射血分数中间值的心力衰竭患者的心脏康复研究进展  

Progress in research of cardiac rehabilitation in heart failure patients with mid-range ejection fraction

作　　者：姚晶 邵兴慧[2] Yao Jing;Shao Xinghui(Heart Valvular Disease Interventional Center,Beijing Anzhen Hospital,Capital Medical University,Beijing 100029,China;Department of Cardiology,Fuwai Hospital,Chinese Academy of Medical Sciences,Peking Union Medical College,Beijing 100037,China)

机构地区：[1]首都医科大学附属北京安贞医院心脏瓣膜病介入中心,北京100029 [2]北京协和医学院中国医学科学院阜外医院心内科,北京100037

出　　处：《中华临床医师杂志(电子版)》2024年第10期961-964,共4页Chinese Journal of Clinicians(Electronic Edition)

摘　　要：心力衰竭是各种心脏疾病发展的终末阶段,对于心衰患者的诊治及管理是一项重大挑战。以运动为基础的心脏康复治疗可降低心力衰竭患者的病死率,减少反复住院次数,改善生存质量。射血分数中间值的心力衰竭(HFmrEF)是近年来新定义的一种心衰类型。本文综述了HFmrEF的定义、临床特点及心脏康复治疗策略。HFmrEF患者的临床特征介于射血分数降低(HFrEF)和保留(HFpEF)的心衰之间。心脏康复对HFmrEF患者是安全有效的,可改善预后和生活质量。康复策略包括药物治疗、运动训练、营养指导等,其中运动训练是核心内容。心肺运动试验在评估和指导HFmrEF患者康复中起重要作用。目前,关于HFmrEF康复的研究仍然有限,需要更多的大规模随机对照试验来评估最佳康复方案。Heart failure is the final stage in the progression of various heart diseases.The diagnosis,treatment,and management of heart failure patients present a significant challenge.Exercise-based cardiac rehabilitation can reduce mortality rates in heart failure patients,decrease the frequency of repeated hospitalizations,and improve quality of life.Heart failure with mid-range ejection fraction(HFmrEF)is a newly defined type of heart failure.This review summarizes the definition,clinical characteristics,and cardiac rehabilitation strategies for HFmrEF.HFmrEF patients exhibit clinical features that are intermediate between those of heart failure with reduced ejection fraction(HFrEF)and preserved ejection fraction(HFpEF).Cardiac rehabilitation is safe and effective for HFmrEF patients,being able to improve patient prognosis and quality of life.Rehabilitation strategies include pharmacotherapy,exercise training,nutritional guidance,etc.,with exercise training being the core component.Cardiopulmonary exercise testing plays a crucial role in assessing and guiding rehabilitation for HFmrEF patients.Current research on HFmrEF rehabilitation is still limited,necessitating more large-scale randomized controlled trials to evaluate optimal rehabilitation protocols.

关 键 词：射血分数中间值的心力衰竭 心脏康复 运动训练 心肺运动试验 

分 类 号：R541.6[医药卫生—心血管疾病]