Bigot M
Clinique de réadaptation cardiaque et vasculaire, cardiocéan, 25 allée de La-Tourtillière, Puilboreau, France.
Ann Cardiol Angeiol (Paris). 2012 Feb;61(1):37-41. doi: 10.1016/j.ancard.2011.07.005. Epub 2011 Oct 2.
Heart failure is a complex syndrome, whose treatment associates diet, medicine, educational sessions, exercise training, psychological and social help. During cardiac rehabilitation, heart failure patients start exercise training against reconditioning and wasting muscle tissues: segmental rehabilitation, steady state exercise or interval training, breathing physiotherapy, swimming pool, low frequency electric muscle stimulation, according to individualized training program, in association with salt free diet and fight against cardiovascular risk factors. Rehabilitation also helps to increase the dose of drugs according to international recommendations, looking after clinical and biological parameters, and allows including patients in educational sessions. These two last points seem to be a key role of rehabilitation. Thanks to these many actions, hold by multidisciplinary team trained to take care of chronic heart failure patients and to lead therapeutic education, cardiac rehabilitation is very useful for chronic heart failure patients, to help hospital and liberal management therapy of chronic heart failure and reduce medical cost. Rehabilitation counsels should be carried on in home-based program.
心力衰竭是一种复杂的综合征，其治疗涉及饮食、药物、教育课程、运动训练、心理和社会支持。在心脏康复期间，心力衰竭患者开始针对肌肉组织功能恢复和萎缩进行运动训练：根据个性化训练方案进行分段康复、稳态运动或间歇训练、呼吸物理治疗、游泳池训练、低频电肌肉刺激，并结合无盐饮食以及对抗心血管危险因素。康复还有助于根据国际建议增加药物剂量，监测临床和生物学参数，并让患者参与教育课程。这最后两点似乎是康复的关键作用。通过多学科团队采取的这些诸多行动，这些团队经过培训以照顾慢性心力衰竭患者并开展治疗性教育，心脏康复对慢性心力衰竭患者非常有用，有助于慢性心力衰竭的医院治疗和自由管理治疗，并降低医疗成本。康复咨询应在家庭康复计划中进行。
