心脏病发作或接受心脏手术的患者在恢复过程中常被敦促要站起来,一旦病情稳定就要马上开始锻炼,但患者与医生一直对心力衰竭患者参与激烈活动是否安全均持怀疑态度。加州帕洛阿托斯坦福(Stanford)心脏康复计划的副主任南希·休斯顿·米勒(Nancy Houston Miller)说:“HF-Action实验中的安全性是非常显著的。”她也是HF-Action研究的调研者之一。
Mr. Cloutier, a 77-year-old retiree who says heart problems run in his family, has been in a cardiac-rehab program off and on since he suffered a heart attack in 1985 at age 48. Lately he has been paying about $100 every three months for exercise sessions but now it is possible he will be covered for a course of treatment under Medicare.
今年77岁的克卢捷是一名退休人员,他说他的家族有心脏病史。自从在1985年48岁心脏病发作以来,他断断续续参加过心脏康复计划。不久之前他每三个月为锻炼计划支付约100美元,现在他的疗程费用有可能在“医疗保险计划”下得到报销。
Mr. Cloutier had quadruple bypass surgery in 2000. He also had a defibrillator implanted in 2003 and a pacemaker put in three years ago. Since then, he has avoided being admitted to the hospital, an accomplishment he and Dr. Ades attribute to his regular physical activity. Until recently, Mr. Cloutier, a nonsmoker, organized regular 20-to-40-mile bicycle trips in the Vermont countryside. Last year, though, his heart-failure symptoms caught up with him and he said he was able to ride only 3 miles. He's hoping to get that to 5 to 10 miles weekly this summer. And he keeps up his rehab regimen, currently 20-minute treadmill sessions at 3 miles an hour and using a weight machine two to three times a week. On other days, he goes on 1 mile walks.
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