According to the "China Cardiovascular Disease Report 2016", there are about 290 million cardiovascular patients in China, and cardiovascular disease is still the leading cause of death in our country. "To achieve cardiovascular management in prevention and control of cardiovascular diseases, rehabilitation intervention is required once early vascular lesions are discovered." Wang Hongyu, director of the Heart and Vascular Disease Rehabilitation Center of Peking University Medical Rehabilitation Hospital, held the heart of the second Peking University on September 23. At the meeting of the Rehabilitation Medicine for Vascular Diseases, it is said that it is necessary to promote the management of vascular health systems throughout the life cycle to help Chinese people "control" cardiovascular and cerebrovascular diseases and prevent the occurrence and development of cardiovascular events.
It is reported that the conference is hosted by Peking University Medical Department Vascular Disease Community Prevention Center, Peking University Medical Rehabilitation Hospital Cardiac and Vascular Disease Rehabilitation Center, China Medical Education Association Vascular Medicine Professional Committee, China International Vascular Medicine Conference Organizing Committee, Peking University Shougang Hospital, Peking University Medical Center Rehabilitation hospitals undertake.
Conference site
Maintaining health requires the establishment of a “vascular tree†concept
"If the artery is regarded as a big tree in the human body, each organ is the fruit produced on the tree. The flowing blood keeps supplying nutrients to the organs. Once the vascular disease occurs, it will affect the whole body." Wang Hongyu pointed out that Think of vascular health as a whole and establish the concept of a “blood treeâ€.
Wang Hongyu, Chairman of the General Assembly and Director of the Heart and Vascular Disease Rehabilitation Center of Peking University Medical Rehabilitation Hospital
For the management of cardiovascular and cerebrovascular diseases, Wang Hongyu suggested adopting the “prevention-treatment-rehabilitation†trinity diagnosis and treatment strategy, in which the comprehensive evaluation model of vascular health is the core. He said that for people with risk factors of cardiovascular and cerebrovascular diseases and family history, early detection of individual non-invasive blood vessels can be done to establish a personal vascular health record, and regular monitoring, in order to detect signs of disease in time, early measures to prevent Even reverse subclinical and clinical vascular lesions. For people who have already had cardiovascular and cerebrovascular diseases, the vascular health status should be regularly assessed while routinely using drugs, surgery or interventional therapy. "Although the vascular structure of patients with cardiovascular and cerebrovascular diseases has developed lesions, they can still return to society as long as they maintain their vascular function," Wang Hongyu said.
In addition, for people with different cardiovascular diseases, such as stability / unstable angina, acute myocardial infarction, stenting, bypass surgery, heart failure, pacemaker implantation, lower extremity arterial occlusive disease and peripheral In patients with arterial stenting, Wang Hongyu proposed that doctors should practice a rehabilitation program with "vascular function" as the core, and formulate corresponding rehabilitation guidelines according to the patient's individualized condition, and evaluate the rehabilitation effect, "through prevention from prevention to Treatment, and later rehabilitation, for the heart and blood vessel health management of the patient throughout the life cycle."
Exercise rehabilitation helps correct cardiovascular risk factors
"Many people think that the rehabilitation of coronary heart disease is exercise therapy. This understanding is not accurate. Rehabilitation prescription is psychological-biological-social comprehensive medical care to achieve comprehensive cardiovascular disease management." Zhang Wenliang, chief physician of Xiangya Hospital, Central South University Many evidence-based medical evidence has shown that cardiac rehabilitation can reduce cardiovascular mortality by 7% to 38%, and many types of cardiovascular disease patients can benefit from it.
As an important part of cardiac rehabilitation, what are the benefits of exercise for patients with coronary heart disease? In this regard, Zhang Wenliang said that exercise rehabilitation can correct cardiovascular risk factors such as blood lipids, blood pressure, blood sugar, obesity, and reduce secondary events and myocardial infarction. Risks occur, etc. "Strict observation and correct evaluation of patients is the premise to ensure the safety of exercise rehabilitation. It is necessary to carry out risk stratification according to the patient's condition, and to achieve 'in mind' in the treatment, to carry out different monitoring and guidance for patients with different risk classification. In addition, it is necessary to comprehensively use treatment methods such as drugs, psychology, and nutrition, and through long-term follow-up and follow-up, timely adjust the patient's rehabilitation prescription to help patients achieve the goal of cardiac rehabilitation." Zhang Wenliang said.
At the meeting, Xu Shunlin, deputy director of Peking University Third Hospital, Wang Xiangqun, chief physician of Peking University Sixth Hospital, Liu Xiaohui, chief physician of Peking University International Hospital, Liu Yuxin, chief physician of Central South University Xiangya Hospital, and Ge Huan, chief physician of Peking University Medical Rehabilitation Hospital, Beijing Chu Xinmei, the chief physician of Haidian Hospital, gave a speech on different topics of cardiac rehabilitation.
Guo Qi, deputy secretary of the Party Committee of the Basic Medical College of Peking University School of Medicine, Xu Yan, director of the Public Relations Department of Peking University International Hospital, and Wang Chao, vice president of Peking University Medical Rehabilitation Hospital, attended the meeting and delivered speeches.
Source: Xinhuanet
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