Schmied Christian M
1 Universitäres Herzzentrum Zürich, Klinik für Kardiologie, Universitätsspital Zürich.
Praxis (Bern 1994). 2018 Aug;107(17-18):959-964. doi: 10.1024/1661-8157/a003066.
Exercise and Sports in the Therapy of Chronic Diseases - Coronary Heart Disease Abstract. Despite increasingly advanced diagnostic and therapeutic methods, coronary heart disease and myocardial infarction continue to be by far the leading cause of death worldwide. This makes it all the more important in this context to make full use of known but far from optimally used therapeutic measures. Adequate physical activity in everyday life and additional targeted training lead to an evidence-based improvement in quality of life, a reduction in morbidity and above all to a significant reduction in cardiac and overall mortality. However, an accurate risk assessment of the individual patient with consistent training recommendations and monitoring is crucial in medical training advice. Today's sports recommendations for coronary heart disease have become much more liberal than before and allow patients with a relatively low risk of sudden cardiac death to do virtually any kind of exercise. This progressive posture, according to optimal risk assessment, is important, as newer data also show a dose-dependent increase in the preventive effect in coronary heart disesase patients with an increase in the extent of weekly training.
慢性病治疗中的运动与体育——冠心病 摘要。尽管诊断和治疗方法日益先进，但冠心病和心肌梗死仍是目前全球范围内的首要死因。在此背景下，充分利用已知但尚未得到最佳利用的治疗措施就显得尤为重要。日常生活中适当的体育活动以及额外的针对性训练可显著改善生活质量、降低发病率，最重要的是可大幅降低心脏和全因死亡率。然而，在提供医学训练建议时，对个体患者进行准确的风险评估并给出一致的训练建议及监测至关重要。如今针对冠心病的运动建议比以往更为宽松，允许心脏性猝死风险相对较低的患者几乎进行任何类型的运动。根据最佳风险评估，这种渐进的态度很重要，因为新数据也表明，冠心病患者每周训练量增加，预防效果呈剂量依赖性增加。
