红细胞分布宽度和心肺运动试验在冠状动脉粥样硬化性心脏病中的研究现状

Research status of red blood cell distribution width and cardiopulmonary exercise test in coronary atherosclerotic heart disease

冠状动脉粥样硬化性心脏病(coronary atherosclerotic heart disease,CHD)在国内外发病率均较高,CHD的监测、诊疗与后期的康复训练同等重要。大量研究已表明红细胞分布宽度(red blood cell distribution width,RDW)、心肺运动试验(cardiopulmonary exercise test,CPET)参数均可预测CHD的发生、严重程度及不良结局,但验证RDW和CPET参数之间是否存在相关性的研究较少,两者联合评估CHD风险可能更有价值。本文就两者在CHD诊疗及康复评估中的作用作一综述。

The incidence of coronary atherosclerotic heart disease (CHD) is higher both at home and abroad,and the monitoring,diagnosis and treatment of coronary heart disease and the rehabilitation training of the later period are equally important.A large number of studies have shown that red blood cell distribution width (RDW) and cardiopulmonary exercise test (CPET) parameters can predict the occurrence,severity and adverse outcome of CHD,but there are few studies to verify whether there is a correlation between RDW and CPET parameters,and it may be more valuable to evaluate the risk of CHD with the two parameters together.This article reviewed the role of RDW and CPET parameters in the diagnosis treatment and rehabilitation evaluation of CHD.