心肌梗死后应激性心肌病患者心脏康复治疗的影响因素：运动训练的效果和应用预测因素。
Cardiac rehabilitation in Takotsubo cardiomyopathy: Predictors of utilization and effects of exercise training.
机构信息
Department of Medicine, Baystate Medical Center, Springfield, MA, United States.
University of Massachusetts School of Medicine, Worcester, MA, United States.
出版信息
Heart Lung. 2021 Mar-Apr;50(2):230-234. doi: 10.1016/j.hrtlng.2020.12.006. Epub 2020 Dec 16.
BACKGROUND
Takotsubo cardiomyopathy (TCM) patients may benefit from cardiac rehabilitation (CR).
OBJECTIVES
The purpose to this study is to examine utilization of CR in TCM.
METHODS
We conducted a review of hospitalized TCM patients at Baystate Medical Center between 2010 and 2017. We evaluated rates of referral, enrollment, adherence, and changes in exercise capacity. Predictors of CR utilization were analyzed using t-test, chi-square/odds ratio and multivariable hierarchical modeling when appropriate.
RESULTS
Over 8 years, 35% of 590 patients with TCM were evaluated by phase I (inpatient) and 13.6% enrolled in phase II (outpatient) CR. Inpatient CR evaluation (OR 21, 95% CI 7-64) and cardiac catheterization (OR 5.7, 95% CI 1.9-17) were strong predictors of outpatient CR participation. Patients enrolling in CR attended 15±14 sessions and increased their exercise capacity by 1.2 METs (95% CI 0.9-1.5).
CONCLUSION
CR is inconsistently used in TCM, despite the potential physiologic benefits of exercise in TCM.
背景
应激性心肌病（TCM）患者可能从心脏康复（CR）中获益。
目的
本研究旨在探讨 TCM 患者的 CR 应用情况。
方法
我们对 2010 年至 2017 年在贝塞斯达医疗中心住院的 TCM 患者进行了回顾性研究。评估了转诊率、入组率、遵医率和运动能力的变化。采用 t 检验、卡方/比值比和多变量层次模型分析 CR 应用的预测因素。
结果
8 年来，590 例 TCM 患者中，有 35%接受了 I 期（住院）评估，13.6%接受了 II 期（门诊）CR。住院 CR 评估（OR 21，95% CI 7-64）和心脏导管术（OR 5.7，95% CI 1.9-17）是门诊 CR 参与的强预测因素。入组 CR 的患者参加了 15±14 次治疗，运动能力提高了 1.2 METs（95% CI 0.9-1.5）。
结论
尽管运动对 TCM 有潜在的生理益处，但 CR 在 TCM 中的应用仍不一致。
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