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CJAP ›› 2015, Vol. 31 ›› Issue (4): 374-377.doi: 10.12047/j.cjap.0124.2015.019

• ORIGINAL ARTICLE • Previous Articles     Next Articles

Preliminary report of using cardiopulmonary exercise testing guide exercise rehabilitation in patients with chronic heart failure

LIU Yan-ling1, SUN Xing-guo1, GAO Hua1, ZHANG Zhen-ying1, FENG Jing1, JIANG Li-qing1, ZHANG Jian2, XI Jia-ning1, ZHOU Jing-min3, GE Wan-gang2   

  1. 1. CardioPulmonary Rehabilitation Center,Beijing Rehabilitation Medical Center, Capital Medical University,Beijing 100144;
    2. State Key Laboratory of Cardiovascular Disease, Fuwai Hospital, National Research Center of Clinic Medicine for Cardiovascular Diseases, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100037, China;
    3. Department of Cardiology, Zhongshan Hospital, Fudan University, Shanghai 20032, China
  • Received:2015-06-05 Revised:2015-07-05 Published:2021-11-12

Abstract: Objective: The exercise rehabilitation in patient with chronic heart failure (CHF) is standard clinical practice,but it is rare using CardioPulmonary Exercise Testing (CPET) guide to prescribe exercise rehabilitation in China. Methods: We performed symptom limited maximal CPET in 10 patients with CHF, randomly divided into two groups: 5 patients as control without exercise and 5 exercise patients usedΔ50%W intensity to exercise 30 min/d,5 d/w,×12 w. Before and after 12 w rehabilitation, we evaluated functions. Results: There were no significant difference between two groups patients (P>0.05).The exercise duration was increased from 8 min to 23 min after rehabilitation (P<0.001); distance 6 minutes walking was increased from 394 m to 470 m (P<0.05); score of Minnesota quality of life was decreased from 25 to 3 in exercise group (P<0.01). However, there were nosignificant changes in control group (P>0.05) and their changes were smaller than those in exercise group (P<0.01). Conclusion: The CPET guiding exercise rehabilitation is safe and effective for patients with CHF.

Key words: cardiopulmonary exercise testing, objective and qualitative evaluation, chronic heart failure, rehabilitation loading, constant work rate exercise, continuous exercise duration, 6 min walking distance, quality of life

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