循環器ジャーナル67巻2号

2019年04月発行

特集 心疾患治療としての心臓リハビリテーション Ⅲ．各種疾患の心臓リハビリテーション

肺高血圧症患者に対する心肺運動負荷試験とリハビリテーション

著者： 西﨑真里¹ 松原広己²³

所属機関： ¹独立行政法人国立病院機構岡山医療センターリハビリテーション科 ²独立行政法人国立病院機構岡山医療センター臨床研究部 ³独立行政法人国立病院機構岡山医療センター循環器内科

ページ範囲：P.284 - P.291

Point
・心肺運動負荷試験は，運動中の呼吸・循環・代謝動態を評価できる有用な検査であり，肺高血圧症に特徴的な所見としては，最高酸素摂取量や嫌気性代謝閾値の低下，分時換気量（VE）/二酸化炭素排出量（VCO₂）ratioやVE vs. VCO₂ slopeの上昇，呼気終末二酸化炭素分圧の低下などがある．
・リハビリテーションは，運動耐容能やQOLの向上を目指した運動療法を主体とした包括的プログラムである．

参考文献

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