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接受β受体阻滞剂治疗的冠心病患者能获得训练效果吗?

Can patients with coronary artery disease receiving beta blockers obtain a training effect?

作者信息

Froelicher V, Sullivan M, Myers J, Jensen D

出版信息

Am J Cardiol. 1985 Apr 26;55(10):155D-161D. doi: 10.1016/0002-9149(85)91073-2.

DOI:10.1016/0002-9149(85)91073-2
PMID:2859792
Abstract

Fifty-nine male volunteers with stable coronary artery disease underwent 1 year of supervised exercise and were compared with 69 similar control patients. Both groups underwent exercise tests initially and at 1 year to determine maximal oxygen uptake. Initial and 1-year tests were performed with patients off all cardiac medications including beta blockers. Although patients had been randomized to exercise intervention, administration of beta blockers was at the prerogative of their physicians. Thirty-seven percent of the trained group and 39% of the control group were taking beta blockers during the year of study. Regardless of whether or not beta blockers were administered, patients in the exercise intervention group had a significant increase in aerobic capacity and improvement in the other hemodynamic markers of training compared with control subjects. Of the trained patients, those on beta blockers were able to comply with the exercise regimen as well as those not taking beta blockers.

摘要

59名患有稳定型冠状动脉疾病的男性志愿者接受了为期1年的监督运动,并与69名类似的对照患者进行了比较。两组患者最初和1年后都进行了运动测试,以确定最大摄氧量。最初和1年时的测试是在患者停用所有心脏药物(包括β受体阻滞剂)的情况下进行的。尽管患者已被随机分配到运动干预组,但β受体阻滞剂的使用由其医生决定。在研究的一年中,37%的训练组和39%的对照组服用了β受体阻滞剂。无论是否使用β受体阻滞剂,与对照组相比,运动干预组患者的有氧能力显著提高,其他训练的血流动力学指标也有所改善。在接受训练的患者中,服用β受体阻滞剂的患者与未服用β受体阻滞剂的患者一样能够遵守运动方案。

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1
Can patients with coronary artery disease receiving beta blockers obtain a training effect?接受β受体阻滞剂治疗的冠心病患者能获得训练效果吗?
Am J Cardiol. 1985 Apr 26;55(10):155D-161D. doi: 10.1016/0002-9149(85)91073-2.
2
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引用本文的文献

1
Physical activity, cardiorespiratory fitness, and cardiovascular health: A clinical practice statement of the American Society for Preventive Cardiology Part II: Physical activity, cardiorespiratory fitness, minimum and goal intensities for exercise training, prescriptive methods, and special patient populations.体力活动、心肺适能与心血管健康:美国预防心脏病学会临床实践声明 第二部分:体力活动、心肺适能、运动训练的最低强度和目标强度、处方方法及特殊患者群体
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2
The use of ratings of perceived exertion for exercise prescription in patients receiving beta-blocker therapy.在接受β受体阻滞剂治疗的患者中,利用自感用力度进行运动处方制定。
Sports Med. 1996 Mar;21(3):176-90. doi: 10.2165/00007256-199621030-00003.
3
Beta-adrenoceptor blockade and exercise. An update.β-肾上腺素能受体阻滞剂与运动。最新进展。
Sports Med. 1988 Apr;5(4):209-25. doi: 10.2165/00007256-198805040-00002.