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各位朋友：

大家好，现在是“每天健康三分钟”时间，我是道简-心血管康复集团的医生郭振浩，今天由我来给大家讲讲心脏康复

心脏康复的适宜范围：心肌梗死后、稳定性心绞痛、冠状动脉旁路移植术（CABG）、经皮冠状动脉介入治疗（PCI）、各种原因导致的慢性稳定性心力衰竭、心脏瓣膜置换或修复术后、心脏移植术后、动脉粥样硬化，高血压病。

心脏康复的功效。对于心肌梗死的患者，心脏康复能降低心肌梗死后患者的全因死亡率和心血管死亡率。心脏康复可使急性心肌梗死患者1年内猝死风险降低45%。对于老年住院的冠心病患者，经心脏康复治疗的患者5年病死率较非心脏康复患者减少21%-34%。

同时可能延缓动脉粥样硬化的发展进程，降低急性缺血性冠脉事件的发生率和住院率，降低心衰患者的心血管原因死亡率和心衰原因住院率，可以改善心衰患者的生活质量。可以降低高血压患者血压。

心脏康复分为三期。患者住院期间启动一期康复或院内康复。心脏康复第二期是为期3 ~ 6个月的监督下的流动的门诊康复。心脏康复第三期包括以家庭或健身房为基础的运动锻炼。

在过去的40年，心脏康复从一个监督患者安全地进行体力活动的简单计划逐步发展成为一个综合学科计划，包括术后患者的护理，药物治疗最优化,，营养咨询，戒烟，危险分层，压力管理，血压控制以及糖尿病或血脂异常的控制。合理地制定及实行运动训练方案是心脏康复的关键。

6 min步行试验

心脏康复评估是个体化治疗有效与否非常重要的前提保证。评估工具：主要采用无创手段, 包括器械评定方法 (心肺运动试验、心脏彩超) 和徒手评定方法。可使用6 min步行试验作为心肺运动耐力评估的方法。采用仪器、量表或徒手评估技术评估心血管病患者的无氧阈,，对确定心血管病患者的运动处方有着十分重要的意义。

最后祝大家生活愉快，身体健康！想了解更多心血管科普小知识，请关注我们，咱们下期见。

【英文版】

What is cardiac rehabilitation?

Dear friends, nice to meet you!Now it is time for “Health talk for three minutes every day”,My name is Guo Zhenhao, a doctor of Daojian Doctor Group of Cardiovascular Rehabilitation.Today, I will mainly introduce the cardiac rehabilitation.

Appropriate range of cardiac rehabilitation: after myocardial infarction, stable angina pectoris, coronary artery bypass grafting (CABG), percutaneous coronary intervention (PCI), chronic stable heart failure caused by various reasons, heart valve replacement or repair, heart transplantation, atherosclerosis, hypertension.

The effect of cardiac rehabilitation.For patients with myocardial infarction, cardiac rehabilitation can reduce all-cause mortality and cardiovascular mortality.Cardiac rehabilitation can reduce the risk of sudden death within one year in patients with acute myocardial infarction by 45%. For the elderly hospitalized patients with coronary heart disease, the 5-year mortality rate of patients treated with cardiac rehabilitation is 21% - 34% lower than that of patients without cardiac rehabilitation.

At the same time, it may delay the development of atherosclerosis,reduce the incidence and hospitalization rate of acute ischemic coronary events,decrease the cardiovascular mortality and hospitalization rate of patients with heart failure, and improve the quality of life of patients with heart failure.It can also reduce the blood pressure of patients with hypertension.

The process of cardiac rehabilitation is pided into three stages.During the hospitalization, the patients started the primary rehabilitation or in-hospital rehabilitation. The second phase of cardiac rehabilitation is a mobile outpatient rehabilitation under the supervision of 3-6 months. The third phase of cardiac rehabilitation includes home-based or gym based exercise.

In the past 40 years, cardiac rehabilitation has evolved from a simple program to a comprehensive discipline program, which includes postoperative patient care, medication optimization, nutritional counseling, smoking cessation, risk stratification, stress management, blood pressure control, and control of diabetes or dyslipidemia.The key to heart rehabilitation is to formulate and implement exercise training plan reasonably.

Cardiac rehabilitation assessment is a very important prerequisite for the effectiveness of inpidualized treatment. Noninvasive methods are mainly used as assessment tools,including instrument evaluation method (cardiopulmonary exercise test, cardiac color Doppler ultrasound) and unarmed evaluation method.Six-min walking test can be used as a method to evaluate cardiopulmonary exercise endurance. It is very important to evaluate the anaerobic threshold of patients with cardiovascular disease by instruments, scales or unarmed assessment techniques,which is of great significance to determine the exercise prescription of patients with cardiovascular disease.

Finally, I wish you all a happy life and good health!To learn more knowledge about Cardiovascular disease, please pay attention to us.See you next time.