Sharif Salaheddin M, Olson Thomas P
Department of Cardiovascular Medicine, Mayo Clinic, Rochester, Minnesota, USA.
JACC Case Rep. 2024 Dec 4;29(23):102830. doi: 10.1016/j.jaccas.2024.102830.
The presented case report examines the effects of cardiac rehabilitation (CR) on a 69-year-old transgender woman with coronary artery disease (CAD). The patient engaged in 19 CR sessions without experiencing any adverse effects. Pre- to post-CR assessments revealed a worsening of body composition, characterized by an approximate 3% increase in fat mass and a 4% reduction in lean mass. In contrast, peak oxygen uptake and exercise time increased by 6% and 9%, respectively. This case report highlights the need for additional targeted strategies to improve both body composition and cardiorespiratory fitness in transgender woman undergoing CR for coronary artery disease management.
本病例报告探讨了心脏康复(CR)对一名患有冠状动脉疾病(CAD)的69岁变性女性的影响。该患者参加了19次心脏康复疗程,未出现任何不良反应。心脏康复前后的评估显示身体成分恶化,表现为脂肪量增加约3%,瘦体量减少4%。相比之下,峰值摄氧量和运动时间分别增加了6%和9%。本病例报告强调,对于接受心脏康复以管理冠状动脉疾病的变性女性,需要额外的针对性策略来改善身体成分和心肺适能。