ABSTRACT
Objective:To explore the effect of Tai Ji Quan in the progress of rehabilitation training for elderly patients with heart failure after myocardial infarction. Methods:From January, 2017 to June, 2019, a total of 200 elderly patients with heart failure after myocardial infarction were divided into control group (n = 100) and experimental group (n = 100). The control group received routine medicine, and the experimental group received Tai Ji Quan exercise in addition. After 24-week treatment, their cardiac functional grading, plasma levels of brain natriuretic peptide (BNP) and aldosterone (ALD), six minutes walking distance (6MWD), left ventricular ejection fractions (LVEF), quality of life, and readmission rate and mortality rate were compared. Results:After treatment, the cardiac function was better in the experimental group than in the control group (χ2 > 5.143, P < 0.05); the plasma levels of BNP and ALD, 6MWD, LVEF and quality of life significantly improved (|t| > 9.883, P < 0.001), and were better in the experimental group than in the control group (|t| > 4.023, P < 0.001). The readmission rate and mortality rate were lower in the experimental group than in the control group, but no significant difference was found (P > 0.05). Conclusion:Tai Ji Quan exercise could improve the cardiac function, exercise tolerance and quality of life of the elderly patients with heart failure after myocardial infarction.
ABSTRACT
Objective: To evaluate the safety and effectiveness of transcatheter closure of secundum atrial septal defects (ASD) in patients aged over 40 years old. Methods: A total of 115 patients with secundum ASD, aged 40 or over, who were treated by transcatheter closure in our hospital from Oct. 1998 to Jul. 2005 were enrolled in this study, including 106 with single ASD, eight with multiple ASD and one with complicated patent foramen ovale. All the 115 patients received ASD closure with the AGA Amplatzer device or ASD occluder made in China. The patients received electrocardiogram (ECG), X-ray and transthoracic echocardiography (TEE) before and three days after operation. Follow-up were done 6 months and 3 years after operation. Results: The transcatheter procedure was successfully done in 114 (99.13%) of the 115 patients. The one failed case was transferred to the thoracic surgery department for ASD repair. The complication rate was (3.5%). Classification of heart function (NYHA) improved from 2.11±0.78 to 1.34±0.56 after operation (P<0.001). ECG showed that the right bundle branch block (RBBB) disappeared or improved (complete RBBB to incomplete RBBB). X-ray showed a decrease of cordis/ thorax ratio (CTR). TTE displayed that the right venticle (RV) volume was significantly decreased (P<0.001) and ejection fraction was significantly increased (P<0.001). There were three cases of transseptal residual leakage. Conclusion: Transcatheter Closure of secundum ASD in patients aged over 40 is safe and effective when indications are strictly followed.