Adams Jenny, Cline Matthew J, Hubbard Matt, McCullough Tiffany, Hartman Julie
Baylor Jack and Jane Hamilton Heart and Vascular Hospital, Dallas, Texas, USA.
Am J Cardiol. 2006 Jan 15;97(2):281-6. doi: 10.1016/j.amjcard.2005.08.035. Epub 2005 Nov 21.
Existing guidelines for resistance exercise in cardiac rehabilitation are vague and/or overly restrictive, limiting the ability of cardiac rehabilitation programs to help patients achieve their desired levels of daily activity in a timely manner after cardiac events. This study examines the illogical nature of the existing guidelines in relation to the activities of daily living patients are expected or required to carry out during the period of cardiac rehabilitation and the existing recommendations for dynamic exercise in cardiac rehabilitation. An improved method is proposed for prescribing resistance exercise in cardiac rehabilitation. A tool is presented that stratifies the risk associated with each of 13 common resistance exercises for 3 cardiac rehabilitation diagnosis groups (myocardial infarction [MI], pacemaker or implantable cardioverter defibrillator implantation, and coronary artery bypass graft surgery) that, if used in conjunction with blood pressure and heart rate measurements, will safely facilitate more efficacious resistance training in cardiac rehabilitation patients. In conclusion, changing the approach to resistance exercise in cardiac rehabilitation will accelerate patients' return to their desired levels of daily activity, improving patient satisfaction and decreasing cardiac rehabilitation program attrition.
现有的心脏康复抗阻运动指南含糊不清且/或限制过多，这限制了心脏康复项目帮助患者在心脏事件后及时达到期望日常活动水平的能力。本研究探讨了现有指南在心脏康复期间患者预期或需要进行的日常生活活动方面以及心脏康复中动态运动的现有建议方面的不合理之处。提出了一种改进的心脏康复抗阻运动处方方法。展示了一种工具，该工具对3个心脏康复诊断组（心肌梗死[MI]、起搏器或植入式心律转复除颤器植入、冠状动脉旁路移植术）的13种常见抗阻运动各自相关的风险进行分层，如果与血压和心率测量结合使用，将安全地促进心脏康复患者进行更有效的抗阻训练。总之，改变心脏康复抗阻运动的方法将加速患者恢复到期望的日常活动水平，提高患者满意度并减少心脏康复项目的退出率。
