관상동맥질환자의 운동부하검사 종료기준에 따른 혈역학 반응과 심폐체력 및 운동처방 강도에 미치는 영향
Effects of Exit Criteria of Exercise Stress test for Patients with Coronary Artery Diseases on Hemodynamic Responses, Cardiopulmonary Strength, and Exercise Prescription Intensity.
The purpose of this study is to investigate effects of exit criteria of maximal exercise stress test for patients with coronary artery diseases on hemodynamic responses, cardiopulmonary strength, and exercise prescription intensity. The subjects of this study were those who reached the maximum heart rate expected as 220-age (group A, n=65) and those who were stopped because of dyspnea (group B, n=65) during exercise stress test for patients with coronary artery diseases. The results of this study showed that the RHR and the MHR were significantly higher in group A than group B (p=.006, p=.000). No significant difference was found in the RSBP and the RDBP between the two groups. The MSBP was significantly higher in group A than group B(p=.029), while the MDBP showed no significant difference between the two. The MRPP was significantly higher in group A than group B (p=.000). The VO2max and the MMET were significantly higher in group A than group B, respectively (p=.010, p=.008). The MRPE was significantly lower in group A than group B (p=.000), while the MRER was significantly higher in group A than group B (p=.000). Group A was respectively significantly higher than in group B in 50%, 60% 70%, and 85% of the HRR (p=.000). Conclusively, the patients reached the maximum heart rate were shown to be possible of undergoing further test even when they reach the expected maximum heart rate without any heart event while monitoring the maximal RER, and exercise prescription based on expected maximum heart rate for age group for patients with cardiovascular diseases who are not administered of beta-blockers and calcium-channel blockers (non-dihydropyidines) may be too lower in intensity for the patients reached the maximum heart rate but may excess safety limit for those who were stopped because of dyspnea.
목차
I. 서론 1. 연구의 필요성 2. 연구의 목적 II. 연구방법 1. 연구대상 2. 조사도구 및 방법 3. 조사절차 4. 자료처리 III. 결과 1. 혈역학 반응 2. 심폐체력과 회복기 심박수 3. Karnonen 공식에 의한 운동처방 강도 차이 IV. 논의 V. 결론 참고문헌 ABSTRACT
현대사회에 있어서 신체활동 연구의 주요 탐구과제는 ‘신체활동을 통한 교육’으로부터 ‘인간의 기본적인 움직임’을 목표로 하는 스포츠적인 움직임을 중심으로 한 생명 활동의 개념으로 급속히 변화되고 있는 추세이다. 이러한 환경변화에 대응하기 위하여 본학회는 ‘체육’적인 요소에서 ‘스포츠’적인 요소를 중심으로 한 학문적 정체성을 견고히 하고, 정기적인 학술지 발간과 학술활동을 통해 한국스포츠츠 문화의 발전과 학문적인 발전에 기여하는데 그 목적이 있다.