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首页> 外文期刊>Journal of cardiopulmonary rehabilitation >A novel method of exercise stress testing in patients with peripheral arterial disease.
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A novel method of exercise stress testing in patients with peripheral arterial disease.

机译:外周动脉疾病患者运动压力测试的一种新方法。

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摘要

Patients with lower extremity peripheral arterial disease (PAD) have increased functional impairment and increased rates of decline in lower extremity functioning compared with persons without PAD. In a cohort of 740 men and women with and without PAD, cross-sectional analyses demonstrated that fewer than 40% of participants with an ankle-brachial index (ABI) less than 0.40 walked continuously for 6 minutes compared with more than 95% of participants with a normal ABI. Among 470 participants with and without PAD, those with baseline ABI <0.50 were more than 12 times more likely to become unable to complete the 6-minute walk test without stopping at the 2-year follow-up compared with those with a normal baseline ABI. An important goal for the management of PAD is to improve PAD-related walking impairment and slow functional decline.Substantive evidence demonstrates the benefits of supervised walking exercise rehabilitation for improving treadmill walking performance in patients with PAD and intermittentclaudication. For patients with intermittent claudication, clinical trial data show that supervised walking exercise programs improve maximum treadmill walking distance by approximately 150%. Current clinical guidelines for patients with PAD recommend supervised walking exercise programs to improve PAD-associated walking impairment.
机译:与没有PAD的患者相比,患有下肢外周动脉疾病(PAD)的患者的功能障碍增加,下肢功能的下降率增加。在740名有或没有PAD的男女队列中,横断面分析显示,少于40%的踝臂指数(ABI)小于0.40的参与者连续行走6分钟,而超过95%的参与者使用正常的ABI。在470名有或没有PAD的参与者中,与基线ABI正常的参与者相比,基线ABI <0.50的参与者在不停止2年随访时完成6分钟步行测试的可能性要高出12倍以上。管理PAD的一个重要目标是改善PAD相关的步行障碍和缓慢的功能衰退。大量证据表明,有监督的步行运动康复对改善PAD和间歇性lau行患者的跑步机步行性能有好处。对于间歇性c行的患者,临床试验数据表明,有监督的步行运动计划可将跑步机的最大步行距离提高约150%。当前针对PAD患者的临床指南建议进行有监督的步行运动计划,以改善PAD相关的步行障碍。

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