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在心肌梗死或经皮冠状动脉介入治疗后的高强度抗阻训练期间,于心脏康复二期环境中进行连续血压监测。

Continuous blood pressure monitoring during high-intensity resistance training after myocardial infarction or percutaneous coronary intervention in a phase 2 cardiac rehabilitation setting.

作者信息

Brown Katelyn D, Nguyen Hoa L, Adams Jenny

机构信息

Walter I. Berman Cardiovascular Prevention and Rehabilitation Center, Baylor Scott and White Heart and Vascular HospitalDallasTexas.

Department of Epidemiology, Baylor Scott and White HealthDallasTexas.

出版信息

Proc (Bayl Univ Med Cent). 2020 Apr 3;33(3):342-345. doi: 10.1080/08998280.2020.1743052. eCollection 2020 Jul.

Abstract

The purpose of this study was to investigate the maximum rate-pressure product of cardiac rehabilitation participants after myocardial infarction, percutaneous coronary intervention, or both during high-intensity resistance training (HI-RT) using continuous blood pressure monitoring. Thirty-four individuals exercised on the leg press machine while being monitored with a continuous blood pressure monitor. The maximum rate-pressure product was significantly lower than the established safety threshold of 36,000 ( < 0.001), with a mean of 17,369 and standard deviation of 6634. Only 2% of observations had a value ≥36,000. These results suggest that cardiac rehabilitation patients can perform HI-RT while keeping their rate-pressure products under the safety threshold of 36,000 after myocardial infarction/percutaneous coronary intervention. Performance of HI-RT exercises contributes to return to precardiac event occupations, and continuous blood pressure monitoring may be an effective tool in evaluating the safety of HI-RT in this patient population.

摘要

本研究的目的是使用连续血压监测,调查心肌梗死、经皮冠状动脉介入治疗或两者兼有的心脏康复参与者在高强度阻力训练(HI-RT)期间的最大心率血压乘积。34名个体在腿部推举机上锻炼,同时使用连续血压监测仪进行监测。最大心率血压乘积显著低于既定的36,000安全阈值(<0.001),平均值为17,369,标准差为6634。只有2%的观察值≥36,000。这些结果表明,心肌梗死/经皮冠状动脉介入治疗后的心脏康复患者在进行HI-RT时,可以将其心率血压乘积保持在36,000的安全阈值以下。HI-RT运动有助于恢复到心脏事件前的职业状态,连续血压监测可能是评估该患者群体中HI-RT安全性的有效工具。

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