期刊文献+

合理用药基础上联合运动指导对CABG术后患者运动耐量的影响(附个案报道)

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摘要 冠心病患者尤其是曾发生过心肌梗死或接受再血管化治疗的患者再次发生心血管事件的风险较高,加强对上述人群冠心病二级预防药物治疗可显著降低其心血管事件发生率和冠心病致死率及致残率。在个体化用药基础上通过有效强度的运动刺激可稳定冠状动脉斑块、改善心功能、提高患者运动耐量,改善其生活质量。药物治疗与运动指导相结合是最有效的冠心病二级预防策略。本文分享1例冠心病二级预防合理用药联合运动指导对冠状动脉旁路移植术(coronary artery bypass grafting,CABG)术后患者的治疗案例。
出处 《中国医学前沿杂志(电子版)》 2016年第8期22-24,共3页 Chinese Journal of the Frontiers of Medical Science(Electronic Version)
基金 首都临床特色应用研究与成果推广--基于远程医疗的急性冠脉综合征心脏康复随访体系研究(Z151100004015047)
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参考文献14

  • 1Goel K,Lennon RJ,Tilbury RT,et al.Impact of cardiac rehabilitation on mortality and cardiovascular events after percutaneouscronary intervention in the community[J].Circul ation,2011,123(21):2344-2352.
  • 2Fleenor BS,Marshall KD,Durrant JR,et al.Arterial stiffening with ageing is associated with transforming growth factor-β1-related changes in adventitial collagen:reversal by aerobic exercise[J].J Physiol,2010,588(Pt 20):3971-3982.
  • 3Batista DF,Goncalves AF,Rafacho BP,et al.Delayed rather than early exercise training attenuates ventricular remodeling after myocardial infarction[J].Int J Cardiol,2013,170(1):e3-e4.
  • 4Nocon M,Hiemann T,Muller-Riemenschnerder F,et al.Association of physical activity with all-cause and cardiovascular mortality:a systematic review and meta-analysis[J].Eur JCardiovasc Prev Rehabil,2008,15(3):239-246.
  • 5皇甫宁,朱建华.冠心病二级预防药物治疗现状调查[C].浙江省心电生理与起搏学术年会,2014.
  • 6Diaz A.,Bourassa M. G.,Guertin M.- C.,Tardif J. - C.,滕增辉.疑似或已确诊为冠状动脉疾病的患者其静息心率的长期预后预测价值[J].世界核心医学期刊文摘(心脏病学分册),2005,0(10):42-43. 被引量:44
  • 7Fihn SD,Gardin JM,Abrams J,et al.2012 ACCF/AHA/ACP/AATS/PCNA/SCAI/STS guideline for the diagnosis and manag ement of patients with stable ischemic heart disease:executive summary:a report of the Ameircan College of Cardiology Foundation/American Heart Association task force on practice guidelines,and the American College of Physicians,American Association for Thoracic Surgery,Preventive Cardi ovascular Nurses Association,Society for Cardiovascular Angio graphy and Interventions,and Society of Thoracic Surg eons[J].Circulation,2012,126(25):3097-3137.
  • 8孙艺红,余金明,胡大一.中国稳定性冠心病患者心率控制与β受体阻滞剂使用状况分析[J].中华心血管病杂志,2016,44(1):19-26. 被引量:35
  • 9Leon AS,Franklin BA,Costa F,et al.Cardiac rehabilitation and secondary prevention of coronary heart disease:an American Heart Association scientific statement from the Council on Clinical Cardiology(Subcommittee on Exercise,Cardiac Rehabi litation,and Prevention)and the Council on Nutrition,Phys ical Activity,and Metabolism(Subcommittee on Physical Activtity),in collaboration with the American association of Card iovascular and Pulmonary Rehabilitation[J].Circulation,2005,111(3):369-376.
  • 10Marco Guazzi,Volker Adams,Viviane Conraads,et al.Clinical recommendations for cardiopulmonary exercise testing data assessment in specific patient populations[J].Circulation,2012,126(18):2261-2274.

二级参考文献14

  • 1胡大一."生命网"——他汀降胆固醇的新模式和服务系统[J].中国医药导刊,2004,6(6):468-469. 被引量:20
  • 2Newby LK, Lapointe NM, Chen AY, et al. Long-term ad- herence to evidence-based secondary prevention therapies in coronary artery disease [ J ]. Circulation, 2006, 113 (2) : 203-212.
  • 3Jneid H, Anderson JL, Wright RS, et al. 2012 ACCF/AHA Focused update of the guideline for the management of pa- tients with unstable angina/non-ST-elevation myocardial in- farction (updating the 2007 guideline and replacing the 2011focuse update) [ J ]. Circulation, 2012, 126 (7) : 875-910.
  • 4O'Garar PT, Kushner FG, Ascheim DD, et al. 2013ACCR/ AHA guideline for the management of ST-elevation myocardial infarction [ J ]. Circulation, 2013, 12 ( 4 ) : e362-e425.
  • 5Smith SC, Allen JJ, Blair SN, et al. AHA/ACC gudielines for secondary prevention for patients with coronary and other atherosclerotic vascular disease: 2006 update: endorsed by the national heart, lung, and blood institute [ J ]. J Am Coil Cardiol, 2006, 47( 10): 2130-2139.
  • 6Cannon CP, Brindis RG, Chaiman BR, et al. 2013ACCF/ AHA key data elements and definitions for measuring the clinical management and outcomes of patents with acute coronary syndromes and coronary artery disease[ J]. Circula- tion, 2013, 127(9) : 1052-1089.
  • 7Bhatt DL, Steg PG, Ohman EM, et al. International preva- lence, recognition, and treatment of cardiovascular risk factors in outpatients with atherothrombosis [ J ]. JAMA, 2006, 295(10) : 180-189.
  • 8Gonseth J, Guallar-Castillon P, Banegas JR, et al. The effectiveness of disease management programmes in reducing hospital re-admission in older patients with heart failure: a systematic review and meta-analysis of published reports [ J ]. Eur Heart J, 2004, 25(18) :1570-1595.
  • 9Otsu H, Moriyama M. Effectiveness of an educational self-management programe for outpatients with chronic heart failure [ J]. Jpn J Nurs Sei, 2011, 8 (2) : 140-152.
  • 10麦劲壮,赵连成,刘小清,武阳丰,饶栩栩,高向民,吴勇.心率与全因死亡及冠心病事件关系的队列人群研究[J].中华心血管病杂志,2009,37(8):750-753. 被引量:13

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