Shephard R J
Laboratoire de Physiologie du Travail (C.N.R.S.), CHU Pitié-Salpétrière, Paris.
Rev Pneumol Clin. 1987;43(4):202-9.
The arguments against participation in marathon races after myocardial infarction are critically discussed. It can be demonstrated that most patients undergoing post-infarction rehabilitation have the physiological characteristics required to complete the necessary training. However, psychological and social considerations reduce the potential candidates to 33-50% of a typical sample, and only 1 or 2% of these would accept the demands of such an intensive training. So far, we are encouraged by the safety of marathon races for patients who are well trained and closely monitored. In addition, the influence of the training programme on smoking, serum lipid levels and heart work seems to be impressive. Participants are much less depressed, and a growing enthusiasm can be perceived in those of their colleagues who have a lesser reserve of cardiac function.
对心肌梗死后参加马拉松比赛的反对观点进行了批判性讨论。可以证明，大多数接受心肌梗死后康复治疗的患者具备完成必要训练所需的生理特征。然而，心理和社会因素使得潜在的候选人减少至典型样本的33% - 50%，而这些人中只有1%或2%会接受如此高强度训练的要求。到目前为止，对于训练有素且受到密切监测的患者而言，马拉松比赛的安全性让我们备受鼓舞。此外，训练计划对吸烟、血脂水平和心脏功能的影响似乎令人印象深刻。参与者的抑郁情绪明显减轻，而且心脏功能储备较低的同事也表现出越来越高的热情。
