Quality of Life QOL HRQL Circulation Journal Vol. 71, Suppl. IV, 2007 1
HRQL ASO ASO ASO ASO 2 Circulation Journal Vol. 71, Suppl. IV, 2007
evidence based medicine a a b A B C,, A Quality of LifeQOL HDL Circulation Journal Vol. 71, Suppl. IV, 2007 3
B CRP C 1 A A A A A A A A A B B A B B B B B CRP B B B B B A HDL A A A B B B A ACAD ACAD AB CAD 4 Circulation Journal Vol. 71, Suppl. IV, 2007
A QOL QOLQOLHealthrelated QOLHRQL CRP HRQL Sickness Impact Profile SIPMacMaster Health Index Questionnaire Nottingham Health ProfileSF- Minnesota Living with Heart FailureMLHF QOL Marianna Heart Failure QuestionnaireMHQ HRQL QOL HRQL HRQL Circulation Journal Vol. 71, Suppl. IV, 2007 5
A B C A A B B A LDLHDL A A 1 6 Circulation Journal Vol. 71, Suppl. IV, 2007
BNP pg/ml Circulation Journal Vol. 71, Suppl. IV, 2007 7
A 1 45 55 2 45 552 3 45 552 B A 1 2 3 4EF30 5C 1NYHA12 26 3 46 5 6 7 ACLS BLS 6-12 C 1 2 3 4EF30 5 1NYHA34 266 3 4 12 D 1 2 3 4 5 6 8 Circulation Journal Vol. 71, Suppl. IV, 2007
2 3 ab cd ef g QOL A A B B a B B B Peak VO2 Karvonen 1 k Borg 1 20 40 0.3 0.4 1012 510 13 35 40 60 0.4 0.6 1213 1530 12 35 60 70 0.6 0.7 13 2060 12 35 1 1 1RM Borg 1 20 30 10 11 815 13 23 40 60 11 13 815 13 23 80 13 16 815 1 23 Circulation Journal Vol. 71, Suppl. IV, 2007 9
C QOLQuality of Life pleiotropic effect HDL Lpa a C ST C ST C 4 phase 5 Killip I CK, U/L 6 10 Circulation Journal Vol. 71, Suppl. IV, 2007
200m 2 65 65 Secondary prevention Phase Phase Phase ICU/CCU PCI 1 2 3 4 5 6 7 891011121314 200m 200 m 1 3 500m 1600Kcal 1600Kcal 6g 6g Circulation Journal Vol. 71, Suppl. IV, 2007 11
1 2 120/ 40/ 3 4 1mm ST ST 5 20mmHg 2 A AT aa a B ADLactive daily life Karvonen.. 7 AT RMrepetition maximum Scale % 20 100 19 very very hard 95 18 17 very hard 85 16 15 hard 70 14 13 fairy hard 55AT 12 11 light 40 10 9 very light 20 8 7 very very light 5 6 12 Circulation Journal Vol. 71, Suppl. IV, 2007
, QOL A A a QOL B B a C 8 m g/dl AT Karvonen k.. ROM Sternal support harness a B Circulation Journal Vol. 71, Suppl. IV, 2007 13
B PCI B a PCI B B PCI PTCA PCI a B 9 ICD 80 ST 4070AT Karvonen 220 0.40.6 Borg 1315 1 2 3 1 1 2 ICU 2 3 4 3 4 7 30m 3 4 6 8 100m 4 5 7 14 5 6 9 16 AT 6 7 14 21 14 Circulation Journal Vol. 71, Suppl. IV, 2007
A a ICD QOL C Lown R on T B a QOL B C ICD CRTD QOL C QOL 10 LVEF NYHA ICD CRT-D QOL 1 2 a c dbnp 3 a b c enos 4 a bco 2 ctnf CRP 5QOLQOL 6 Circulation Journal Vol. 71, Suppl. IV, 2007 15
NYHA euvolemic 11 NYHA EF ICD, QOL 11 22METs 3 4 5 6 7 8 2 1NYHA 212kg 3 4 5 6 7 1 2 3LVAS 4ICD 16 Circulation Journal Vol. 71, Suppl. IV, 2007
12 BNP BNP pg/ml Borg kg /BNP pg/ml 50 80m/ 510 1020W 510 1 HR30 / HR 20/HR apeak VO 2 40 60ATHR bhr reserve30 50HR 5070 Karvonen HR HR k HRNYHAk0.4 0.5NYHA k 0.3 0.4 crpeborg 1113 1 5 10 121306012030 12 35 3 5 2 3 1 BNP Circulation Journal Vol. 71, Suppl. IV, 2007 17
disease management program Multidisciplinary intervention QOL LVEF BNP pg/ml a C a B QOL 18 Circulation Journal Vol. 71, Suppl. IV, 2007
quality of life RastelliMustardSenningFontan Glenn Blalock- Taussig AT A QOL A QOL A a A Circulation Journal Vol. 71, Suppl. IV, 2007 19
HDL QOL a C QOLquality of life C 13 ADLactivity of daily life ADL ICU mm/.. Mets mmm SBP SBP SBP 160mmHg 140mmHg 140mmHg 1 7 3 2 14 3 3 14 5 4 5 6 7 21 10 SBP 20 Circulation Journal Vol. 71, Suppl. IV, 2007
SPO mmhg mmhg mmhgmmhg QOLquality of life ADL mmhg mmhgmmhg ABPI B MR MRACTD CT B A A A ASO C ASO A ASO ankle pressure ankle-brachial pressure indexabpi.. ASOArteriosclerosis obliterans ASO Quality of life QOL Circulation Journal Vol. 71, Suppl. IV, 2007 21
14 aqol SF QOL QOL 2 b c daso 3 m/.km/ new Borg scale /.km/.km/ // / PAD / SF-36 WIQ LPa SF-36 36 WIQ PVRpulse volume recording VWF MRA PVR VWF Duplex scanning MRA p126,2000 22 Circulation Journal Vol. 71, Suppl. IV, 2007
ABPI 12 2.4km ABPI Quality of lifeqolmedical outcome study SF- SF QOL WIQ a QOL B CABG B 15 CBTcognitive behavioral therapy Circulation Journal Vol. 71, Suppl. IV, 2007 23
MAS 15 STAI 15 SDS 5-10 BDI- 5-10 CES-D 3-10 HDRS 5-10 HADS Hospital Anxiety and Depression Scale 5-10 HO scale Cook & Medley hostility scale 15-20 BDHI Buss-Durkee Hostility Inventory 20-25 BAQ Buss-Perry Aggression Questionnaire 10-15 STAXI State-Trait Anger Expression Inventory 10-15 STAXI-2 State-Trait Anger Expression Inventory-2 10-15 POMS Profile of Mood States 15-20 POMS Profile of Mood States Brief-Form 10 QOL SF-36 MOS 36-item short form health survey 5-10 WHO/QOL-26 WHO/ Quality of Life -26 10-15 GHQ General Health Questionnaire 5-15 WHO SUBI WHO Subjective Well-Being Inventory 10-15 SSRISNRI 4, 24 Circulation Journal Vol. 71, Suppl. IV, 2007
25 Circulation Journal Vol. 71, Suppl. IV, 2007 A C A AED A Borg B a C DVD PC AV B C
NPO NPO 16 17 1998 63 3335 1992 4 480 1996 8 3 6 2004 16 2006 18 2007 19 26 Circulation Journal Vol. 71, Suppl. IV, 2007
1 20 1 20 250 210 100 85 180 140 180 150 80 65 150 120 180 150 80 65 90 80 ASO 250 210 100 85 150 120 a B CUACEA B CEA, / / CUA QALY 18 a B b B /,/ 24 0.65 0.78 0.001 0.590.710.750.81 0.65 0.67 0.610.700.620.72 EQ-D Circulation Journal Vol. 71, Suppl. IV, 2007 27
19 n=96 n=156 3 53.1 34.8 3 10.4 7.1 3 1 19.9 31 0.001** 16.7 27.1 *P<.**P<. 28 Circulation Journal Vol. 71, Suppl. IV, 2007