心脏植入式电子设备接受者的综合多组分心脏康复:来自欧洲预防心脏病学协会 (EAPC;二级预防和康复科) 和欧洲心律协会 (EHRA) 的共识文件。
Comprehensive multicomponent cardiac rehabilitation in cardiac implantable electronic devices recipients: a consensus document from the European Association of Preventive Cardiology (EAPC; Secondary prevention and rehabilitation section) and European Heart Rhythm Association (EHRA).
机构信息
Cardiovascular Department, IRCCS MultiMedica, Care and Research Institute, Via Milanese 300, Sesto San Giovanni, Milano 20099, Italy.
Department of Cardiac Rehabilitation and Secondary Prevention, Hôpital Corentin Celton, Assistance Pulique Hopitaux de Paris centre-Universite de Paris, France.
出版信息
Eur J Prev Cardiol. 2021 Dec 29;28(15):1736-1752. doi: 10.1093/eurjpc/zwaa121.
Cardiac rehabilitation (CR) is a multidisciplinary intervention including patient assessment and medical actions to promote stabilization, management of cardiovascular risk factors, vocational support, psychosocial management, physical activity counselling, and prescription of exercise training. Millions of people with cardiac implantable electronic devices live in Europe and their numbers are progressively increasing, therefore, large subsets of patients admitted in CR facilities have a cardiac implantable electronic device. Patients who are cardiac implantable electronic devices recipients are considered eligible for a CR programme. This is not only related to the underlying heart disease but also to specific issues, such as psychological adaptation to living with an implanted device and, in implantable cardioverter-defibrillator patients, the risk of arrhythmia, syncope, and sudden cardiac death. Therefore, these patients should receive special attention, as their needs may differ from other patients participating in CR. As evidence from studies of CR in patients with cardiac implantable electronic devices is sparse, detailed clinical practice guidelines are lacking. Here, we aim to provide practical recommendations for CR in cardiac implantable electronic devices recipients in order to increase CR implementation, efficacy, and safety in this subset of patients.
心脏康复(CR)是一种多学科干预措施,包括患者评估和医疗措施,以促进稳定、心血管危险因素的管理、职业支持、心理社会管理、身体活动咨询以及运动训练的处方。数以百万计的患有心脏植入式电子设备的人生活在欧洲,并且这个数字还在不断增加,因此,在心脏康复设施中接受治疗的大量患者都有心脏植入式电子设备。被认为有资格参加心脏康复计划的是心脏植入式电子设备的接受者。这不仅与潜在的心脏病有关,还与特定问题有关,例如对植入设备的心理适应,以及在植入式心脏复律除颤器患者中,心律失常、晕厥和心脏性猝死的风险。因此,这些患者应得到特别关注,因为他们的需求可能与其他参加心脏康复的患者不同。由于心脏植入式电子设备患者的心脏康复研究证据稀缺,详细的临床实践指南也缺乏。在这里,我们旨在为心脏植入式电子设备接受者的心脏康复提供实用建议,以提高该亚组患者的心脏康复实施、疗效和安全性。