【摘要】 心脏康复作为老年心血管疾病非药物干预的核心手段，对改善心肺运动功能、降低再住院率具有显著价值。然而，老年患者常合并慢性心功能不全等复杂情况，传统康复模式面临患者依从性差、监护不足等挑战。可穿戴设备凭借其适老性设计、实时监测与远程交互能力，为老年人心脏康复提供了创新性解决方案。本文系统阐述可穿戴设备在运动处方调整、心肺运动功能及生活改善、安全预警监测三大领域的应用进展，结合国内外临床研究证据，探讨其在老年心脏康复中的实用价值与未来方向。更多还原

【Abstract】 Cardiac rehabilitation serves as a cornerstone of non-pharmacological intervention for cardiovascular diseases in the elderly, demonstrating significant value in improving cardiopulmonary exercise capacity and reducing rehospitalization rates. However, elderly patients often present with complex conditions such as chronic heart insufficiency, and traditional rehabilitation models face challenges including poor adherence and insufficient monitoring. Wearable devices, leveraging age-friendly design, real-time physiological monitoring, and remote interaction capabilities, have emerged as innovative solutions for geriatric cardiac rehabilitation. This article systematically reviews advancements in wearable device applications across three domains: exercise prescription adjustment, cardiopulmonary exercise capacity and quality-of-life improvement, and real-time safety alert monitoring. Drawing on domestic and international clinical evidence, it explores the practical value and future directions of wearable devices in geriatric cardiac rehabilitation, providing references for clinical implementation and practice.更多还原