急性心梗患者出院时心率与远期运动耐量相关性研究
Study on the Relationship between Discharge Heart Rate and Long-Term Exercise Tolerance in Patients with Acute Myocardial Infarction
DOI: 10.12677/ACM.2022.124383, PDF,   
作者: 许金鹏, 廖碧红：暨南大学第二临床医学院深圳市人民医院心血管内科，广东 深圳
关键词: 急性心肌梗死；静息心率；运动耐量测定；相关性；Acute Myocardial Infarction； Resting Heart Rate； Exercise Tolerance Measurement； Relevance
摘要: 目的：该文旨在分析急性心梗患者出院时静息心率与远期运动耐量恢复的相关性。方法：选取2019年1月至2020年12月在我院接受治疗的急性心肌梗死患者共125例，均在出院后远期(>3个月)行平板运动试验，记录最大负荷，研究出院心率与最大负荷之间的相关性。结果：出院时心率与最大负荷呈负相关关系(r = −0.339, P < 0.05)。结论：低静息心率水平有利于急性心肌梗死患者的预后恢复，在院时心率控制在70 bpm对此类患者可能有益，为实际临床工作中临床医师对此类患者的诊疗管理提供思路，进一步提升临床实际工作质量。
Abstract: Objective: The aim of this study was to analyze the relationship between resting heart rate and long-term exercise tolerance recovery in patients with acute myocardial infarction at discharge. Methods: A total of 125 patients with acute myocardial infarction treated in our hospital from January 2019 to December 2020 were selected. They all underwent treadmill exercise test in the long term (>3 months) after discharge, recorded the maximum load, and studied the correlation between discharge heart rate and maximum load. Results: There was a negative correlation between heart rate and maximum load at discharge (r = −0.339, P < 0.05). Conclusion: Low resting heart rate level is conducive to the prognosis recovery of patients with acute myocardial infarction. It may be beneficial for such patients to control the heart rate at 70 bpm in hospital, which provides ideas for clinicians’ diagnosis and treatment management of such patients in practical clinical work, and further improves the quality of clinical work.
文章引用：许金鹏, 廖碧红. 急性心梗患者出院时心率与远期运动耐量相关性研究[J]. 临床医学进展, 2022, 12(4): 2666-2670. https://doi.org/10.12677/ACM.2022.124383

参考文献

[1] Wang, S.L., Wang, C.L., Wang, P.L., Xu, H., Du, J.P., Zhang, D.W., Gao, Z.Y., Zhang, L., Fu, C.G., Chen, K.J., et al. (2016) Resting Heart Rate Associates with One-Year Risk of Major Adverse Cardiovascular Events in Patients with Acute Coronary Syndrome after Percutaneous Coronary Intervention. Experimental Biology and Medicine, 241, 478-484. [Google Scholar] [CrossRef] [PubMed]
[2] 刘希增. 平板运动负荷试验对冠状动脉内支架植入后心功能的评估[J]. 世界最新医学信息文摘(连续型电子期刊), 2017, 17(88): 10-11, 29.
[3] 龚艳君, 霍勇. 急性ST段抬高型心肌梗死诊断和治疗指南(2019)解读[J]. 中国心血管病研究, 2019, 17(12): 1057-1061. [Google Scholar] [CrossRef] 
[4] Raja, D.C., Kapoor, A., Sinha, A., Kashyap, S., Khanna, R., Kumar, S., Garg, N., Tewari, S. and Goel, P. (2018) Heart Rate Manipulation in Dilated Cardiomyopathy: Assessing the Role of Ivabradine. Indian Heart Journal, 70, 246-251. [Google Scholar] [CrossRef] [PubMed]
[5] Fragasso, G., De Cobelli, F., Spoladore, R., Esposito, A., Salerno, A., Calori, G., Montanaro, C., Maranta, F., Lattuada, G., Margonato, A., et al. (2011) Resting Cardiac Energy Metabolism Is Inversely Associated with Heart Rate in Healthy Young Adult Men. American Heart Journal, 162, 136-141. [Google Scholar] [CrossRef] [PubMed]
[6] Alapati, V., Tang, F., Charlap, E., Chan, P.S., Heidenreich, P.A., Jones, P.G., Spertus, J.A., Srinivas, V. and Kizer, J.R. (2019) Discharge Heart Rate after Hospitalization for Myocardial Infarction and Long-Term Mortality in 2 US Registries. Journal of the American Heart Association, 8, e010855. [Google Scholar] [CrossRef] 
[7] Antoni, M.L., Boden, H., Delgado, V., Boersma, E., Fox, K., Schalij, M.J. and Bax, J.J. (2012) Relationship between Discharge Heart Rate and Mortality in Patients after Acute Myocardial Infarction Treated with Primary Percutaneous Coronary Intervention. European Heart Journal, 33, 96-102. [Google Scholar] [CrossRef] [PubMed]

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