期刊名称：Annals of Agricultural and Environmental Medicine
印刷版ISSN：1232-1966
电子版ISSN：1898-2263
出版年度：2015
卷号：22
期号：2
页码：390-395
DOI：10.5604/12321966.1152100
出版社：Institute of Agricultural Medicine in Lublin
摘要：Cardiac Syndrome X (CSX) was considered a stable coronary syndrome, yet due to its nature, CSX symptoms often havea great impact on patients’ Quality of Life (QoL). According to ESC 2013 stable coronary artery disease criteria, CSX wasreplaced by Microvascular Angina (MA).Unfortunately, most CSX or MA patients, after classical angina (involving maincoronary vessels) has been ruled out, often do not receive proper treatment. Indications for pharmacological treatment ofMA patients were introduced only recently. Another problematic issue is that scientists describing the pathophysiology ofboth CSX and MA stress a lack of a deeper insight into the multifactorial etiology of the source of pain associated with thisdisease. In the presented article we have attempted to study the influence of cardiac rehabilitation (3 months programme)on the QoL of patients recognized as suffering from MA, as well as to check if changes in myocardial perfusion in thesepatients at baseline and after completion of cardiac rehabilitation match changes in their QoL. Therefore, after screening436 women for MA, we studied 55 of them who were confirmed as having MA and who agreed to participate in the study.Exercise tests, Myocardial Perfusion Imaging, and QoL questionnaires were studied at baseline and after completing 3 monthsperiod of cardiac rehabilitation. Results were subsequently compared, which showed a link between improved perfusionscore in SPECT study and improved overall physical capacity, on one hand, and improved QoL score on the other. Theseresults confirm that cardiac rehabilitation is a very useful treatment option for MA patients. It seems that training duringcardiac rehabilitation is a very important factor (improved physical efficiency –> increase in self-belief), and that takinginto consideration the multifactor pathophysiology of pain, it is connected with a better quality of life for MA patients
关键词：cardiac syndrome X; microvascular angina; quality of life; single photon emission computed; tomography; cardiac rehabilitation
