基于运动的心脏康复视角下急性心肌梗死管理：全球现状、多模式干预与个性化策略

doi:10.12114/j.issn.1007-9572.2025.0028

中国全科医学 ›› 2025, Vol. 28 ›› Issue (36): 4627-4639.DOI: 10.12114/j.issn.1007-9572.2025.0028

所属专题：心肌梗死最新文章合辑

基于运动的心脏康复视角下急性心肌梗死管理：全球现状、多模式干预与个性化策略

岑开源¹^,², FATIMAH Ahmedy²^,³^,^*(), 陈红⁴, 邵明晨⁵, MEXMOLLEN Marcus², MOHD Fadzli Shukor²

1．543000　广西壮族自治区梧州市，广西壮族自治区桂东人民医院心血管内科
2．88400　马来西亚沙巴，马来西亚沙巴大学医学与健康科学学院
3．88400　马来西亚沙巴，马来西亚沙巴大学康复科学研究中心
4．3050005　日本筑波，筑波大学医学研究所
5．119991　俄罗斯莫斯科，谢切诺夫国立第一医科大学心血管外科医院

收稿日期:2025-03-31 修回日期:2025-06-22 出版日期:2025-12-20 发布日期:2025-12-04
通讯作者: FATIMAH Ahmedy
作者贡献：
岑开源负责研究资料的收集与整理、论文撰写和构思与设计；邵明晨负责论文整理；陈红、Mexmollen Marcus、Mohd Fadzli Shukor负责提供文章修订建议；岑开源和Fatimah Ahmedy负责文章思路，构思，最终版本修订，对论文负责。

Exercise-based Cardiac Rehabilitation in Acute Myocardial Infarction Management: Global Perspectives, Multimodal Interventions, and Personalized Strategies

CEN Kaiyuan¹^,², FATIMAH Ahmedy²^,³^,^*(), CHEN Hong⁴, SHAO Mingchen⁵, MEXMOLLEN Marcus², MOHD Fadzli Shukor²

1. Cardiovascular Department, Guidong People′s Hospital of Guangxi Zhuang Autonomous, Wuzhou 543000, China
2. Faculty of Medicine and Health Sciences, University Malaysia Sabah, UMS, Kota Kinabalu, Sabah 88400, Malaysia
3. Sabah Rehabilitation Research and Service Group, Universiti Malaysia Sabah, UMS, Kota Kinabalu, Sabah 88400, Malaysia
4. Institute of Medicine, University of Tsukuba, Tsukuba 3050005, Japan
5. Department of Cardiovascular Surgery, I.M. Sechenov First Moscow State Medical University, Moscow 119991, Russia

Received:2025-03-31 Revised:2025-06-22 Published:2025-12-20 Online:2025-12-04
Contact: FATIMAH Ahmedy

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摘要/Abstract

摘要： 急性心肌梗死（AMI）作为全球心血管疾病致死致残的首要病因之一，其术后长期管理策略的优化已成为医学界关注的焦点问题。基于运动的心脏康复（EBCR）作为循证医学推荐的核心干预方案，通过整合多元化运动模式与个性化管理策略，在提升心肺功能、缓解心理应激以及改善生活质量等方面展现出显著疗效。随着精准医疗、智能技术及心理社会干预的深度融合，EBCR在资源受限地区的推广实施迎来新的发展契机。然而，EBCR的全球普及仍面临多重障碍，尤其在医疗资源匮乏区域，受限于服务可及性、经济负担及患者依从性等因素，其应用范围受到显著制约。本研究全面梳理了EBCR的全球实施概况、地域性差异特征以及多维度干预与个性化策略，并就智能化技术应用、政策保障体系构建及跨学科协同创新等发展路径进行深入探讨，旨在为AMI康复管理提供更具针对性的理论支撑与实践指导。

关键词: 急性心肌梗死, 基于运动的心脏康复, 多模式干预, 个体化管理, 精准医学, 智能技术, 心理社会干预, 依从性, 全球推广

Abstract:

Acute myocardial infarction (AMI) remains one of the leading causes of mortality and disability worldwide, making the optimization of long-term post-procedural management a key focus in cardiovascular medicine. Exercise-based cardiac rehabilitation (EBCR) , as a core intervention recommended by evidence-based medicine, has demonstrated significant benefits in enhancing cardiopulmonary function, alleviating psychological stress, and improving overall quality of life by integrating diverse exercise modalities with personalized management strategies. The rapid advancement of precision medicine, smart technologies, and psychosocial interventions has provided new opportunities for the expansion of EBCR, particularly in resource-limited settings. However, the global implementation of EBCR still faces substantial challenges, including limited healthcare accessibility, economic constraints, and poor patient adherence, especially in regions with insufficient medical resources. This study systematically reviews the global landscape of EBCR implementation, regional disparities, and the efficacy of multidimensional interventions and personalized approaches. Furthermore, it explores future directions in the integration of intelligent technologies, policy frameworks, and interdisciplinary collaborations, aiming to provide targeted theoretical insights and practical guidance for optimizing AMI rehabilitation management.

Key words: Acute myocardial infarction, Exercise-based cardiac rehabilitation, Multimodal intervention, Personalized management, Precision medicine, Smart technology, Psychosocial intervention, Adherence, Global implementation

中图分类号:

R 542.22

岑开源,FATIMAH Ahmedy,陈红,等. 基于运动的心脏康复视角下急性心肌梗死管理：全球现状、多模式干预与个性化策略[J]. 中国全科医学, 2025, 28(36): 4627-4639. DOI: 10.12114/j.issn.1007-9572.2025.0028.
CEN Kaiyuan,FATIMAH Ahmedy,CHEN Hong, et al. Exercise-based Cardiac Rehabilitation in Acute Myocardial Infarction Management: Global Perspectives, Multimodal Interventions, and Personalized Strategies[J]. Chinese General Practice, 2025, 28(36): 4627-4639. DOI: 10.12114/j.issn.1007-9572.2025.0028.

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基于运动的心脏康复视角下急性心肌梗死管理：全球现状、多模式干预与个性化策略

Exercise-based Cardiac Rehabilitation in Acute Myocardial Infarction Management: Global Perspectives, Multimodal Interventions, and Personalized Strategies

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