抗阻训练的心血管调控机制及其在心脏康复中的应用.pptxVIP

抗阻训练的心血管调控机制及其在心脏康复中的应用第1页/共35页 抗阻训练的心血管调控机制及其在心脏康复中的应用Cardiovascular regulation mechanism with resistance training in cardiac rehabilitation 第2页/共35页 心血管康复的内容approach in cardiac rehab康复rehabAerobic有氧训练作业训练OT Behavior 行为治疗抗阻训练Resistance training第3页/共35页 心血管康复的内容approach in cardiac rehab康复rehabAerobic有氧训练作业训练OT Behavior 行为治疗抗阻训练Resistance training第4页/共35页 Study structureCentral hemodynamicsMechanism Clinical observation Brain Spine EOPsMuscle第5页/共35页 Recording 第6页/共35页 7Animal study20 dogsIntra-Thoracic Pressure is related to PWP (r=0.89)第7页/共35页 8Cardiac responses to RTCardiac response to RT has its own rule and does not induce undue cardiovascular responses. 抗阻运动并不诱发不可预期的高心血管反应RT induced PWP elevation is neither a result of LV failure nor myocardial ischemia, but the increase of intra-thoracic pressure. 抗阻运动引起肺毛压增高的原因是胸内压增高，而不是左心功能障碍。第8页/共35页 9Cardiac responses to RTIncrease of MVO2 was weaker during RT than DE. 抗阻运动时心肌耗氧量的增加低于动力性运动RT resulted in parallel increase of SBP and DBP which is decreased during DE. RT时SBP和DBP同时升高There was no sign of myocardial ischemia during RTmax, but happened in DEmax. RTmax时心肌缺血少于DEmax第9页/共35页 Why no ischemia during IE？ischemiaIEDEMVO2IEDECA perfusionIEDEHRIEDEhymodynamicsIEDEDBPIEDEPerfusion timeIEDEPerfusion pressureIEDE第10页/共35页 PublicationsEffects of isometric exercise on hemodynamics and left ventricular systolic and diastolic function in normal subjects and patRTnts convalescent from myocardial infarction. Aust New Zealand J med 1990;20(3):325 Regulation of cardiovascular responses to isometric exercise in coronary patRTnts. Aust New Zealand J Med 1991; 21(4):524 Mechanism of Pulmonary Wedge Pressure Elevation During Isometric Exercise in PatRTnts with Coronary Artery Disease. J Nanjing Med Coll 1993;7(2):1-10冠心病人等长收缩运动时肺毛细血管嵌顿压升高的机理。中国康复医学杂志 1993;8(1):1 分级等长收缩运动对正常人和心肌梗塞患者二尖瓣血流的影响。中国康复医学杂志　1993;8(6):244-247乏氏动作对冠心病人等长收缩运动心血管反应的影响。中国康复医学杂志，1995;10(1):13-16影响正常人和心肌梗塞病人对等长收缩运动心血管反应的有关因素. 中国康复医学杂志 1995;10(5):19