관상동맥중재술 후 조기 운동부하검사의 안전성
The Safety of Early Exercise Stress Test after Coronary Intervention
1
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Objective: To investigate the safety of early symptom limited exercise stress test (GXT) performed within 10 days after coronary intervention in acute coronary syndrome patients. Method: Forty-six patients with acute coronary syndrome including unstable angina (UA) and acute myocardial infarction (AMI) were recruited. All of them performed GXT within 10 days after coronary intervention and received cardiac rehabilitation for 6 weeks. Results: Mean age of the patients was 57.6±9.8 years (unstable angina 26 patients, acute myocardial infarction 23 patients). The number of the patients complained of cardiac events during GXT was 8 (16%); chest pain (3), ischemic changes on electrocardiogram (2) and hemodynamic instability (3). However, none of them showed any major adverse cardiac events such as acute myocardial infarction (AMI). Major cause of termination of GXT was patient’s request such as dyspnea, fatigue, and musculoskeletal pain. After early GXT, there was no significant difference between two groups in all variables (p＞0.05). Conclusion: Early GXT was safe in acute coronary syndrome patients and did not show any significant difference between UA patients and AMI patients. (J Korean Acad Rehab Med 2010; 34: 336-341)
Abstract
Objective: To investigate the safety of early symptom limited exercise stress test (GXT) performed within 10 days after coronary intervention in acute coronary syndrome patients. Method: Forty-six patients with acute coronary syndrome including unstable angina (UA) and acute myocardial infarction (AMI) were recruited. All of them performed GXT within 10 days after coronary intervention and received cardiac rehabilitation for 6 weeks. Results: Mean age of the patients was 57.6±9.8 years (unstable angina 26 patients, acute myocardial infarction 23 patients). The number of the patients complained of cardiac events during GXT was 8 (16%); chest pain (3), ischemic changes on electrocardiogram (2) and hemodynamic instability (3). However, none of them showed any major adverse cardiac events such as acute myocardial infarction (AMI). Major cause of termination of GXT was patient’s request such as dyspnea, fatigue, and musculoskeletal pain. After early GXT, there was no significant difference between two groups in all variables (p＞0.05). Conclusion: Early GXT was safe in acute coronary syndrome patients and did not show any significant difference between UA patients and AMI patients. (J Korean Acad Rehab Med 2010; 34: 336-341)
참고문헌 (19)
- Lavie CJ, "Effects of cardiac rehabilitation and exercise training on exercise capacity, coronary risk factors, behavioral characteristics, and quality of life in women", Am J Cardiol, 75, pp.340~343 (1995)
- Lavie CJ, "Exercise training and cardiac rehabilitation in primary and secondary prevention of coronary heart disease", Mayo Clinic Proc, 84, pp.373~383 (2009)
- Pederson O, "Increased insulin receptors after exercise in patients with insulin-dependent diabetes mellitus", N Engl J Med, 302, pp.886~892 (1980)
- Scheur J, "Cardiovascular adaptations to physical training", An Rev Physiol, 39, pp.221~251 (1997)
- Gibbons RJ, "ACC", AHA 2002 guideline update for exercise testing: summary article: a report of the American College of Cardiology, Circulation, pp.2002, 106[DOI]
- Butman SM, "Early exercise testing after stabilization of unstable angina: correlation with coronary angiographic findings and subsequent cardiac events", Am Heart J, 111, pp.11~18 (1986)
- Detry JR, "Early short-term intensive cardiac rehabilitation induces positive results as long as one year after the acute coronary event: a prospective one-year controlled study", J Cardiovasc Risk, 8, pp.355~361 (2001)
- Senaratne MP, "Feasibility and safety of early exercise testing using the Bruce protocol after acute myocardial infarction", J Am Coll Cardiol, 35, pp.1212~1220 (2000)
- Höffer S, "Cardiac rehabilitation in Austria: short term quality of life improvements in patients with heart disease", Wien Klin Wochenschr, 118, pp.744~753 (2006)
- Thompson PD, "American Heart Association Council Cardiology Subcommitee on Exercise, Rehabilitation, and Prevention; American Heart Association Council on Nutrition, Physical Activity, and Metabolism Subcommittee on Physical Activity. Exercise and physical activity in the prevention and treatment of atherosclerotic cardiovascular disease: a statement from the Council on Clinical Cardiology (Subcommittee on Exercise, Rehabilitation, and Prevention) and the Council on Nutrition, Physical Activity and Metabolism (Subcommittee on Physical Activity)", Circulation, 107, pp.3109~3116 (2003)
- Pitsavos C, "GREECS Study Investigators. Physical activity status and acute coronary syndromes survival The GREECS (Greek Study of Acute Coronary Syndromes) study", J Am Coll Cardiol, 51, pp.2034~2039 (2008)
- Yu CM, "A short course of cardiac rehabilitation program is highly cost effective in improving long-term quality of life in patients with recent myocardial infarction or percutaneous coronary intervention", Arch Phys Med Rehabil, 85, pp.1915~1922 (2004)
- 김철, "심장재활 운동 중 발생한 심혈관계 합병증", Annals of Rehabilitation Medicine, 26(6), pp.26~801 (2002), 대한재활의학회
- Vongvanich P, "Safety of medically supervised exercise in cardiac rehabilitation center", Am J Cardiol, 77, pp.1383~1385 (1996)
- Haskell WL, "Cardiovascular complications during exercise training of cardiac patients", Circulation, 57, pp.920~924 (1978)
- Farkouh ME, "A clinical trial of a chest-pain observation unit for patients with unstable angina. Chest Pain Evaluation in the Emergency Room (CHEER) Investigators", N Engl J Med, 339, pp.1882~1888 (1998)
- Hamm LF, "Safety and characteristics of exercise testing early after acute myocardial infarction", Am J Cardiol, 63, pp.1193~1197 (1989)
- Keteyian SJ, "Electrocardiographic monitoring during cardiac rehabilitation", Chest, 107, pp.1242~1246 (1995)
- Dendale P, "Cardiac rehabilitation reduces the rate of major adverse cardiac events after percutaneous coronary intervention", Eur J Cardiocasc Nurs, 4, pp.113~116 (2005)