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抓住心脏康复的优势。

Seize the advantages of cardiac rehabilitation.

作者信息

Zhang Yahui, Huang Shangwei, Liu Bin, Li Ying

机构信息

Department of Cardiology, Shanghai East Hospital, School of Medicine, Tongji University, Shanghai, China.

Naval Medical Center, Naval Medical University, Shanghai, China.

出版信息

Ann Med. 2025 Dec;57(1):2519680. doi: 10.1080/07853890.2025.2519680. Epub 2025 Jun 16.

Abstract

BACKGROUND

Cardiac rehabilitation (CR) is a multidisciplinary intervention encompassing medical therapy, exercise training, nutritional guidance, psychological support, and smoking cessation. While CR demonstrates proven efficacy in controlling cardiovascular risk factors, improving myocardial ischemia, and reducing mortality in cardiovascular disease (CVD) patients, its global adoption rate remains critically low despite these established benefits.

CORE COMPONENTS

As the cornerstone of CR, sports training programs not only enhance muscular strength, systemic endurance, and cardiopulmonary fitness but also yield significant secondary benefits, such as ameliorating cognitive impairment and depressive symptoms, improving balance and coordination, and facilitating behavioral modification for sustainable lifestyle changes. These synergistic effects collectively optimize patients' physiological, psychological, and social functioning.

CLINICAL SIGNIFICANCE

For CVD patients, CR serves as a vital transitional phase, accelerating functional recovery, improving quality of life, and promoting successful societal reintegration.

摘要

背景

心脏康复(CR)是一种多学科干预措施,包括药物治疗、运动训练、营养指导、心理支持和戒烟。虽然心脏康复在控制心血管危险因素、改善心肌缺血以及降低心血管疾病(CVD)患者死亡率方面已被证明具有疗效,但尽管有这些既定的益处,其全球采用率仍然极低。

核心组成部分

作为心脏康复的基石,运动训练计划不仅能增强肌肉力量、全身耐力和心肺功能,还能产生显著的次要益处,如改善认知障碍和抑郁症状、提高平衡和协调能力,以及促进行为改变以实现可持续的生活方式转变。这些协同效应共同优化患者的生理、心理和社会功能。

临床意义

对于心血管疾病患者而言,心脏康复是一个至关重要的过渡阶段,可加速功能恢复、提高生活质量并促进成功重返社会。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6dce/12172081/c2eeeb76c9ff/IANN_A_2519680_F0001_C.jpg

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