Influence of individualized cardiac rehabilitation therapy based on WHO-FICs on cardiopulmonary function and exercise endurance of elderly patients with chronic heart failure
ZHANG Yun-shan
LI Xian
LUO Yang-Qian
ZHANG Quan
Abstract：Objective To study the effects of individual cardiac rehabilitation therapy based on WHO International Classification family(WHO-FICs)on cardiopulmonary function and exercise endurance of elderly patients with chronic heart failure.Method A total of 108 elderly patients with coronary heart disease and chronic heart failure admitted to the Second People's Hospital of Kunming from May 2020 to May 2023 were selected and grouped according to the principle of randomized control.The control group(54 patients)underwent routine rehabilitation training,and on this basis,the study group(54 patients)performed an individualized cardiac rehabilitation intervention program based on the WHO-FICs.Both groups continued for 2 months.Comparing the two groups,cardiopulmonary function,exercise endurance,daily living capacity,quality of life,and adverse cardiovascular events.Results After intervention,the right ventricular end-diastolic diameter(RVEDD)[(26.38±6.07)mm],right ventricular anterior wall thickness(RVAWT)[(4.22±0.56)mm],pulmonary artery systolic pressure(PASP)[(37.48±3.57)mmHg]in the study group were lower than those in the control group[(29.26±4.49)mm,(5.89±0.47)mm,(42.36±3.49)mmHg],and the forced expiratory volume in 1 second(FEV1)[(3.01±0.46)L],forced vital capacity(FVC)[(3.35±0.29)L],FEV1/FVC[(70.28±7.05)],exercise duration(ED)[(391.29±55.36)s],peak oxygen uptake(VO2peak)[(20.21±4.36)ml·kg-1·min-1],anaerobic threshold(AT)[(13.09±1.22)ml·kg-1·min-1],6 min walking test(6MWT)[(375.19±40.26)m]in the study group were higher than those in the control group[(2.56±0.23)L,(2.49±0.26)L,(65.46±7.39),(357.54±55.72)s,(17.64±4.13)ml·kg-1·min-1,(11.24±1.36)ml·kg-1·min-1,(345.57±40.31)m](P<0.05).After intervention,the scores of activities of daily living(ADL)and Kansas City Cardiomyopathy Quality of Life Questionnaire(KCCQ)in the study group were(72.19±6.25)and(74.08±5.11)higher than those in the control group[(67.31±6.04)and(65.29±5.03)](P<0.05),and the incidence of adverse cardiovascular events in the study group was lower than that in the control group(3.70%vs.16.67%)(P<0.05).Conclusion The individualized cardiac rehabilitation intervention program based on WHO-FICs can improve the cardiopulmonary function,exercise endurance and daily living ability of patients,improve the quality of life of patients and reduce the occurrence of adverse cardiovascular events.
Keywords：Coronary heart diseaseHeart failureCardiopulmonary functionExercise enduranceCardiac rehabilitation
Publication Date：2024-03-10
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：6( 273-278 )