心血管康复医学杂志2024,Vol.33Issue(3) :340-344.DOI:10.3969/j.issn.1008-0074.2024.03.19

心肺运动试验在PCI术后患者心肺运动评估中的研究进展

Research progress of cardiopulmonary exercise test in cardiopulmonary exercise evaluation of patients after PCI

梅程瑶 倪隽 马腾
心血管康复医学杂志2024,Vol.33Issue(3) :340-344.DOI:10.3969/j.issn.1008-0074.2024.03.19

心肺运动试验在PCI术后患者心肺运动评估中的研究进展

Research progress of cardiopulmonary exercise test in cardiopulmonary exercise evaluation of patients after PCI

梅程瑶 1倪隽 2马腾1
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作者信息

  • 1. 南京市浦口人民医院康复医学科,江苏南京 211899
  • 2. 福建医科大学附属第一医院康复医学科
  • 折叠

摘要

心肺运动试验(CPET)是对运动功能进行综合评估的试验,用于评估呼吸、心血管、骨骼和神经生理系统.近年来经皮冠状动脉介入治疗(PCI)术后的CPET评估成为一个日益兴起的研究领域,PCI患者的综合储备功能在多个水平上有不同程度的受损.CPET可以在ST段改变或胸痛发生之前检测到运动期间的心肌缺血和心脏输出量的减少,同时能够与标准运动变量(心率、血压、心电图)、心脏成像和运动期间的有创血流动力学测量相结合,更好地作出预判及运动指导.本文就CPET在PCI术后患者中的临床应用及预后评估分别进行阐述.

Abstract

Cardiopulmonary exercise test(CPET)is a test for comprehensive evaluation of motor function.It is used to evaluate respiratory,cardiovascular,skeletal and neurophysiological systems.In recent years,CPET has become an increasingly popular research field in percutaneous coronary intervention(PCI),and the comprehensive function-al reserve of PCI patients is impaired at multiple levels to different degree.CPET can detect myocardial ischemia and reduction of cardiac output during exercise before ST segment change or chest pain,and can be combined with standard exercise variables(heart rate,blood pressure,ECG),cardiac imaging and invasive hemodynamic measure-ment during exercise,which can better make prediction and exercise guidance.This paper expounds the clinical ap-plication and prognosis evaluation of CPET in patients after PCI.

关键词

心血管疾病/血管成形术,气囊,冠状动脉/心肺运动试验

Key words

Cardiovascular diseases/Angioplasty,balloon,coronary/Cardiopulmonary exercise test

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出版年

2024
心血管康复医学杂志
福建省康复医学会 中国康复医学会

心血管康复医学杂志

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影响因子:1.157
ISSN:1008-0074
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