外周动脉疾病患者的心肺功能训练能力较低。

IF 2.9 3区 医学 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS European Journal of Cardiovascular Nursing Pub Date : 2024-03-12 DOI:10.1093/eurjcn/zvad044
Shu-Chun Huang, Chi-Hsiao Yeh, Chih-Chin Hsu, Yu-Ching Lin, Chen-Hung Lee, Ching-Chung Hsiao, Chien-Hung Chiu, Tieh-Cheng Fu
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引用次数: 0

摘要

目的:正如 2016 年 AHA/ACC 和 2017 年 ESC/ESVS 指南所指出的,建议外周动脉疾病(PAD)患者采用运动疗法来缓解腿部症状。我们评估了心肺功能(CPF)和生活质量(QOL)的可训练性;比较了三种不同类型的患者,即 PAD、心力衰竭(HF)和中风:这是对三项临床研究的前瞻性数据进行的多中心回顾性分析。研究分析了 123 名完成 36 次中等强度有氧训练的患者的数据,其中包括 28 名 PAD 患者、55 名 HF 患者和 40 名中风患者。在训练前后,使用无创心排血量监测进行了心肺运动测试,并使用 36 项简表调查(SF-36)进行了 QOL 评估。与训练前相比,训练后的数值出现负变化即为无应答。结果显示,所有三组的 CPF 均有所改善。然而,PAD 组心肺功能(CRF)的改善程度低于 HF 组和脑卒中组;SF-36 的身体和精神成分评分(MCS)也表现出类似的模式。PAD 组的峰值 V˙O2、摄氧效率斜率和 MCS 的无反应率更高。在 PAD 组中,V˙O2 峰值无反应者的脉搏波速度高于有反应者:结论:PAD 患者在接受运动治疗后,CRF 和 QOL 平均改善程度较低;与高血压或脑卒中患者相比,他们的无应答率也较高。因此,PAD 患者,尤其是脉搏波速度较高的患者,可能需要更大剂量的运动才能产生适应性。
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Trainability for cardiopulmonary fitness is low in patients with peripheral artery disease.

Aims: In patients with peripheral arterial disease (PAD), exercise therapy is recommended to relieve leg symptoms, as noted in the 2016 AHA/ACC and 2017 ESC/ESVS guidelines. We assessed the trainability for cardiopulmonary fitness (CPF) and quality of life (QOL); three distinct patient types, namely, PAD, heart failure (HF), and stroke, were compared.

Methods and results: This is a multicentre, retrospective analysis of prospectively collected data from three clinical studies. Data collected from 123 patients who completed 36 sessions of supervised aerobic training of moderate intensity were analysed, with 28 PAD, 55 HF, and 40 stroke patients totalling 123. Before and after training, cardiopulmonary exercise testing with non-invasive cardiac output monitoring and QOL evaluation using a 36-Item Short Form Survey (SF-36) were performed. Non-response was defined as a negative change in the post-training value compared with that in the pre-training value. The result showed an improvement in CPF in all three groups. However, cardiorespiratory fitness (CRF) increased by a lesser extent in the PAD group than in the HF and stroke groups; the physical and mental component scores (MCS) of SF-36 exhibited a similar pattern. Non-response rates of peak V˙O2, oxygen uptake efficiency slope, and MCS were higher in the PAD group. In the PAD group, non-responders regarding peak V˙O2 had a higher pulse wave velocity than responders.

Conclusion: In patients with PAD following exercise therapy, CRF and QOL improved to a lesser extent on average; their non-response rate was also higher compared with that of HF or stroke patients. Therefore, a higher dose of exercise might be needed to elicit adaptation in PAD patients, especially those with high pulse wave velocity.

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来源期刊
European Journal of Cardiovascular Nursing
European Journal of Cardiovascular Nursing CARDIAC & CARDIOVASCULAR SYSTEMS-NURSING
CiteScore
5.10
自引率
10.30%
发文量
247
审稿时长
6-12 weeks
期刊介绍: The peer-reviewed journal of the European Society of Cardiology’s Council on Cardiovascular Nursing and Allied Professions (CCNAP) covering the broad field of cardiovascular nursing including chronic and acute care, cardiac rehabilitation, primary and secondary prevention, heart failure, acute coronary syndromes, interventional cardiology, cardiac care, and vascular nursing.
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