The lack of physical activity Yizhi coronary heart disease
First Affiliated Hospital of Sun Yat-sen University Professor Ma Hong heart medicine, according to clinical manifestations of coronary heart disease is divided into silent myocardial ischemia, angina, myocardial infarction, ischemic cardiomyopathy and sudden death of five types, the disease risk factors Include: smoking (including active smoking and passive smoking), high blood pressure, lipid disorders, diabetes, obesity, lack of physical activity. "One, the lack of physical activity is an independent risk factors, risk factors for this change is everyone is within our power, and with very little, so patients with coronary heart disease safe and effective implementation of physical exercise in preventing coronary heart disease is very important." Ma Hong Said.
Ma Hong, the study shows that participation in physical exercise at the core of cardiac rehabilitation, can make the recurrence of myocardial infarction in patients with myocardial infarction and cardiovascular death risk by 25 percent, that role could be "comparable" A lot of preventive drugs. "And physical exercise also helps control blood pressure, lower blood sugar, reduce 'bad' cholesterol, increase 'good' cholesterol, weight control. In addition, physical exercise also contribute to the regulation of emotional control, to participate in physical exercise The patients with coronary heart disease, depression and anxiety will be reduced, to improve the quality of life of patients with very meaningful. "
Improper campaign-induced myocardial infarction
However, Ma Hong said the movement is also not the panacea for the treatment of coronary heart disease, it is a "double-edged sword," can "Qulibihai" depends largely on the patient's own custody.
"Campaign inadvertently lead to myocardial infarction, myocardial infarction and the causes of the coronary plaque rupture." First Affiliated Hospital of Sun Yat-sen University Rehabilitation Branch Dr. Liang Qi, the campaign leading to improper operation of the treatment of myocardial infarction performance for the movement or movements After sustained severe chest pain, Lin Li with sweat, nausea and vomiting, dizziness, looking pale and so on, the electrocardiogram, myocardial enzyme examination can be diagnosed. In addition, exercise-induced myocardial infarction is a serious cardiovascular complications, each 100 myocardial infarction patients about four to five for the exercise-induced. These exercise-induced myocardial infarction another view of the usual lack of physical activity.
Experts pointed out that the movement of patients with coronary heart disease is sudden death could lead to improper movement of cardiovascular harm in the most serious one, although the incidence rate is very low, but after the 30-year-old campaign by almost all of sudden death due to coronary heart disease. "Movement of the sudden death of such complications occur in most of those with known coronary heart disease but not very good control and in the absence of doctors under the guidance of movement of people and usually less campaign has just begun to participate in sports on the crowd." Liang Qi said.
Experts pointed out that the training process of patients with coronary heart disease may also face the sudden appearance of cardiovascular accident, "under normal circumstances, exercise and blood pressure increase with the increased amount of exercise, if found in patients with no blood pressure or anti-down, often prompted serious heart disease, This crowd is in the diagnosis and treatment prior to the absolute prohibition of movement. "She said, there will be movement of blood pressure dropped significantly in patients with the symptoms, such as the movement of dizziness, looking pale, nausea, chest tightness and malaise, patients generally can not persist Campaign.
Campaign improperly induced many non-lethal, non-ischemic myocardial infarction
"Campaign of death and myocardial infarction are exercise-induced myocardial ischemia in serious cases, relatively rare, but the exercise-induced non-lethal, non-ischemic myocardial infarction in a relatively common." Leung Kawasaki introduced. In fact, when patients with coronary heart disease due to heart the need to break the low level of aerobic blood, myocardial coronary blood supply was able to meet the needs at this time do not show ischemia, and once the exercise and aerobic heart blood to be increased, the disease Coronary artery can not be a corresponding expansion will transport oxygen to the heart, show myocardial ischemia. "When human myocardial ischemia appears, some people will consciously chest pain or chest tightness, chest pressure, obstructive flu, neck discomfort, Yaguan, such as the bear varying degrees of discomfort, with the increase in physical activity increased after the termination of movement gradually eased , The general duration of less than 15 minutes, symptoms such as angina, and in fact rare 'colic',多见above does not apply. "Liang Qi told reporters that once patients with coronary heart disease in a campaign over Does not apply, it would mean that heart patients to sound the alarm, drew attention to heart disease changed.
She reminded, there are still some patients, even improper campaign leading to myocardial ischemia has occurred or may not have any feeling that this situation more dangerous. Experts said that such a situation as myocardial ischemia must be approved by the special inspection can be detected, so the patient's own easy to know whether there are silent myocardial ischemia is very important.
Liang Qi pointed out that the campaign can also induce a variety of arrhythmia. "Healthy adults in the exercise, heart rate gradually increasing rapidly, to the appropriate level of stabilized, and stop after exercise heart rate also faster to restore pre-exercise levels, may have several extra period, especially when large amount of exercise, or Comparing state of fierce competition, whether or premature ventricular contractions of the extra room, are all normal circumstances, do not need to worry about, but patients with coronary heart disease due to arrhythmia was more than the crowd, if the campaign itself felt very fast heartbeat And stop movement is not restored, accompanied by palpitations, chest tightness, dizziness, and so there, there may be sick of arrhythmia, at this time, should go to the hospital to doctors advice. "Liang Qi said.
ECG is the movement of patients with coronary heart disease, "Hu Hangjian"
"To avoid the possible movement of the risk of coronary heart disease patients participating in the campaign, before consulting a doctor, was supervised by medical practitioners, can participate in the campaign." Ma Hong introduced. And Liang Qi said that the judgement of a coronary heart disease patients can participate in physical exercise, must meet the following conditions: the secondary risk of cardiac events very small, no or only mild myocardial ischemia, patients can be tolerated; Restoration campaign will not have a negative impact on other areas.
Liang Qi, in order to understand patients with secondary cardiac events and the risk of myocardial ischemia in patients with movement and tolerance, all patients with coronary heart disease in participating in physical exercise must be carried out before the exercise test pilot assessment. By the doctor according to the assessment results of the pilot assessment of the risk of participation in sports level, the specific scope of the safety campaign. "Campaign electrocardiogram test patients with coronary heart disease is the safety campaign, 'Hu Hangjian'. According to doctors to patients with a history, exercise test results for the assessment of patients develop specific exercise prescription, including: frequency, intensity and movement of time and type of movement . In accordance with the implementation of the campaign will exercise prescription is safe and effective. "Liang Qi pointed out that, in addition, patients themselves should also exercise self-control monitoring of some of the basic measures: Institute of their heart rate; learn to identify signs of danger; Institute under the environment and Self-regulating status of movement.
Following is the movement of patients with coronary heart disease the attention of some basic issues:
1. To avoid bad weather when training in the winter before noon or afternoon training, summer in the early morning or evening training, 2. Walk, to avoid the wind, from top to bottom level and the outbreak of force, 3. To avoid excessive force upper limb, especially of weightlifting 4. To avoid emotional, tension and anger. The above situation, to stop movement, and learn to relax, 5. When fatigue, chest pain, dizziness, shortness of breath, and so on, regardless of what is being done, should stop immediately closed down 6. Doctors must not exceed the target rate provisions 7. Uphold the medication as directed. Do not change doctors provisions of the drug and if so acute in some, such as colds, diarrhea, etc., have to stop training.
