心筋梗塞後のリハビリテーションと再発予防

概要

論文の詳細を見る
Although cardiac rehabilitation was developed as a management method after acute myocardialinfarction, its indication has expanded beyond myocardial infarction to many other conditions suchas angina pectoris, after cardiac or macrovascular surgery, chronic heart failure, and peripheralvascular disease. Even in patients with severe left ventricular dysfunction in whom exercise wascontraindicated in the past, the beneficial effect of cardiac rehabilitation on survival outcome andevent-free survival rate have been proven. By optimal combination with drug therapy, exercisetherapy and dietary therapy, cardiac rehabilitation after myocardial infarction should be positionedas an active treatment modality that not only improves exercise tolerance but also stabilizes theunstable plaques through improving coronary artery endothelial function, promotes collateralcirculation development by increasing the capillary bed, as well as achieves regression of coronaryarteriosclerosis.
2011-08-25