Tedjasukmana Deddy, Triangto Kevin, Radi Basuni
Department of Physical Medicine and Rehabilitation Faculty of Medicine Universitas Indonesia Jakarta Indonesia.
Department of Cardiology and Vascular Medicine Faculty of Medicine Universitas Indonesia Jakarta Indonesia.
J Arrhythm. 2020 Dec 9;37(1):165-172. doi: 10.1002/joa3.12475. eCollection 2021 Feb.
Exercise for heart failure patients had been shown to be beneficial in improving functional status, and was reviewed to be safe. In cases of advanced heart failure, Cardiac Resynchronization Therapy (CRT) is a promising medical option before being a heart transplant candidate. CRT itself is a biventricular pacing device, which could detect electrical aberrance in the failing heart and provide a suitable response. Studies have shown that exercise has clear benefits toward improving an overall exercise capacity of the patients. Despite its impacts, these randomized clinical trials have varying exercise regime, and until now there has not been a standardized exercise prescription for this group of patients. The nature of CRT as a pacemaker, sometimes with defibrillator, being attached to a heart failure patient, each has its own potential exercise hazards. Therefore, providing detailed exercise prescription in adjusting to the medical condition is very essential in the field of physical medicine and rehabilitation. Being classified as a high-risk patient group, exercise challenges for the complex heart failure with CRT patients will then be discussed in this literature review, with a general aim to provide a safe, effective, and targeted exercise regime.
心力衰竭患者的运动已被证明对改善功能状态有益，且经审查是安全的。在晚期心力衰竭病例中，心脏再同步治疗（CRT）在成为心脏移植候选者之前是一种有前景的医疗选择。CRT本身是一种双心室起搏装置，它可以检测衰竭心脏中的电异常并提供适当的反应。研究表明，运动对提高患者的整体运动能力有明显益处。尽管有这些影响，但这些随机临床试验的运动方案各不相同，到目前为止，还没有针对这组患者的标准化运动处方。CRT作为一种起搏器，有时还带有除颤器，连接到心力衰竭患者身上，每种情况都有其潜在的运动风险。因此，根据病情提供详细的运动处方在物理医学与康复领域非常重要。作为一个高危患者群体，本文献综述将讨论CRT治疗的复杂心力衰竭患者的运动挑战，总体目标是提供一个安全、有效且有针对性的运动方案。
