Xing Ying, Yang Si-Dong, Wang Man-Man, Feng Ya-Shuo, Dong Fang, Zhang Feng
Department of Rehabilitation Medicine, The Third Hospital of Hebei Medical University, Shijiazhuang, China.
Australian Institute for Bioengineering and Nanotechnology, The University of Queensland, Brisbane, QLD, Australia.
Front Physiol. 2020 Apr 24;11:270. doi: 10.3389/fphys.2020.00270. eCollection 2020.
Worldwide, elderly people have a higher prevalence of myocardial infarction (MI), which is associated with body function aging and a sedentary lifestyle. In addition to medication, exercise training is a well-established supplementary method to prevent and treat cardiovascular diseases (CVDs). Substantial evidence has shown the value of different intensity exercise programs in the prevention and treatment of MI, and exercise rehabilitation programs are also applicable to elderly patients with MI. Although exercise rehabilitation programs could significantly improve function, quality of life (QoL), and lower mortality and morbidity for people with MI, such programs are underused because their mechanisms are not accurately elucidated. To promote the application of exercise therapy for MI, this review summarizes the benefits and mechanisms of exercise rehabilitation for post-MI patients and provides rationalized proposals for outpatient cardiac rehabilitation.
在全球范围内,老年人心肌梗死(MI)的患病率较高,这与身体功能老化和久坐不动的生活方式有关。除药物治疗外,运动训练是预防和治疗心血管疾病(CVD)的一种公认的辅助方法。大量证据表明不同强度的运动方案在预防和治疗心肌梗死方面具有价值,运动康复方案也适用于老年心肌梗死患者。尽管运动康复方案可以显著改善心肌梗死患者的功能、生活质量(QoL),并降低死亡率和发病率,但此类方案的使用不足,因为其机制尚未得到准确阐明。为促进运动疗法在心肌梗死治疗中的应用,本综述总结了心肌梗死后患者运动康复的益处和机制,并为门诊心脏康复提供了合理建议。