Mead W F, Pyfer H R, Thrombold J C, Frederick R C
Circulation. 1976 Jan;53(1):187-9. doi: 10.1161/01.cir.53.1.187.
Two men with coronary heart disease experienced cardiac arrests during a recent exercise rehabilitation session. Fifteen cases of ventricular fibrillation have occurred in this program since 1968, making an average of one per six-thousand man hours of supervised exercise training. All were successfully resuscitated with no sequelae. Analysis of the patients who experience ventricular fibrillation suggests that treating patients with exercise-induced premature ventricular contractions with anti-arrhythmic drugs, proper attention to serum potassium levels, strict adherence to training pulse rates, and proper warm-up might help to prevent future similar events in an exercise program. Due to the unpredictability of ventricular fibrillation it seems preferable that individuals who have known coronary heart disease participate in exercise training under proper supervision with appropriate emergency equipment available.
两名冠心病患者在最近一次运动康复课程中发生心脏骤停。自1968年以来，该项目已发生15例室颤，平均每6000人时的监督运动训练中出现1例。所有患者均成功复苏且无后遗症。对发生室颤的患者进行分析表明，用抗心律失常药物治疗运动诱发的室性早搏患者、适当关注血清钾水平、严格遵守训练脉搏率以及适当热身，可能有助于预防运动项目中未来发生类似事件。由于室颤的不可预测性，已知患有冠心病的个体在适当监督下并配备适当急救设备的情况下参与运动训练似乎更为可取。
