Division of Cardiology, Vancouver General Hospital, University of British Columbia, Vancouver, Canada.
Expert Rev Cardiovasc Ther. 2021 Nov;19(11):1005-1012. doi: 10.1080/14779072.2021.2013812.
: Cardiac rehabilitation (CR) is a multidisciplinary intervention for secondary prevention, improving functional capacity, enhancing quality of life, and improving psychosocial wellbeing in broad range of cardiovascular disease. It has been well studied over a number of years and is a Class I recommendation in multiple guidelines. However, there is a paucity of data regarding the usefulness of CR in patients with spontaneous coronary artery dissection (SCAD).
: This narrative review aims to give an overview of the evidence underpinning CR as well as the pathophysiological mechanisms of SCAD and how they relate to exercise and shear stress. Furthermore, the evidence of the usefulness of CR in the SCAD population will be reviewed.
: Traditional CR programs are safe and effective in SCAD cohorts, however SCAD specific CR (SCAD-CR) has significant benefits including reductions in MACE. The principles of SCAD-CR should be applied to any CR for SCAD patients for optimal outcomes and minimization of harm.
心脏康复（CR）是一种多学科的二级预防干预措施，可提高功能能力，改善生活质量，并改善广泛心血管疾病患者的心理社会健康。多年来，它已经进行了大量研究，并且是多个指南中的 I 类推荐。然而，关于 CR 在自发性冠状动脉夹层（SCAD）患者中的有用性的数据很少。
本叙述性评论旨在概述 CR 的证据，以及 SCAD 的病理生理机制，以及它们与运动和切应力的关系。此外，还将回顾 CR 在 SCAD 人群中的有用性的证据。
传统的 CR 方案在 SCAD 队列中是安全有效的，然而 SCAD 特异性 CR（SCAD-CR）具有显著的益处，包括降低 MACE。应将 SCAD-CR 的原则应用于任何 SCAD 患者的 CR，以获得最佳结果并最大程度减少伤害。
