Kellermann J J
Sackler School of Medicine, Tel-Aviv University, Sheba Medical Center, Tel-Hashomer, Israel.
Chest. 1992 May;101(5 Suppl):322S-325S. doi: 10.1378/chest.101.5_supplement.322s.
The implementation of comprehensive coronary care (CCC), including multiple measures involving physical, psychologic, and pharmacologic procedures, together with a new concept of pharmacologic and surgical revascularization, have caused a remarkable improvement in the treatment of coronary patients with angina pectoris. The role of physical training per se is one measure of CCC and one must observe the fact that a single factor cannot be expected to influence a multifactorial disease. The irrefutable evidence that shows that physical training has an effect on longevity is lacking. On the other hand, a number of important physiologic and psychologic benefits have been found to be accompanying a prolonged physical training program in coronary patients suffering from angina pectoris before or after coronary artery bypass graft (CABG). The effect of training is an improvement of cardiocirculatory performance for given work tasks. This includes a decrease of heart rate, systolic blood pressure, the rate-pressure product, an increase of stroke volume, overall physical work performance, oxygen pulse, and in some instances, the rise of the angina pectoris threshold heart rate and threshold rate-pressure product in patients with angina pectoris.
全面冠心病护理（CCC）的实施，包括涉及身体、心理和药物治疗程序的多项措施，以及药物和手术血运重建的新概念，已使心绞痛冠心病患者的治疗有了显著改善。体育锻炼本身是CCC的一项措施，必须认识到不能期望单一因素影响一种多因素疾病。缺乏确凿证据表明体育锻炼对寿命有影响。另一方面，在冠状动脉旁路移植术（CABG）前后患有心绞痛的冠心病患者中，长期体育锻炼计划伴随着许多重要的生理和心理益处。锻炼的效果是改善特定工作任务的心脏循环功能。这包括心率、收缩压、心率-血压乘积降低，每搏输出量、总体身体工作能力、氧脉搏增加，在某些情况下，心绞痛患者的心绞痛阈值心率和阈值心率-血压乘积升高。
