Martínez-Quintana Efrén, Miranda-Calderín Guillermo, Ugarte-Lopetegui Arantza, Rodríguez-González Fayna
Cardiology Service, Complejo Hospitalario Universitario Insular-Materno Infantil, Las Palmas de Gran Canaria, Spain.
Congenit Heart Dis. 2010 Jan-Feb;5(1):44-50. doi: 10.1111/j.1747-0803.2009.00370.x.
It is commonly believed that physical activity may have a negative impact on pulmonary hypertension patients. The object of this study is to determine the tolerability of a directed exercise program in congenital heart disease patients with pulmonary hypertension.
Eight congenital heart disease patients with pulmonary hypertension were studied and followed up during a 1-year period. Four of them were enrolled in a 3-month rehabilitation program.
No significant changes in analytical data, hand and leg strength, or quality of life were seen at the end of the training program in rehabilitation and nonrehabilitation patients. However, patients in the rehabilitation group improved 6 minutes' walk test minimum hemoglobin oxygen saturation and functional class after ending the training program without having adverse events such as progression of symptoms or heart failure.
Cardiopulmonary rehabilitation appears to be a safe intervention in patients with congenital heart disease and pulmonary hypertension.
人们普遍认为体育活动可能会对肺动脉高压患者产生负面影响。本研究的目的是确定针对先天性心脏病合并肺动脉高压患者的定向运动计划的耐受性。
对8名先天性心脏病合并肺动脉高压患者进行了为期1年的研究和随访。其中4人参加了为期3个月的康复计划。
康复组和非康复组患者在训练计划结束时，分析数据、手部和腿部力量或生活质量均无显著变化。然而，康复组患者在训练计划结束后，6分钟步行试验最低血红蛋白氧饱和度和功能分级有所改善，且未出现症状进展或心力衰竭等不良事件。
心肺康复对先天性心脏病合并肺动脉高压患者似乎是一种安全的干预措施。
