Therapeutic Effect of Cardiac Exercise Rehabilitation Program Based on Cardiopulmonary Exercise Test on Patients with Stable Coronary Heart Disease Complicated with Hypertension
ObjectiveTo observe the effect of cardiac exercise rehabilitation program based on cardiopulmonary exercise testing (CPET) on patients with stable coronary heart disease complicated with hypertension.MethodsA total of 80 patients with stable coronary artery disease complicated with hypertension in t...
Saved in:
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Editorial Office of Rehabilitation Medicine
2024-04-01
|
| Series: | 康复学报 |
| Subjects: | |
| Online Access: | http://kfxb.publish.founderss.cn/thesisDetails#10.3724/SP.J.1329.2024.02009 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1841536854841622528 |
|---|---|
| author | TONG Yiman GAO Min WANG Xinyu CAO Yuhan CHEN Wei |
| author_facet | TONG Yiman GAO Min WANG Xinyu CAO Yuhan CHEN Wei |
| author_sort | TONG Yiman |
| collection | DOAJ |
| description | ObjectiveTo observe the effect of cardiac exercise rehabilitation program based on cardiopulmonary exercise testing (CPET) on patients with stable coronary heart disease complicated with hypertension.MethodsA total of 80 patients with stable coronary artery disease complicated with hypertension in the Xuzhou Central Hospital from February to September 2023 were randomly divided into control group and observation group, with 40 cases in each group. The control group received routine medication for 12 weeks. The observation group received cardiac exercise rehabilitation program based on CPET in addition to the treatment of the control group, including aerobic exercise and resistance training, once every other day, 3 times a week for 12 weeks. Before and after treatment, CPET was used to evaluate cardiac autonomic function [such as rest heart rate (HR<sub>rest</sub>), rest systolic blood pressure (SBP<sub>rest</sub>), rest diastolic blood pressure (DBP<sub>rest</sub>), peak heart rate (HR<sub>peak</sub>), peak systolic blood pressure (SBP<sub>peak</sub>), peak diastolic blood pressure (DBP<sub>peak</sub>), heart rate recovery from the 1st to 6th min (HRR<sub>t</sub>)]. CPET was used to evaluate cardiopulmonary function and exercise ability [peak metabolic equivalent (METs<sub>peak</sub>), peak work (Work<sub>peak</sub>), peak oxygen pulse (VO<sub>2</sub>/HR<sub>peak</sub>), peak oxygen uptake (VO<sub>2 peak</sub>), anaerobic threshold (AT) and carbon dioxide ventilation equivalents slope (VE/VCO<sub>2 slope</sub>)]. The 36-item short-form health survey (SF-36) was used to evaluate quality of life. Pittsburgh sleep quality index (PSQI) was used to evaluate sleep quality.ResultsCompared with that before treatment, SBP<sub>rest</sub>, DBP<sub>peak</sub>, HR<sub>rest</sub>, HR<sub>peak</sub> and VE/VCO<sub>2 slope</sub> in the observation group decreased significantly after treatment, HRR<sub>1</sub>-HRR<sub>6</sub>, VO<sub>2 peak</sub>, AT, VO<sub>2</sub>/HR<sub>peak</sub>, METs<sub>peak</sub>, Work<sub>peak</sub>, SF-36 scores (physical functioning, role physical, bodily pain, general health, social functioning and mental health) increased significantly, PSQI score decreased significantly (<italic>P</italic><0.05). Compared with the control group, SBP<sub>rest</sub>, DBP<sub>peak</sub>, HR<sub>rest</sub> and VE/VCO<sub>2 slope</sub> in the observation group were significantly lower after treatment, HRR<sub>1</sub>-HRR<sub>4</sub>, VO<sub>2 peak</sub>, AT, VO<sub>2</sub>/HR<sub>peak</sub>, METs<sub>peak</sub>, Work<sub>peak</sub>, SF-36 scores (physical functioning, role physical, bodily pain, general health, social functioning and mental health) were significantly higher after treatment (<italic>P</italic><0.05), PSQI score decreased significantly (<italic>P</italic><0.05).ConclusionThe cardiac exercise rehabilitation program based on CPET can improve cardiac autonomic function, cardiopulmonary function, exercise ability, sleep and quality of life of patients with stable coronary heart disease complicated with hypertension, which is recommended for clinical application. |
| format | Article |
| id | doaj-art-1208f49debe948c3a3543e34dd96520c |
| institution | Kabale University |
| issn | 2096-0328 |
| language | English |
| publishDate | 2024-04-01 |
| publisher | Editorial Office of Rehabilitation Medicine |
| record_format | Article |
| series | 康复学报 |
| spelling | doaj-art-1208f49debe948c3a3543e34dd96520c2025-01-14T10:08:46ZengEditorial Office of Rehabilitation Medicine康复学报2096-03282024-04-013415316055742565Therapeutic Effect of Cardiac Exercise Rehabilitation Program Based on Cardiopulmonary Exercise Test on Patients with Stable Coronary Heart Disease Complicated with HypertensionTONG YimanGAO MinWANG XinyuCAO YuhanCHEN WeiObjectiveTo observe the effect of cardiac exercise rehabilitation program based on cardiopulmonary exercise testing (CPET) on patients with stable coronary heart disease complicated with hypertension.MethodsA total of 80 patients with stable coronary artery disease complicated with hypertension in the Xuzhou Central Hospital from February to September 2023 were randomly divided into control group and observation group, with 40 cases in each group. The control group received routine medication for 12 weeks. The observation group received cardiac exercise rehabilitation program based on CPET in addition to the treatment of the control group, including aerobic exercise and resistance training, once every other day, 3 times a week for 12 weeks. Before and after treatment, CPET was used to evaluate cardiac autonomic function [such as rest heart rate (HR<sub>rest</sub>), rest systolic blood pressure (SBP<sub>rest</sub>), rest diastolic blood pressure (DBP<sub>rest</sub>), peak heart rate (HR<sub>peak</sub>), peak systolic blood pressure (SBP<sub>peak</sub>), peak diastolic blood pressure (DBP<sub>peak</sub>), heart rate recovery from the 1st to 6th min (HRR<sub>t</sub>)]. CPET was used to evaluate cardiopulmonary function and exercise ability [peak metabolic equivalent (METs<sub>peak</sub>), peak work (Work<sub>peak</sub>), peak oxygen pulse (VO<sub>2</sub>/HR<sub>peak</sub>), peak oxygen uptake (VO<sub>2 peak</sub>), anaerobic threshold (AT) and carbon dioxide ventilation equivalents slope (VE/VCO<sub>2 slope</sub>)]. The 36-item short-form health survey (SF-36) was used to evaluate quality of life. Pittsburgh sleep quality index (PSQI) was used to evaluate sleep quality.ResultsCompared with that before treatment, SBP<sub>rest</sub>, DBP<sub>peak</sub>, HR<sub>rest</sub>, HR<sub>peak</sub> and VE/VCO<sub>2 slope</sub> in the observation group decreased significantly after treatment, HRR<sub>1</sub>-HRR<sub>6</sub>, VO<sub>2 peak</sub>, AT, VO<sub>2</sub>/HR<sub>peak</sub>, METs<sub>peak</sub>, Work<sub>peak</sub>, SF-36 scores (physical functioning, role physical, bodily pain, general health, social functioning and mental health) increased significantly, PSQI score decreased significantly (<italic>P</italic><0.05). Compared with the control group, SBP<sub>rest</sub>, DBP<sub>peak</sub>, HR<sub>rest</sub> and VE/VCO<sub>2 slope</sub> in the observation group were significantly lower after treatment, HRR<sub>1</sub>-HRR<sub>4</sub>, VO<sub>2 peak</sub>, AT, VO<sub>2</sub>/HR<sub>peak</sub>, METs<sub>peak</sub>, Work<sub>peak</sub>, SF-36 scores (physical functioning, role physical, bodily pain, general health, social functioning and mental health) were significantly higher after treatment (<italic>P</italic><0.05), PSQI score decreased significantly (<italic>P</italic><0.05).ConclusionThe cardiac exercise rehabilitation program based on CPET can improve cardiac autonomic function, cardiopulmonary function, exercise ability, sleep and quality of life of patients with stable coronary heart disease complicated with hypertension, which is recommended for clinical application.http://kfxb.publish.founderss.cn/thesisDetails#10.3724/SP.J.1329.2024.02009stable coronary heart diseasehypertensioncardiopulmonary exercise testingcardiac exercise rehabilitationautonomic functioncardiorespiratory exercise abilityquality of sleepquality of life |
| spellingShingle | TONG Yiman GAO Min WANG Xinyu CAO Yuhan CHEN Wei Therapeutic Effect of Cardiac Exercise Rehabilitation Program Based on Cardiopulmonary Exercise Test on Patients with Stable Coronary Heart Disease Complicated with Hypertension 康复学报 stable coronary heart disease hypertension cardiopulmonary exercise testing cardiac exercise rehabilitation autonomic function cardiorespiratory exercise ability quality of sleep quality of life |
| title | Therapeutic Effect of Cardiac Exercise Rehabilitation Program Based on Cardiopulmonary Exercise Test on Patients with Stable Coronary Heart Disease Complicated with Hypertension |
| title_full | Therapeutic Effect of Cardiac Exercise Rehabilitation Program Based on Cardiopulmonary Exercise Test on Patients with Stable Coronary Heart Disease Complicated with Hypertension |
| title_fullStr | Therapeutic Effect of Cardiac Exercise Rehabilitation Program Based on Cardiopulmonary Exercise Test on Patients with Stable Coronary Heart Disease Complicated with Hypertension |
| title_full_unstemmed | Therapeutic Effect of Cardiac Exercise Rehabilitation Program Based on Cardiopulmonary Exercise Test on Patients with Stable Coronary Heart Disease Complicated with Hypertension |
| title_short | Therapeutic Effect of Cardiac Exercise Rehabilitation Program Based on Cardiopulmonary Exercise Test on Patients with Stable Coronary Heart Disease Complicated with Hypertension |
| title_sort | therapeutic effect of cardiac exercise rehabilitation program based on cardiopulmonary exercise test on patients with stable coronary heart disease complicated with hypertension |
| topic | stable coronary heart disease hypertension cardiopulmonary exercise testing cardiac exercise rehabilitation autonomic function cardiorespiratory exercise ability quality of sleep quality of life |
| url | http://kfxb.publish.founderss.cn/thesisDetails#10.3724/SP.J.1329.2024.02009 |
| work_keys_str_mv | AT tongyiman therapeuticeffectofcardiacexerciserehabilitationprogrambasedoncardiopulmonaryexercisetestonpatientswithstablecoronaryheartdiseasecomplicatedwithhypertension AT gaomin therapeuticeffectofcardiacexerciserehabilitationprogrambasedoncardiopulmonaryexercisetestonpatientswithstablecoronaryheartdiseasecomplicatedwithhypertension AT wangxinyu therapeuticeffectofcardiacexerciserehabilitationprogrambasedoncardiopulmonaryexercisetestonpatientswithstablecoronaryheartdiseasecomplicatedwithhypertension AT caoyuhan therapeuticeffectofcardiacexerciserehabilitationprogrambasedoncardiopulmonaryexercisetestonpatientswithstablecoronaryheartdiseasecomplicatedwithhypertension AT chenwei therapeuticeffectofcardiacexerciserehabilitationprogrambasedoncardiopulmonaryexercisetestonpatientswithstablecoronaryheartdiseasecomplicatedwithhypertension |