Welcome to visit Zhongnan Medical Journal Press Series journal website!

The interpretation of the Chinese expert consensus on exercise rehabilitation of elderly patients with stable coronary artery disease

Published on Jun. 21, 2020Total Views: 4782 timesTotal Downloads: 2497 timesDownloadMobile

Author: Guan WANG 1 Cun-Tai ZHANG 2*

Affiliation: 1. Institute of Aging, Department of Geriatrics, Tongji Hospital, Wuhan 430030, China 2. Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China

Keywords: Elderly patients Stable coronary artery disease Exercise rehabilitation

DOI: 10.12173/j.issn.1004-5511.2020.03.05

Reference: Wang G, Zhang CT. The interpretation of the Chinese expert consensus on exercise rehabilitation of elderly patients with stable coronary artery disease[J]. Yixue Xinzhi Zazhi, 2020, 30(3): 174-178. DOI: 10.12173/j.issn.1004-5511.2020.03.05.[Article in Chinese]

  • Abstract
  • Full-text
  • References
Abstract

Exercise rehabilitation(ER) is a comprehensive lifestyle program that reduces morbidity and mortality in cardiovascular patients. It is especially beneficial for elderly patients with stable coronary artery disease. Paradoxically, application of ER is still too poorly implemented in elderly patients with stable coronary artery disease. Therefore, the Chinese expert consensus on exercise rehabilitation of elderly patients with stable coronary artery disease was formulated to provide the technical principles for ER in elderly patients with stable coronary artery disease. In this review, the key contents of consensus are interpreted in detail.

Full-text
Please download the PDF version to read the full text: download
References

1.   Kotseva K, Wood D, Backer GD, et al. Use and effects of cardiac rehabilitation in patients with coronary heart disease: results from the EUROASPIRE III survey[J]. Eur J Prev Cardiol, 2013, 20(5): 817-826. DOI: 10.1177/2047487312449591.

2.   EACPR Committee for Science Guidelines, et al. Secondary prevention through cardiac rehabilitation: physical activity counselling and exercise training: Key components of the position paper from the Cardiac Rehabilitation Section of the European Association of Cardiovascular Prevention and Rehabilitation[J]. Eur Heart J, 2010, 31(16): 1967-1974. DOI: 10.1093/eurheartj/ehq236.

3.   Lavie CJ, Arena R, Swift D, et al. Exercise and the cardiovascular system: Clinical science and cardiovascular outcomes[J]. Circ Res, 2015, 22(S9): 5-6. DOI: 10.1161/CIRCRESAHA.117.305205.

4.   Fleg JL, Forman DE, Berra K, et al. Secondary prevention of atherosclerotic cardiovascular disease in older adults: a scientific statement from the American Heart Association[J]. Circulation 2013, 128(22): 2422-2446. DOI: 10.1161/01.cir.0000436752.99896.22.

5.   中华医学会老年医学分会, 75岁及以上稳定性冠心病患者运动康复中国专家共识写作组. 75岁及以上稳定性冠心病患者运动康复中国专家共识[J]. 中国综合临床, 2018, 34(2): 97-104. DOI: 10.3760/cma.j.issn.0254?9026.2017.06.001. [Chinese Medical Association Geriatrics Branch, Chinese Expert Consensus Writing Group for Stable Coronary Heart Disease Exercise Rehabilitation for Patients 75 Years and Above[J]. Clinical Medicine Of China, 2018, 34(2): 97-104.]

6.   Task Force Members, Montalescot G, Sechtem U, et al. 2013 ESC guidelines on the management of stable coronary artery disease: the Task Force on the management of stable coronary artery disease of the European Society of Cardiology[J]. Eur Heart J, 2013 34(38): 2949-3003. DOI: 10.1093/eurheartj/eht296.

7.   Fihn SD, Gardin JM, Abrams J, et al. 2012 ACCF/ AHA/ ACP/AATS/ PCNA/ SCAI/ STS guideline for the diagnosis and Management of patients with stable ischemic hear tdisease[J]. Circulation, 2012, 126(25): 354-471. DOI: 10.1016/j.jacc.2012.07.013.

8.   Fihn SD, Blankenship JC, Alexander KP, et al. 2014 ACCF/AHA/AATS/PCNA/SCAI/STS focused update of the guideline for the diagnosis and management of patients with stable ischemic heart disease[J]. J Thorac Cardiovasc Surg, 2015, 149(3): 5-23. DOI: 10.1016/j.jacc.2014.07.017.

9.   马依彤. 《冠心病患者运动治疗中国专家共识》解读[J]. 中国循环杂志, 2015, 30(Z2): 71-74. DOI: 10.3969/j.issn.1000-3614.2015.Z2.016. [Ma YT. Interpretation of Chinese Expert Consensus on Exercise Therapy for Patients with Coronary Heart Disease[J]. Chinese Circulation Journal,  2015, 30(Z2): 71-74.]

10. 陈旭娇, 严静, 王建业, 等. 老年综合评估技术应用中国专家共识[J].中华老年医学杂志,  2017, 36(5): 471-477. DOI: 10.3760/cma.j.issn.0254-9026.2017.05.001. [Chen XJ, Yan J, Wang JY, et al. Expert consensus on the application of comprehensive geriatric assessment in China[J]. Chinese Journal of Geriatrics, 2017, 36(5): 471-477.]

11. 中华医学会老年医学分会, 解放军总医院老年医学教研室. 老年患者术前评估中国专家建议(2015)[J]. 中华老年医学杂志, 2015, 34(11): 1273-1280. DOI: 10.3760/cma.j.issn.0254-9026.2015.11.033. [Chinese Medical Association Geriatrics Branch, Department of Geriatrics, General Hospital of Chinese People's Liberation Army. Recommendations from Chinese experts on preoperative evaluation of elderly patients (2015) [J]. Chinese Journal of Geriatrics, 2015, 34(11): 1273-1280.]

12. Levett DZH, Jack S, Swart M, et al. Perioperative cardiopulmonary exercise testing (CPET) consensus clinical guidelines on indications, organization, conduct, and physiological interpretation[J]. Br J Anaesth, 2018, 120(3): 484-500. DOI: 10.1016/j.bja.2017.10.020.

13. Mirza KK, Cuomo K, Jung MH, et al. Effect of Heart Rate Reserve on Exercise Capacity in Patients Treated with a Continuous Left Ventricular Assist Device[J]. ASAIO journal (American Society for Artificial Internal Organs: 1992), 2019, Publish Ahead of Print. DOI: 10.1097/MAT.0000000000000955.

14. Morishita S, Tsubaki A, Nakamura M, et al. Rating of perceived exertion on resistance training in elderly subjects[J]. Expert Rev Cardiovasc Ther, 2019, 17(2): 135-142. DOI: 10.1080/14779072.2019.1561278.

15. Yamamoto S, Matsunaga A Fau,Wang G, et al. Effect of balance training on walking speed and cardiac events in elderly[J]. Int Heart J, 2014, 55(5): 397-403. DOI: 10.1536/ihj.14-017.

16. Kanda K, Yoda T, Suzuki H, et al. Effects of low-intensity bodyweight training with slow movement on motor function in frail elderly patients: a prospective observational study[J]. Environ Health Prev Med, 2018, 23(1): 4. DOI: 10.1186/s12199-018-0693-4.

17. 陈伟, 高民, 江中立, 等. 《中国糖尿病运动治疗指南》解读[J]. 中华医学信息导报, 2014, 29(2): 19. DOI: 10.3760/cma.j.issn.1673-4157.2013.06.004. [Chen W, Gao M, Jiang ZL, et al. Interpretation of Chinese Diabetes Exercise Therapy Guide[J]. Chinese Medical Information Review, 2014, 29(2): 19.]

18. Piepoli MF, Corra U, Adamopoulos S, et al. Secondary Prevention in the Clinical Management of Patients With Cardiovascular Diseases. Core Components, Standards and Outcome Measures for Referral and Delivery[J]. Kardiologiia, 2014, 54(11): 87-104. DOI: 10.1177/2047487312449597.

19. 张志强. 脑卒中康复治疗[J]. 中国实用内科杂志, 2012(09): 20-22. [Zhang ZQ. Stroke rehabilitation[J]. Chinese Journal of Practical Internal Medicine, 2012(09): 20-22.]

20. Zhao Y, Peng L, Luo Y, et al. Trimetazidine improves exercise tolerance in patients with ischemic heart disease[J]. Herz, 2016, 41(6): 514-522. DOI: 10.1007/s00059-015-4392-2.