Hôpital cardiologique Haut-Lévêque, Bordeaux University Hospital, Avenue de Magellan, Pessac, 33600, France.
Department of Cardiology, Felix Guyon Hospital, La Reunion University Hospital, Saint-Denis, Réunion, France.
ESC Heart Fail. 2021 Jun;8(3):2316-2319. doi: 10.1002/ehf2.13335. Epub 2021 Mar 31.
A 72-year-old man daily suffered from a refractory angina consecutive to a diffuse coronary artery disease despite optimal medical management. Revascularization could not be performed because of a severe thrombopenia. He was referred to our outpatient cardiac rehabilitation programme where he was candidate for 20 sessions, three times a week, of high-intensity aerobic interval training involving brief episodes of regressive myocardial ischaemia. After 7 weeks, exercise capacity (+28.5%), VO peak (35.7%), and ischaemic threshold increased while clinical status and quality of life improved. No adverse effect was reported. Aerobic interval training with myocardial ischaemia might be a therapeutic alternative in refractory angina.
一位 72 岁男性尽管接受了最佳药物治疗，但仍每日遭受难治性心绞痛，原因是弥漫性冠状动脉疾病。由于严重的血小板减少症，无法进行血运重建。他被转介到我们的门诊心脏康复计划，在那里他有资格接受 20 次治疗，每周 3 次，每次包括短暂的退行性心肌缺血发作的高强度间歇有氧训练。7 周后，运动能力（增加 28.5%）、VO 峰值（35.7%）和缺血阈值增加，同时临床状况和生活质量改善。没有报告不良反应。伴有心肌缺血的间歇有氧训练可能是难治性心绞痛的一种治疗选择。
