冠動脈形成術後に心臓リハビリテーションを施行した慢性維持透析患者の3症例

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  • Effects of cardiac rehabilitation in three chronic dialysis patients with coronary interventions
  • ショウレイ ホウコク カンドウミャク ケイセイ ジュツゴ ニ シンゾウ リハビリテーション オ シコウ シタ マンセイ イジ トウセキ カンジャ ノ 3 ショウレイ

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We evaluated three chronic hemodialysis patients who were treated with percutaneous coronary intervention (PCI) or coronary surgery in a 3-month exercise-based cardiopulmonary rehabilitation program. A 57-year-old and a 58-year-old female underwent PCI, and a 63-year-old-male received a coronary bypass graft (CABG). Cardiopulmonary exercise testing (CPX) was performed using breath-by-breath gas sampling on two occasions：before and 3 months after rehabilitation. The anaerobic threshold (AT), exercise time, oxygen uptake (VO2), Barthel index, and vitality index were measured. The AT, exercise time, peak VO2, and vitality index increased in 3 patients. The Barthel index did not change from the baseline. Cardiovascular exercise with CPX should be considered in chronic hemodialysis patients undergoing coronary intervention. Further research is needed to develop appropriate methods for cardiovascular rehabilitation and evaluate the long-term effects of cardiovascular exercise on the aerobic capacity, physical functioning, and quality of life.

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