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急性心肌梗死后的早期II期综合心脏康复

Early Phase II Comprehensive Cardiac Rehabilitation after Acute Myocardial Infarction.

作者信息

Tsai Yun-Jeng, Huang Wei-Chun, Weng Tzu-Pin, Lin Ko-Long

机构信息

Department of Physical Medicine and Rehabilitation, Kinmen Hospital, Kinmen.

Cardiovascular Medical Center, Kaohsiung Veterans General Hospital.

出版信息

Acta Cardiol Sin. 2019 Jul;35(4):425-429. doi: 10.6515/ACS.201907_35(4).20190330A.

Abstract

BACKGROUND

Cardiac rehabilitation is beneficial for patients after ST-segment elevation myocardial infarction (STEMI). However, most institutes perform outpatient training phase (phase II) of post-MI cardiac rehabilitation after 2-4 weeks. To evaluate the possibility of performing cardiac rehabilitation with an earlier schedule after STEMI.

METHODS

We conducted a series of early phase II cardiac rehabilitation starting from 5-7 days after STEMI, including the training group (n = 28) and the control group (n = 42).

RESULTS

The results showed an improved mental component summary of the SF-36 questionnaire after 6 months in the training group. No adverse event was noticed during this early phase II training.

CONCLUSIONS

Cardiac rehabilitation after STEMI might be started earlier than previously thought for clinical use or further research.

摘要

背景

心脏康复对ST段抬高型心肌梗死(STEMI)患者有益。然而,大多数机构在心肌梗死后2至4周进行心脏康复的门诊训练阶段(II期)。为评估STEMI后更早开始心脏康复的可能性。

方法

我们开展了一系列从STEMI后5至7天开始的早期II期心脏康复,包括训练组(n = 28)和对照组(n = 42)。

结果

结果显示训练组在6个月后SF-36问卷的心理成分总结有所改善。在这个早期II期训练期间未观察到不良事件。

结论

STEMI后的心脏康复可能比之前认为的更早开始用于临床或进一步研究。

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