1、文档仅供参考,不能作为科学依据,请勿模仿;如有不当之处,请联系网站或本人删除。HM734 Exercise Testing and Prescription: Cardiorespiratory1老年冠心病老年冠心病Anderson, J. L. et al. J Am Coll Cardiol 2007;50:e1-e157稳定性心绞痛文档仅供参考,不能作为科学依据,请勿模仿;如有不当之处,请联系网站或本人删除。HM734 Exercise Testing and Prescription: Cardiorespiratory2=文档仅供参考,不能作为科学依据,请勿模仿;如有不当之处,请联系
2、网站或本人删除。HM734 Exercise Testing and Prescription: Cardiorespiratory3老年冠心病患者老年冠心病患者CR的必要性的必要性J. Am. Coll. Cardiol. doi:10.1016/j.jacc.2007.04.033 published online Sep 20, 2007; 文档仅供参考,不能作为科学依据,请勿模仿;如有不当之处,请联系网站或本人删除。HM734 Exercise Testing and Prescription: Cardiorespiratory4针对老年冠心病的CR纲要文档仅供参考,不能作为科学依据
3、,请勿模仿;如有不当之处,请联系网站或本人删除。HM734 Exercise Testing and Prescription: Cardiorespiratory5针对老年冠心病的CR目标www.capitalhealth.ca文档仅供参考,不能作为科学依据,请勿模仿;如有不当之处,请联系网站或本人删除。HM734 Exercise Testing and Prescription: Cardiorespiratory6CR涉及的人员Who should be involved?Can J Cardiol 2006, 22(11): 905-11 药剂师(Pharmacist)护士(Nurs
4、e)咨询医师(Consultant)全科医师(GP)营养学家(Dietician)运动教练(Exercise instructor) 戒烟顾问(Smoking cessation advisor) 社会服务(Social Services)心理学家(Psychologist) 社区护士(District Nurses)实习护士(Practice nurses)保健随访人员(Health Visitor)二级预防保健(Secondary care)文档仅供参考,不能作为科学依据,请勿模仿;如有不当之处,请联系网站或本人删除。HM734 Exercise Testing and Prescript
5、ion: Cardiorespiratory7老年冠心病CR的核心要素European Journal of Cardiovascular Prevention & Rehabilitation 2010;17:1-17Copyright by European Sociey of Cardiology文档仅供参考,不能作为科学依据,请勿模仿;如有不当之处,请联系网站或本人删除。HM734 Exercise Testing and Prescription: Cardiorespiratory8老年患者评估European Journal of Cardiovascular Preventio
6、n & Rehabilitation 2010;17:1-17文档仅供参考,不能作为科学依据,请勿模仿;如有不当之处,请联系网站或本人删除。9患者评估11运动能力和缺血性阈值: IIa (C) ? ACS急性事件后4周内进行踏车运动亚极量负荷试验 ? 或ACS 后47周内平板运动最大负荷试验 ?(如有可能的话,尚需心肺运动试验)、J Am Coll Cardiol 2009;54:2533)文档仅供参考,不能作为科学依据,请勿模仿;如有不当之处,请联系网站或本人删除。HM734 Exercise Testing and Prescription: Cardiorespiratory10体力活动
7、咨询European Journal of Cardiovascular Prevention & Rehabilitation 2010;17:1-17文档仅供参考,不能作为科学依据,请勿模仿;如有不当之处,请联系网站或本人删除。HM734 Exercise Testing and Prescription: Cardiorespiratory11运动训练European Journal of Cardiovascular Prevention & Rehabilitation 2010;17:1-17文档仅供参考,不能作为科学依据,请勿模仿;如有不当之处,请联系网站或本人删除。HM734
8、Exercise Testing and Prescription: Cardiorespiratory12有氧和抗阻运动训练禁忌症文档仅供参考,不能作为科学依据,请勿模仿;如有不当之处,请联系网站或本人删除。HM734 Exercise Testing and Prescription: Cardiorespiratory13饮食/营养咨询(Diet/nutritional counselling)European Journal of Cardiovascular Prevention & Rehabilitation 2010;17:1-17文档仅供参考,不能作为科学依据,请勿模仿;如有
9、不当之处,请联系网站或本人删除。HM734 Exercise Testing and Prescription: Cardiorespiratory14血脂管理(Lipid management)European Journal of Cardiovascular Prevention & Rehabilitation 2010;17:1-17文档仅供参考,不能作为科学依据,请勿模仿;如有不当之处,请联系网站或本人删除。15体重管理(Weight control management)European Journal of Cardiovascular Prevention & Rehabil
10、itation 2010;17:1-17文档仅供参考,不能作为科学依据,请勿模仿;如有不当之处,请联系网站或本人删除。HM734 Exercise Testing and Prescription: Cardiorespiratory16 血压管理(Blood pressure monitoring)European Journal of Cardiovascular Prevention & Rehabilitation 2010;17:1-17文档仅供参考,不能作为科学依据,请勿模仿;如有不当之处,请联系网站或本人删除。HM734 Exercise Testing and Prescrip
11、tion: Cardiorespiratory17戒烟(Smoking cessation)European Journal of Cardiovascular Prevention & Rehabilitation 2010;17:1-17文档仅供参考,不能作为科学依据,请勿模仿;如有不当之处,请联系网站或本人删除。HM734 Exercise Testing and Prescription: Cardiorespiratory18心理管理(Psychosocial management)European Journal of Cardiovascular Prevention & Reh
12、abilitation 2010;17:1-17文档仅供参考,不能作为科学依据,请勿模仿;如有不当之处,请联系网站或本人删除。HM734 Exercise Testing and Prescription: Cardiorespiratory19European Journal of Cardiovascular Prevention & Rehabilitation 2010;17:1-17心理管理(Psychosocial management)文档仅供参考,不能作为科学依据,请勿模仿;如有不当之处,请联系网站或本人删除。HM734 Exercise Testing and Prescri
13、ption: Cardiorespiratory20CR时段分配(时段分配(Structure of CR)JACC Vol. 50, No. 14, 2007:140033文档仅供参考,不能作为科学依据,请勿模仿;如有不当之处,请联系网站或本人删除。HM734 Exercise Testing and Prescription: Cardiorespiratory21第第1阶段(阶段(住院期间)J Am Coll Cardiol 2007;50:140033.文档仅供参考,不能作为科学依据,请勿模仿;如有不当之处,请联系网站或本人删除。HM734 Exercise Testing and P
14、rescription: Cardiorespiratory22J Am Coll Cardiol 2007;50:140033.第第2阶段(阶段(开始于ACS后13周)文档仅供参考,不能作为科学依据,请勿模仿;如有不当之处,请联系网站或本人删除。HM734 Exercise Testing and Prescription: Cardiorespiratory23第第3阶段阶段(ACS后3-4 周)J Am Coll Cardiol 2007;50:140033.文档仅供参考,不能作为科学依据,请勿模仿;如有不当之处,请联系网站或本人删除。HM734 Exercise Testing and
15、 Prescription: Cardiorespiratory24第第4阶段阶段(长期而坚持不懈)J Am Coll Cardiol 2007;50:140033.文档仅供参考,不能作为科学依据,请勿模仿;如有不当之处,请联系网站或本人删除。HM734 Exercise Testing and Prescription: Cardiorespiratory25J Am Coll Cardiol 2007;50:140033.对患者及其家庭的挑战对患者及其家庭的挑战文档仅供参考,不能作为科学依据,请勿模仿;如有不当之处,请联系网站或本人删除。HM734 Exercise Testing and
16、 Prescription: Cardiorespiratory26J Am Coll Cardiol 2007;50:140033.CR的的实施途径实施途径文档仅供参考,不能作为科学依据,请勿模仿;如有不当之处,请联系网站或本人删除。27老年冠心病患者CR获益的证据J Am Coll Cardiol 2009;54:2533)文档仅供参考,不能作为科学依据,请勿模仿;如有不当之处,请联系网站或本人删除。28 老年冠心病患者接受基于运动训练CR获益J Am Coll Cardiol 2009;54:2533)文档仅供参考,不能作为科学依据,请勿模仿;如有不当之处,请联系网站或本人删除。29老年
17、冠心病患者接受基于心理辅导的CR降低了冠心病复发老年冠心病患者心脏康复和运动疗法前后心理危险因素与冠心病的发病变化。(n=260,平均年龄753岁)。J Am Coll Cardiol 2009;54:2533)文档仅供参考,不能作为科学依据,请勿模仿;如有不当之处,请联系网站或本人删除。HM734 Exercise Testing and Prescription: Cardiorespiratory3034文档仅供参考,不能作为科学依据,请勿模仿;如有不当之处,请联系网站或本人删除。HM734 Exercise Testing and Prescription: Cardiorespiratory31THANkS!