کد مقاله کد نشریه سال انتشار مقاله انگلیسی ترجمه فارسی نسخه تمام متن
2650386 1139380 2015 6 صفحه PDF ندارد دانلود رایگان
عنوان انگلیسی مقاله
Impacts of cardiac rehabilitation on ventricular repolarization indexes and ventricular arrhythmias in patients affected by coronary artery disease and type 2 diabetes
ترجمه فارسی عنوان
اثرات توانبخشی قلب بر شاخص های دفع انسداد بطنی و آریتمی های بطنی در بیماران مبتلا به بیماری های عروق کرونر و دیابت نوع 2
کلمات کلیدی
توانبخشی قلب؛ رپولاریزاسیون بطن؛ آریتمی های بطنی؛ دیابت نوع 2؛ کلاس لون
Cardiac rehabilitation; Ventricular repolarization; Ventricular arrhythmias; Diabetes type 2; Lown classes
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی کاردیولوژی و پزشکی قلب و عروق
چکیده انگلیسی

BackgroundThe benefits of cardiac rehabilitation in diabetic patients are well recognized. We aimed to assess its impact on ventricular repolarization indexes and the occurrence of ventricular arrhythmias in patients with coronary artery disease (CAD) and diabetes type 2.MethodsFrom January 2012 to August 2013, 122 consecutive patients [diabetics (n = 59) and non diabetics (n = 63)] were prospectively enrolled in an out-patient rehabilitation program. Clinical examination, 12-lead ECG, 24-Holter ECGs and maximal exercise testing were performed at the beginning and end of the rehabilitation program in all patients.ResultsDiabetic patients showed significant decreases of repolarization indexes: QTc (−6.4%; p = 0.006), QTc disp (−22.6%; p = 0.050) and JTc (−9.4%; p = 0.003). At the end of the rehabilitation program diabetic patients showed a higher decrease in ventricular arrhythmias according to Lown classes' grading in comparison to non diabetics (−1.05 ± 0.84 vs −0.74 ± 0.91; p = 0.048). Insulin therapy was associated with a lower decrease in Lown classes compared to oral anti-diabetics (−0.95 ± 0.80 vs −1.61 ± 0.84; p < 0.001).ConclusionCardiac rehabilitation provided an improvement in the majority of ventricular repolarization indexes in patients with diabetes type 2 and CAD, decreasing the frequency of ventricular arrhythmias, particularly in those not treated by insulin.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Heart & Lung: The Journal of Acute and Critical Care - Volume 44, Issue 3, May–June 2015, Pages 199–204
نویسندگان
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