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短时运动对冠状动脉介入治疗术后冠心病患者肱动脉踝动脉脉搏波速度的影响
引用本文:王浩,张丽,张亚晶,王海军.短时运动对冠状动脉介入治疗术后冠心病患者肱动脉踝动脉脉搏波速度的影响[J].中华老年心脑血管病杂志,2012,14(3):261-263.
作者姓名:王浩  张丽  张亚晶  王海军
作者单位:解放军总医院南楼心血管一科, 北京,100853
摘    要:目的探讨短时运动对PCI术后冠心病患者肱动脉-踝动脉脉搏波速度(brachial-ankle artery pulse wave velocity.baPWV)的影响。方法选择PCI术后常规复查的男性冠心病患者69例,平板运动试验采用改良Bruce方案,试验前及试验结束后10 min测量患者baPWV值。结果患者短时运动后平均动脉压和baPWV值较运动前明显下降(97.26±11.51)mm Hg vs(91.33±9.64)mm Hg(1 mm Hg=0.1 33 kPa),(1421.84±224.1 4)cm/svs(1 3 4i0.25±218.16)cm/s],差异有统计学意义(P<0.01);收缩压和舒张压较运动前有所下降,但差异无统计学意义(P>0.05)。结论短时运动可以有效改善冠心病患者的动脉僵硬度。

关 键 词:冠心病  运动试验  动脉硬化  脉搏  肱动脉  一氧化氮

Effect of short-term exercise on brachial ankle artery pulse wave velocity in patients with coronary artery disease after PCI
Institution:WANG Hao,ZHANG Li,ZHANG Ya-jing,et al (Department of Geriatric Cardiology,Chinese PLA General Hospital,Beijing 100853,China)
Abstract:Objective To study the effect of short-term exercise on brachial ankle artery pulse wave velocity(baPWV) in patients with coronary artery disease after PCI.Methods Sixty-nine male patients with cornary artery disease after PCI were enrolled in this study.Their baPWV was measured 10 minutes after they underwent treadmill test with modified Bruce program.Results The mean arteria pressure and baPWV were significantly lower after exercise than before exercise (97.26±11.51 mm Hg vs 91.33±9.64 mm Hg,1421.84±224.14 cm/s vs 1340.25±218.16 cm/s,P<0.01).The systolic pressure and diastolic pressure were lower after exercise than before exercise,but with no significant difference between them(P>0.05).Conclusion Short-term exercise can effectively improve the arterial stiffness in patients with coronary artery disease.
Keywords:coronary disease  exercise test  arteriosclerosis  pulse  brachial artery  nitric oxide
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