Brown Katelyn D, Adams Jenny, Meyer Dan M
Department of Cardiac Rehabilitation, Baylor Scott and White Heart and Vascular Hospital, Dallas, Texas.
Department of Cardiac Surgery, Baylor Scott and White Health and Baylor University Medical Center, Dallas, Texas.
Proc (Bayl Univ Med Cent). 2020 Jul 13;33(4):674-676. doi: 10.1080/08998280.2020.1789265.
A 53-year-old male mountain biker received a total artificial heart and remained in the cardiovascular intensive care unit for 56 days. To reduce functional decline caused by inactivity, he performed a six-session cycle ergometer exercise program in his hospital room. Traditional cardiac responses for exercise prescription were not applicable; therefore, a symptom-limited, monitored progression scheme in conjunction with recommendations for the artificial heart was implemented to modify duration and intensity. Over the six sessions, the patient improved his distance pedaled by 320% and functional capacity by 1 metabolic equivalent. He was subsequently discharged from the hospital and later successfully transplanted without readmission.
一名53岁的男性山地自行车手接受了全人工心脏，并在心血管重症监护病房住了56天。为了减少因不活动导致的功能衰退，他在病房里进行了为期六个阶段的蹬车测力计锻炼计划。传统的运动处方心脏反应并不适用；因此，实施了一种症状限制、监测进展的方案，并结合人工心脏的建议来调整锻炼时长和强度。在六个阶段中，患者蹬车的距离提高了320%，功能能力提高了1个代谢当量。他随后出院，后来成功接受了移植手术，没有再次入院。
