Impact of cardiac rehabilitation on young patients with coronary heart disease undergoing percutaneous coronary intervention  

作　　者：HU Liang-qiao LI Huan YU Zi-dan YAN Jian-di ZHANG Lin 

机构地区：[1]Department of Cardiology,Cardiovascular Medical Center,The Third Hospital of Huizhou,Huizhou 516000,Guangdong,China [2]Department of Cardiology,Huizhou Central People’s Hospital,Huizhou 516000,Guangdong,China

出　　处：《South China Journal of Cardiology》2021年第3期182-190,共9页岭南心血管病杂志（英文版）

基　　金：supported by Science and Technology Planning Project of Huizhou(No.2019Y204)。

摘　　要：Cardiac rehabilitation therapy is beneficial to patients with coronary heart disease(CHD).This study evaluated the impact of cardiac rehabilitation on young patients(≤45 years old)undergoing percutaneous coronary intervention(PCI).Methods This prospective cohort study enrolled 100 patients with CHD,aged≤45 years old,undergoing PCI at a tertiary hospital from March 2019 to December 2020.They were randomly assigned to the conventional group and the cardiac rehabilitation(CR)group,both treated for 6 months.Research indicators included blood lipid level,anaerobic threshold(AT),peak kilogram oxygen uptake(Peak VO_(2) /kg),peak ventilation volume(VEpeak),stroke volume(SV),peak oxygen pulse(Peak O_(2) pluse),peak metabolic equivalent(METpeak),left ventricular ejection fraction(LVEF),left ventricular diastolic internal diameter(LVEDd),Borg fatigue Scale score,Anxiety Self-Assessment Scale(SAS)and Depression Self-Evaluation Scale(SDS)scores.Results At the 6th month of the treatment,the levels of blood lipid triglyceride(TG),total cholesterol(TC),low density lipoprotein cholesterol(LDL-C),Borg fatigue scale score,SAS score and SDS score were significantly reduced(P<0.05)in both groups,especially in CR group.Meanwhile,compared with pre-treatment,LVEF,AT,Peak VO_(2) /kg,VEpeak,SV and METpeak increased significantly(P<0.05)in CR group,LVEDd decreased significantly(P<0.05)in CR group at 6 thmonth of treatment.There was no significant difference about the relevant data above in the conventional group.In addition,LVEF,AT,Peak VO_(2) /kg,VEpeak,SV,METpeak and Peak O_(2) pluse level were significantly elevated(P<0.05)and LVEDd decreased significantly(P<0.05)in CR group compared with the conventional group.Conclusions Cardiac rehabilitation treatment can not only significantly reduce the blood lipid level,relieve anxiety and depression of young PCI patients with coronary heart disease,but also significantly improve the reconstruction of ventricular structure,exercise tolerance and cardiac function.

关 键 词：YOUTH coronary heart disease percutaneous coronary intervention cardiac rehabilitation SCORING 

分 类 号：R54[医药卫生—心血管疾病]