心筋梗塞後のリハビリテーションと再発予防

Although cardiac rehabilitation was developed as a management method after acute myocardial infarction, its indication has expanded beyond myocardial infarction to many other conditions such as angina pectoris, after cardiac or macrovascular surgery, chronic heart failure, and peripheral vascular disease. Even in patients with severe left ventricular dysfunction in whom exercise was contraindicated in the past, the beneficial effect of cardiac rehabilitation on survival outcome and event-free survival rate have been proven. By optimal combination with drug therapy, exercise therapy and dietary therapy, cardiac rehabilitation after myocardial infarction should be positioned as an active treatment modality that not only improves exercise tolerance but also stabilizes the unstable plaques through improving coronary artery endothelial function, promotes collateral circulation development by increasing the capillary bed, as well as achieves regression of coronary arteriosclerosis.

四国医学雑誌 : http://www.med.tokushima-u.ac.jp/article/0012780.html