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心肺运动试验在心血管疾病中的诊疗和预后价值探讨
作者:
作者单位:

(中国中医科学院西苑医院心血管科 国家中医心血管病临床医学研究中心,北京市 100091)

作者简介:

桓娜,博士研究生,医师,研究方向为中西医结合防治心血管疾病,E-mail为7615429132@qq.com。通信作者王承龙,博士,主任医师,教授,主要从事中西医结合防治心血管疾病的基础与临床研究,E-mail为wcl796@163.com。

基金项目:

国家自然科学基金面上项目(81874410)


Value of cardiopulmonary exercise test in diagnosis, treatment and prognosis of cardiovascular diseases
Author:
Affiliation:

Department of Cardiology, Xiyuan Hospital, Chinese Academy of Traditional Chinese Medicine & National Cardiovascular Clinical Research Center of Traditional Chinese Medicine, Beijing 100091, China)

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    摘要:

    心血管疾病发病率和病死率持续增高,心肌缺血和心肌梗死是主要病因。心肺耐力反应了个体的心肺功能契合度以及对最大运动强度的耐受程度。心肺耐力为人体五大生命体征之一,可用于评价心血管疾病患病风险。心肺运动试验(CPET)作为新兴的心肺一体化客观无创检测技术,可以较早的推测出患者潜在的病理生理改变。CPET的数据解读相对复杂及未得到广泛普及,其在临床的应用潜力巨大。目前CPET应用领域包括疾病的诊断、病情及预后风险评估、运动处方制定等。用CPET对心血管疾病的早期风险予以评估和诊断,实现早干预、早治疗,符合心脏康复的主流。

    Abstract:

    The incidence rate and mortality of cardiovascular disease are increasing. Myocardial ischemia and myocardial infarction are the main causes. Cardiopulmonary endurance reflects the fitness of cardiopulmonary function and the tolerance to maximum exercise intensity. Cardiopulmonary endurance is one of the five vital signs of human body, which can be used to evaluate the risk of cardiovascular disease. Cardiopulmonary exercise test (CPET), as a new objective noninvasive detection technology of cardiopulmonary integration, can predict the potential pathophysiological changes of patients earlier. The data interpretation of CPET is relatively complex and not widely used, so it has great potential in clinical application. At present, CPET application fields include disease diagnosis, condition and prognosis risk assessment, exercise prescription formulation and so on. It is in line with the mainstream of cardiac rehabilitation to evaluate and diagnose the early risk of cardiovascular disease with CPET.

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引用本文

桓娜,王承龙,王培利.心肺运动试验在心血管疾病中的诊疗和预后价值探讨[J].中国动脉硬化杂志,2021,29(11):921~926.

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  • 收稿日期:2021-03-13
  • 最后修改日期:2021-05-31
  • 在线发布日期: 2021-11-18

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