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女性心脏康复:挑战与机遇

Cardiac rehabilitation in women, challenges and opportunities.

机构信息

Department of Medicine, Division of Cardiology, Emory University School of Medicine, Atlanta, GA, USA.

Department of Internal Medicine, Emory University Atlanta, GA, USA.

出版信息

Prog Cardiovasc Dis. 2022 Jan-Feb;70:111-118. doi: 10.1016/j.pcad.2022.01.007. Epub 2022 Feb 10.

Abstract

Cardiac rehabilitation(CR) has known proven benefits in reducing mortality related to cardiovascular disease (CVD), improving quality of life (QoL), and preventing CVD-related readmissions. Despite these known benefits, CR remains underutilized among women relative to men. Disparities exist at the level of referral, enrollment, and program completion. Much is left to be understood regarding the utility of CR in female-predominant CVD such as postpartum cardiomyopathy and Spontaneous Coronary Artery Dissection. This review identifies the benefits of CR for specific populations of women and elucidates on the barriers to CR. We also describe current recommendations to overcome barriers to CR in women.

摘要

心脏康复(CR)在降低心血管疾病(CVD)相关死亡率、改善生活质量(QoL)和预防 CVD 再入院方面已被证实具有显著益处。尽管有这些已知的益处,但女性接受 CR 的比例相对男性仍然较低。在转诊、入组和完成方案方面存在差异。对于女性为主的 CVD,如产后心肌病和自发性冠状动脉夹层,CR 的效用仍有许多需要了解。本综述确定了 CR 对特定女性人群的益处,并阐明了 CR 的障碍。我们还描述了目前克服女性 CR 障碍的建议。

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