医学
心肌保护
疾病
体力活动
二级预防
重症监护医学
心肺适能
物理疗法
心脏病学
内科学
心肌梗塞
作者
Pedro L. Valenzuela,Luís M. Ruilope,Alejandro Santos‐Lozano,Matthias Wilhelm,Nicolle Kränkel,Carmen Fiuza‐Luces,Alejandro Lucı́a
标识
DOI:10.1093/eurheartj/ehad170
摘要
Abstract There is a pandemic of physical inactivity that appears to parallel the widespread prevalence of cardiovascular disease (CVD). Yet, regular physical activity (PA) and exercise can play an important role not only in primary cardiovascular prevention but also in secondary prevention. This review discusses some of the main cardiovascular effects of PA/exercise and the mechanisms involved, including a healthier metabolic milieu with attenuation of systemic chronic inflammation, as well as adaptations at the vascular (antiatherogenic effects) and heart tissue (myocardial regeneration and cardioprotection) levels. The current evidence for safe implementation of PA and exercise in patients with CVD is also summarized.
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