Application of rehabilitation strategies guided by dynamic cardiopulmonary exercise testing in patients after interventional therapy for myocardial infarction
- VernacularTitle:心肺运动试验动态指导下的康复策略在心肌梗死介入术后患者中的应用
- Author:
Yuanyuan CHENG
1
;
Tongtong ZHOU
;
Nannan LI
;
Xiaoli SONG
Author Information
- Publication Type:Research Article
- Keywords: interventional therapy for myocardial infarction; rehabilitation strategies; cardiopulmonary exercise testing; cardiopulmonary function; adverse events
- From: Journal of Clinical Medicine in Practice 2024;28(15):124-129
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the application value of rehabilitation strategies guided by cardiopulmonary exercise testing (CPET) in patients after interventional therapy for myocardial infarction. Methods A total of 96 patients after interventional therapy for myocardial infarction were selected as study subjects and divided into control group (
n =48) and observation group (n =48) according to the order of admission. The control group received traditional cardiac rehabilitation strategies, while the observation group received rehabilitation strategies guided by dynamic CPET. The medication compliance rate and the incidence of adverse events were compared between the two groups. Peak oxygen uptake, anaerobic threshold, left ventricular ejection fraction (LVEF), 6-minute walk test (6MWT) distance, scores of the Self-Efficacy for Exercise (SEE) and the Chinese Quality of Life Questionnaire for Cardiovascular Patients (CQQC) were compared between the two groups before and after surgery. Results Three months after surgery, the medication compliance rate in the observation group was 87.50%, which was significantly higher than 68.75% in the control group (P < 0.05). At 1 month and 3 months after surgery, the LVEF, peak oxygen uptake, anaerobic threshold, SEE score and 6MWT distance in the observation group were significantly higher or larger than those in the control group (P < 0.05). Three months after surgery, the scores of the CQQC in the observation group were significantly higher than those in the control group (P < 0.05). Three months after surgery, the incidence of adverse events in the observation group was 4.17%, which was significantly lower than 18.75% in the control group (P < 0.05). Conclusion The rehabilitation strategies guided by dynamic CPET have high application value in patients after interventional therapy for myocardial infarction, helping them establish medication compliance behavior, improve cardiopulmonary function and quality of life, and reduce the incidence of adverse events.
