Boyle LJ,Borengasser SJ,et al.Simvastatin impairs exercise training adaptations.J Am Coll Cardiol,2013,62(8):709-714.
- [34]Detry JM,Sellier P,Pennaforte S,et al.Trimetazidine:a new concept in the treatment of angina.Comparison with propranolol in patients with stable angina.Trimetazidine European Multicenter Study Group.Br J Clin Pharmacol,1994,37(3):279-288.
- [35]Monti LD,Setola E,Fragasso G,et al.Metabolic and endothelial effects of trimetazidine on forearm skeletal muscle in patients with type 2 diabetes and ischemic cardiomyopathy Am J Physiol Endocrinol Metab,2006,290(1):E54-E59.
- [36]Dogan A,Ozaydin M,Gedikli O,et al.Effect of trimetazidine on exercise performance in patients with coronary artery ectasia.Jpn Heart J,2003,44(4):463-470.
- [37]Fragasso G,Perseghin G,De Cobelli F,et al.Effects of metabolic modulation by trimetazidine on left ventricular function and phosphocreatine/adenosine triphosphate ratio in patients with heart failure.Eur Heart J,2006,27(8):942-948.
- [38]Szwed H.Clinical benefits of trimetazidine in patients with recurrent angina.Coron Artery Dis,2004,15 Suppl 1:S17-S21.
- [39]Manchanda SC,Krishnaswami S.Combination treatment with trimetazidine and diltiazem in stable angina pectoris.Heart,1997,78(4):353-357.
- [40]Marazzi G,Gebara O,Vitale C,et al.Effect of trimetazidine on quality of life in elderly patients with ischemic dilated cardiomyopathy.Adv Ther,2009,26(4):455-461.
- [41]Belardinelli R,Lacalaprice F,Faccenda E,et al.Trimetazidine potentiates the effects of exercise training in patients with ischemic cardiomyopathy referred for cardiac rehabilitation.Eur JCardiovasc Prev Rehabil,2008,15(5):533-540.
- [42]中国康复医学会心脏康复专业委员会.稳定性冠心病心脏康复药物处方管理专家共识.中华心血管病杂志,2016,44(1):7-11.