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沙特心脏协会预防与心脏康复小组关于建立心脏康复服务的建议

The Prevention and Cardiac Rehabilitation Group of the Saudi Heart Association Recommendations Regarding Establishing a Cardiac Rehabilitation Service.

作者信息

Kinsara Abdulhalim J, Aljehani Raghdah, Wolszakiewicz Jadwiga, Staron Adam, Alsulaimy Muteb A

机构信息

Ministry of National Guard-Health Affairs, King Abdullah International Medical Research Center, King Saud Bin Abdulaziz University for Health Sciences, COM-WR, Jeddah, Saudi Arabia.

King Abdullah Medical City, Mecca, Saudi Arabia.

出版信息

J Saudi Heart Assoc. 2023 Sep 4;35(3):205-213. doi: 10.37616/2212-5043.1346. eCollection 2023.

DOI:10.37616/2212-5043.1346
PMID:37700757
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10495045/
Abstract

Cardiac rehabilitation (CR) is a cornerstone in the secondary prevention of cardiovascular disease (CVD). Comprehensive cardiac rehabilitation has obtained the highest class of recommendation and the level of evidence for the treatment of patients with ST-segment elevation myocardial infarction, after myocardial revascularization, with chronic coronary syndromes, and in patients with heart failure (HF). Comprehensive cardiac rehabilitation should be implemented as soon as possible, be multi-phasic, and adjusted to the individual needs of the patient. CR is still suboptimally used, and many cardiac centers do not have such services (2). The provision of CR services should be based on standards and key performance indicators, and guidelines containing a minimum standard of cardiac rehabilitation utilization should be published to improve the quality of the CR program. This document presents an expert opinion that summarizes the current medical knowledge concerning the goals, target population, organization, clinical indications, and implementation methods of the CR program in the Kingdom of Saudi Arabia.

摘要

心脏康复(CR)是心血管疾病(CVD)二级预防的基石。综合心脏康复对于ST段抬高型心肌梗死患者、心肌血运重建术后患者、慢性冠状动脉综合征患者以及心力衰竭(HF)患者的治疗,已获得最高等级的推荐和证据水平。综合心脏康复应尽早实施,具有多阶段性,并根据患者的个体需求进行调整。心脏康复的应用仍未达到最佳状态,许多心脏中心并未提供此类服务(2)。心脏康复服务的提供应基于标准和关键绩效指标,应发布包含心脏康复利用最低标准的指南,以提高心脏康复项目的质量。本文献提出了专家意见,总结了沙特阿拉伯王国心脏康复项目在目标、目标人群、组织、临床适应症及实施方法等方面的当前医学知识。

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本文引用的文献

1
Comprehensive cardiac rehabilitation as the keystone in the secondary prevention of cardiovascular disease.综合心脏康复是心血管疾病二级预防的基石。
Kardiol Pol. 2021;79(7-8):901-916. doi: 10.33963/KP.a2021.0066. Epub 2021 Jul 16.
2
Secondary prevention through comprehensive cardiovascular rehabilitation: From knowledge to implementation. 2020 update. A position paper from the Secondary Prevention and Rehabilitation Section of the European Association of Preventive Cardiology.通过全面心血管康复进行二级预防:从知识到实践。2020年更新版。欧洲预防心脏病学协会二级预防与康复分会立场文件
Eur J Prev Cardiol. 2021 May 14;28(5):460-495. doi: 10.1177/2047487320913379.
3
Demographic, behavioral, and cardiovascular disease risk factors in the Saudi population: results from the Prospective Urban Rural Epidemiology study (PURE-Saudi).
沙特人口的人口统计学、行为学和心血管疾病危险因素:前瞻性城乡流行病学研究(沙特 PURE)的结果。
BMC Public Health. 2020 Aug 8;20(1):1213. doi: 10.1186/s12889-020-09298-w.
4
Remotely monitored telerehabilitation for cardiac patients: A review of the current situation.心脏病患者的远程监测远程康复:现状综述
World J Clin Cases. 2020 May 26;8(10):1818-1831. doi: 10.12998/wjcc.v8.i10.1818.
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Cardiac telerehabilitation as an alternative to centre-based cardiac rehabilitation.心脏远程康复作为基于中心的心脏康复的替代方案。
Neth Heart J. 2020 Sep;28(9):443-451. doi: 10.1007/s12471-020-01432-y.
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Aust J Prim Health. 2019 Mar;25(1):90-96. doi: 10.1071/PY18069.
7
Standards and core components for cardiovascular disease prevention and rehabilitation.心血管疾病预防与康复的标准和核心组成部分。
Heart. 2019 Apr;105(7):510-515. doi: 10.1136/heartjnl-2018-314206. Epub 2019 Jan 30.
8
Promoting Physical Activity and Exercise: JACC Health Promotion Series.促进身体活动和锻炼:JACC 健康促进系列。
J Am Coll Cardiol. 2018 Oct 2;72(14):1622-1639. doi: 10.1016/j.jacc.2018.08.2141.
9
Mandatory criteria for cardiac rehabilitation programs: 2018 guidelines from the Portuguese Society of Cardiology.心脏康复计划的强制性标准:葡萄牙心脏病学会2018年指南
Rev Port Cardiol (Engl Ed). 2018 May;37(5):363-373. doi: 10.1016/j.repc.2018.02.006. Epub 2018 Apr 30.
10
2018 ACC/AHA Clinical Performance and Quality Measures for Cardiac Rehabilitation: A Report of the American College of Cardiology/American Heart Association Task Force on Performance Measures.2018年美国心脏病学会/美国心脏协会心脏康复临床绩效与质量指标:美国心脏病学会/美国心脏协会绩效指标工作组报告
Circ Cardiovasc Qual Outcomes. 2018 Apr;11(4):e000037. doi: 10.1161/HCQ.0000000000000037.