Effect of rehabilitation plans based on cardiopulmonary exercise test on cardiopulmonary function and quality of life in patients with chronic heart failure caused by coronary heart disease
Objective To explore the effect of rehabilitation plans based on cardiopulmonary exercise test(CPET)on cardiopulmonary function and quality of life in patients with chronicheart failure caused by coronary heart disease.Methods A retrospective analysis was conducted on 60 patients with chronic heart failure caused by coronary heart disease admitted to Weihai Hospital of Traditional Chinese Medicine from June 2021 to June 2022.The patients were divided into two groups,a control group and an intervention group,according to different rehabilitation plans,with 30 patients in each group.The control group was given a routine rehabilitation exercise plan.The intervention group was given a developed rehabilitation plan based on CPET testing.After 12 weeks of intervention,the cardiopulmonary function,quality of life score,and cardiovascular events of the two groups before,4 weeks after intervention,8 weeks after intervention,and 12 weeks after intervention were compared.Results There was no statistically significant difference in the scores of the cardiopulmonary function and quality of life scale(SF-36)between the two groups before intervention(P>0.05).After 4,8,and 12 weeks of intervention,the intervention group had higher 6-minute walking test(6MWT)distance,left ventricular ejection fraction(LVEF),peak oxygen uptake(PeakVO2/kg),SF-36 score than the control group,while metabolic equivalents(METs),pro-brain natriuretic peptide(ProBNP)levels,and high sensitive C-reactive protein(hs-CRP)levels were lower than the control group,with statistically significant differences(P<0.05).The incidence of adverse cardiovascular events in the intervention group was lower than that in the control group,with statistically significant difference(x2=8.477,P=0.004).Conclusion A rehabilitation plan based on CEPT can promote the recovery of heart function,enhance exercise ability,improve quality of life,and reduce the risk of adverse cardiovascular events in patients with chronic heart failure caused by coronary heart disease.
Cardiopulmonary exercise testingChronic heart failure caused by coronary heart diseaseCardiopulmonary functionQuality of life