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心脏康复与内皮功能

Cardiac Rehabilitation and Endothelial Function.

作者信息

Lanza Gaetano Antonio, Golino Michele, Villano Angelo, Lanza Oreste, Lamendola Priscilla, Fusco Augusto, Leggio Massimo

机构信息

Fondazione Policlinico Universitario A. Gemelli IRCCS, 00168 Rome, Italy.

Department of Cardiovascular Medicine, Università Cattolica del S. Cuore, 00168 Rome, Italy.

出版信息

J Clin Med. 2020 Aug 3;9(8):2487. doi: 10.3390/jcm9082487.

DOI:10.3390/jcm9082487
PMID:32756306
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7463659/
Abstract

Endothelial dysfunction is an early abnormality in the process of atherosclerosis and cardiovascular disease and has been associated with worse clinical outcome. Cardiac rehabilitation (CR) has been reported to be helpful to reduce cardiovascular events in various types of cardiac disease, but the mechanisms of its beneficial effects remain only partially known. In this article, we review the studies that assessed the effect of CR on endothelial function in patients with various cardiac conditions. Available data show that CR significantly improves impaired endothelial function in these patients, which may contribute to the beneficial effects of CR on clinical outcome.

摘要

内皮功能障碍是动脉粥样硬化和心血管疾病进程中的早期异常,并且与较差的临床结局相关。据报道,心脏康复(CR)有助于减少各类心脏病患者的心血管事件,但其有益作用的机制仍仅部分为人所知。在本文中,我们综述了评估CR对各种心脏疾病患者内皮功能影响的研究。现有数据表明,CR可显著改善这些患者受损的内皮功能,这可能是CR对临床结局产生有益作用的原因。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c7d7/7463659/4ddf603a17ad/jcm-09-02487-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c7d7/7463659/bba8ddd6d70d/jcm-09-02487-g001a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c7d7/7463659/4ddf603a17ad/jcm-09-02487-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c7d7/7463659/bba8ddd6d70d/jcm-09-02487-g001a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c7d7/7463659/4ddf603a17ad/jcm-09-02487-g002.jpg

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本文引用的文献

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Secondary prevention through comprehensive cardiovascular rehabilitation: From knowledge to implementation. 2020 update. A position paper from the Secondary Prevention and Rehabilitation Section of the European Association of Preventive Cardiology.通过全面心血管康复进行二级预防:从知识到实践。2020年更新版。欧洲预防心脏病学协会二级预防与康复分会立场文件
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Cardiac and Pulmonary Rehabilitation: Two Underutilized Approaches with Some Unexpected Benefits.心脏和肺部康复:两种未得到充分利用但有一些意外益处的方法。
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Daily exercise improves the long-term prognosis of patients with acute coronary syndrome.日常锻炼可改善急性冠状动脉综合征患者的长期预后。
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The Role of Rehabilitation in Arterial Function Properties of Convalescent COVID-19 Patients.康复治疗在新冠康复期患者动脉功能特性中的作用
J Clin Med. 2023 Mar 13;12(6):2233. doi: 10.3390/jcm12062233.
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Clinical assessment of endothelial function in convalescent COVID-19 patients: a meta-analysis with meta-regressions.恢复期 COVID-19 患者内皮功能的临床评估:荟萃分析与荟萃回归。
Ann Med. 2022 Dec;54(1):3234-3249. doi: 10.1080/07853890.2022.2136403.
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