Harry S Truman VA Medical Center, Columbia, Missouri, and in the Division of Cardiovascular Medicine, Department of Medicine, University of Missouri-Columbia, Columbia, Missouri.
Department of Nutritional Sciences and Department of Medical Pharmacology and Physiology, University of Missouri, Columbia, Columbia, Missouri.
Mo Med. 2021 Jul-Aug;118(4):387-392.
One of the cornerstones of treatment after acute coronary syndromes is cardiac rehabilitation (CR). However, traditional CR remains underused in the United States due to comorbidities and geographical limitations. To evaluate feasibility and safety of our individually tailored CR program, we evaluated twelve weeks of tele-monitored home-based arm ergometer and weight training exercises in seven Veterans. Prior to beginning our CR program, all Veterans underwent an arm ergometer stress test and training in the proper techniques for arm exercises and weight training. Seattle Angina Questionnaire (SAQ) and the MacNew Heart Disease Health-related Quality of Life (MacNew) questionnaire were administered at the beginning and conclusion of the program. Six patients completed the study. One withdrew due to generalized weakness. There were no adverse events during the study period. There was a perceived improvement in heart disease related global (4.47 to 4.61), physical, emotional, and social well-being by the MacNew questionnaire. The SAQ showed improvement in physical limitation, angina frequency, treatment satisfaction, and overall quality of life (36.1 to 51.7) after completion of our tailored CR program. There was a decrease in average blood pressure and patients were able to exercise seven minutes longer and workload increased eight additional watts. This pilot study demonstrates the safety and feasibility of a home-based arm cardiac rehabilitation program. These tailored programs may improve quality of life in coronary artery disease patients with disabilities.
急性冠状动脉综合征治疗的基石之一是心脏康复（CR）。然而，由于合并症和地理限制，传统的 CR 在美国仍未得到充分应用。为了评估我们个性化 CR 计划的可行性和安全性，我们评估了 7 名退伍军人在家中进行为期 12 周的遥测臂式测力计和负重训练的情况。在开始我们的 CR 计划之前，所有退伍军人都接受了臂式测力计应激测试，并接受了正确的手臂运动和负重训练技术的培训。在计划开始和结束时，分别进行西雅图心绞痛问卷（SAQ）和 MacNew 心脏病健康相关生活质量问卷（MacNew）的评估。6 名患者完成了这项研究。1 名患者因全身无力而退出。研究期间无不良事件发生。MacNew 问卷显示，在完成我们量身定制的 CR 计划后，与心脏病相关的全球（4.47 至 4.61）、身体、情绪和社会幸福感均有改善。SAQ 显示，身体受限、心绞痛发作频率、治疗满意度和整体生活质量（36.1 至 51.7）均有改善。平均血压下降，患者能够多运动 7 分钟，工作量增加 8 额外瓦特。这项初步研究表明，基于家庭的手臂心脏康复计划是安全且可行的。这些量身定制的方案可能会改善残疾冠心病患者的生活质量。
