Ghannem M, Ghannem L, Ghannem L
Unité de cardiologie interventionnelle de Gonesse, 25, rue Bernard-Février, 95500 Gonesse, France; Centre de prévention et de réadaptation cardiovasculaire Léopold-Bellan, 38, rue de Choisy, 60170 Tracy-le-Mont, France.
Service de neurologie, hôpital de Bichat, 46, rue Henri-Huchard, 75018 Paris, France.
Ann Cardiol Angeiol (Paris). 2015 Dec;64(6):517-26. doi: 10.1016/j.ancard.2015.09.058. Epub 2015 Nov 6.
Although the proofs of the benefits of cardiac rehabilitation accumulate, many patients are not sent to rehabilitation units, especially younger and very elderly patients. As the length of stay in acute care units decreases, rehabilitation offers more time to fully assess the patients' conditions and needs. Meta-analyses of randomised trials suggest that mortality can be improved by as much as 20-30%. In addition, rehabilitation helps managing risk factors, including hyperlipidemia, diabetes, smoking and sedentary behaviours. Physical training also helps improving exercise capacity. Because of all of these effects, cardiac rehabilitation for post-myocardial infarction patients has been given a class IA recommendation in current guidelines.
尽管心脏康复益处的证据不断积累，但许多患者并未被送至康复单元，尤其是年轻患者和高龄患者。随着急性护理单元住院时间的缩短，康复能提供更多时间来全面评估患者的病情和需求。随机试验的荟萃分析表明，死亡率可降低多达20%至30%。此外，康复有助于控制危险因素，包括高脂血症、糖尿病、吸烟和久坐行为。体育锻炼还有助于提高运动能力。鉴于所有这些作用，心肌梗死后患者的心脏康复在当前指南中被给予IA类推荐。
