Adams Richard, Adams Jenny, Qin Huanying, Bilbrey Tim, Schussler Jeffrey M
Cardiac Rehabilitation Department, Baylor Jack and Jane Hamilton Heart and Vascular Hospital (R. Adams, J. Adams, Bilbrey, Schussler); the Quantitative Science Department, Baylor Scott & White Health (Qin); and the Division of Cardiology, Department of Internal Medicine, Baylor University Medical Center at Dallas and Baylor Heart and Vascular Hospital, and the Texas A&M Health Science Center, College of Medicine (Schussler).
Proc (Bayl Univ Med Cent). 2015 Jan;28(1):75-7. doi: 10.1080/08998280.2015.11929196.
A 55-year-old powerlifter in Tennessee learned about the sport-specific, high-intensity cardiac rehabilitation training available in Dallas, Texas, and contacted the staff by phone. He was recovering from quadruple coronary artery bypass grafting (CABG) and had completed several weeks of traditional cardiac rehabilitation in his hometown, but the exercise program no longer met his needs. He wanted help in returning both to his normal training regimen and to powerlifting competition but was unable to attend the Dallas program in person. An exercise physiologist with the program devised a virtual coaching model in which the patient was sent a wrist blood pressure cuff for self-monitoring and was advised about exercises that would not harm his healing sternum, even as the weight loads were gradually increased. After 17 weeks of symptom-limited, high-intensity training that was complemented by phone and e-mail support, the patient was lifting heavier loads than he had before CABG. At a powerlifting competition 10 months after CABG, he placed first in his age group. This case report exemplifies the need for alternative approaches to the delivery of cardiac rehabilitation services.
田纳西州一名55岁的举重运动员了解到得克萨斯州达拉斯市提供的针对特定运动的高强度心脏康复训练，便通过电话联系了工作人员。他刚从四支冠状动脉搭桥手术（CABG）中恢复过来，在家乡已经完成了几周的传统心脏康复训练，但该运动项目已无法满足他的需求。他希望在恢复正常训练计划和参加举重比赛方面得到帮助，但无法亲自前往达拉斯参加该项目。该项目的一名运动生理学家设计了一种虚拟指导模式，给患者送去一个腕式血压袖带用于自我监测，并就不会伤害其正在愈合的胸骨的运动给予建议，即使在逐渐增加重量负荷时也是如此。经过17周有症状限制的高强度训练，并辅以电话和电子邮件支持，该患者举起的重量比冠状动脉搭桥手术前还要重。在冠状动脉搭桥手术后10个月的一次举重比赛中，他在自己的年龄组中获得了第一名。本病例报告说明了提供心脏康复服务需要采用替代方法。
