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首页> 美国卫生研究院文献>Journal of the National Medical Association >Cardiac rehabilitation/exercise in patients with implantable cardioverter defibrillators.
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Cardiac rehabilitation/exercise in patients with implantable cardioverter defibrillators.

机译：植入式心脏复律除颤器患者的心脏康复/运动。

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摘要

There have been no specific exercise or daily activity guidelines determined for patients with automatic implantable cardioverter defibrillators. Two patients, one with a Ventritex Cadence Model V-100 defibrillator and one with a CPI Ventak Model 1550 defibrillator were enrolled in monitored cardiac rehabilitation. One patient had symptoms of syncope and cardiodefibrillation during a vigorous short walk prior to cardiac rehabilitation and became fearful of any activity. Stress testing on this patient was terminated early because his atrial fibrillation rate approached the defibrillization rate. A low dose of beta blockade was added to his regimen. He underwent repeat stress testing and was placed in cardiac rehabilitation. This patient had no further shocks, and it was assumed that his shock was due to high atrial fibrillation rates. The second patient experienced recurrent shocks on amiodarone, propafenone, and mexiletine with presyncope. However, stress testing did not disclose abnormalities. The patient was fearful of any activity and was placed in cardiac rehabilitation. During an average of 26 sessions of cardiac rehabilitation, no symptoms have been noted, and the patients have returned to a more normal lifestyle. Specific exercise and lifestyle criteria should be given to patients with cardioverter defibrillators. Stress testing with monitored exercise can develop such a program. Larger numbers of patients need to be studied.
机译：对于使用自动植入式心脏复律除颤器的患者，尚未确定具体的锻炼或日常活动指南。两名患者入选了心脏康复监测，其中一名患者使用Ventritex Cadence V-100型除颤器，另一名患者使用CPI Ventak 1550型除颤器。一名患者在心脏康复前的短暂步行中出现晕厥和心脏除颤症状，并开始担心任何活动。由于该患者的房颤率接近除纤颤率，因此该患者的压力测试已提前终止。他的方案增加了低剂量的β受体阻滞剂。他接受了反复的压力测试，并被安置在心脏康复科。该患者没有进一步的休克，可以认为他的休克是由于心房颤动率高。第二例患者发生晕厥前，反复发作胺碘酮，普罗帕酮和美西律。但是，压力测试并未发现异常。该患者担心任何活动，被送去心脏康复。在平均26次心脏康复疗程中，未发现任何症状，患者恢复了更正常的生活方式。心脏复律除颤器应给予特定的运动和生活方式标准。通过受监控的运动进行压力测试可以开发这样的程序。需要研究更多的患者。

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