...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Journal of stroke and cerebrovascular diseases: The official journal of National Stroke Association >Feasibility and Effects of Cardiac Rehabilitation for Individuals after Transient Ischemic Attack
【24h】

Feasibility and Effects of Cardiac Rehabilitation for Individuals after Transient Ischemic Attack

机译：短暂性缺血攻击后个体心脏康复的可行性和影响

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Background and Objective: Cardiac rehabilitation programs (CRPs) are common for cardiac patients; however, most individuals post transient ischemic attack (TIA) receive no rehabilitation despite similar pathologies. The objective of this study is to determine effects of cardiac rehabilitation (CR) on cardiovascular fitness (peak oxygen uptake [VO2peak]) and 6-minute walk distance (6MWD) post TIA. Secondary outcomes included other clinical and process indicators. Methods: Eightyfive people post TIA (mean age 67.5 +/- 10.7, 47% female) were referred to CR (2006-2014). The retro-TIA cohort included 65 consecutively enrolled individuals who were evaluated retrospectively. To collect additional measures, the pro-TIA cohort included 20 participants who were followed prospectively with a 3-month nonintervention period followed by 6-months of CR with 6MWD, cognition, depression score, and anthropometrics measured at each time point. Baseline, 6-month cardiopulmonary exercise test results, depression score, and anthropometrics were examined separately for both cohorts. Results: Among all participants, 62% completed CR with 72.8 +/- 17.7% attendance to prescheduled classes. CR resulted in improvements in VO2peak for both cohorts (both, P <.02). In the retro-TIA cohort, there were improvements in resting heart rate and body mass index, with reductions in the proportion of people with obesity and abdominal obesity (all, P <.04). In the pro-TIA cohort, compared to the stable baseline period there was a significant improvement with the CR intervention in the depression score (Delta 1.1 +/- 4.3 and Delta-3.3 +/- 3.9, respectively; P =.04) but not in 6MWD (Delta 4.8 +/- 42m and Delta 61.0 +/- 73.5 m, respectively; P =.06). For all participants, regression analysis revealed a higher depression score (beta = 1.10, P =.02), male sex (beta= 4.932, P =.02), and less social support (beta= 4.085, P =.04) as predictors of dropout. Conclusions: A CRP is feasible and effective for improving cardiovascular health. Strategies to promote adherence in men, in those with depressive symptoms, and in those with less social support require investigation.
机译：背景和目的：心脏康复程序（CRPS）对于心脏病患者常见;然而，尽管有类似的病理，大多数个人在短暂的缺血攻击（TIA）没有康复。本研究的目的是确定心脏康复（Cr）对心血管健康的影响（高峰氧吸收[vo2peak]）和6分钟的步行距离（6mWd）。二次结果包括其他临床和过程指标。方法：八十人在TIA后（平均年龄为67.5 +/- 10.7，47％的女性）被提交给CR（2006-2014）。 Retro-Tia Cohort包括回顾性评估的65个连续注册个人。要收取额外措施，Pro-Tia Cohort包括20名参与者，随着3个月的非行动期，随后在每次点测量6MWD，认知，抑郁症评分和人体测量学6个月的CR。基线，6个月的心肺运动试验结果，抑郁评分和人类化学仪表被分别为两个队列进行检查。结果：在所有参与者中，62％完成了预定课程的72.8 +/- 17.7％。 CR导致vo2peak改善了群组（两者，p <.02）。在复古 - TIA队列中，休息心率和体重指数有所改善，减少肥胖和腹部肥胖的人的比例（全部，P <.04）。在Pro-Tia Cohort中，与稳定的基线时期相比，抑郁症评分的CR干预有显着改善（Delta 1.1 +/- 4.3和Delta-3.3 +/- 3.9; p = .04）但是不在6MWD（Delta 4.8 +/- 42M和Delta 61.0 +/- 73.5 m; P = .06）。对于所有参与者，回归分析显示出更高的抑郁症分数（β= 1.10，p = .02），男性性别（beta = 4.932，p = .02），以及较少的社会支持（beta = 4.085，p = .04）辍学的预测因素。结论：CRP是改善心血管健康的可行和有效。促进男性粘附的策略，在抑郁症状的人中，以及社会支持较少的人需要调查。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号