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女性心脏康复:现状与克服当前障碍的策略。

Cardiac rehabilitation in women: state of the art and strategies to overcome the current barriers.

机构信息

Cardiac Rehabilitation Villa Betania-Giomi Hospital.

Cardiology Department, Grassi Hospital, Rome.

出版信息

J Cardiovasc Med (Hagerstown). 2018 Dec;19(12):689-697. doi: 10.2459/JCM.0000000000000730.

Abstract

: Cardiac rehabilitation is able to reduce cardiovascular mortality, and improves functional capacity and quality of life. However, cardiac rehabilitation participation rates are low and the current evidence has demonstrated sex differences for the access to cardiac rehabilitation programs. In this review, we discuss the benefits of cardiac rehabilitation in women with a specific focus on ischemic heart disease, heart failure, cardiac rehabilitation after cardiac surgery and after transcatheter aortic valve implantation, and peripheral artery disease. We also analyse the current limitations to cardiac rehabilitation for women in terms of accessibility and indications, reporting general, sex-specific, and healthcare-related barriers. Finally, we discuss the potential solutions and areas of development for the coming years.

摘要

心脏康复能够降低心血管死亡率,提高功能能力和生活质量。然而,心脏康复参与率较低,目前的证据表明,女性在获得心脏康复项目方面存在差异。在这篇综述中,我们讨论了心脏康复对女性的益处,特别是在缺血性心脏病、心力衰竭、心脏手术后和经导管主动脉瓣植入术后以及外周动脉疾病方面。我们还分析了目前女性参与心脏康复的限制,包括可及性和适应证,并报告了一般、性别特异性和医疗保健相关的障碍。最后,我们讨论了未来几年的潜在解决方案和发展领域。

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