Rivière A, Denolin H
Ann Cardiol Angeiol (Paris). 1984 Apr;33(3):145-51.
The cardiologist is faced with the problem of eliminating a subject with heart disease from a sports competition and of prescribing beneficial physical activity to patients with heart disease. The difficulty in the prescription (or contra-indication) is due to the need for an individual assessment of each case. Several general rules can be proposed for cases of heart disease with a high risk of mortality or with a poor haemodynamic status. In most cases, the beneficial or detrimental effect can not be predicted. In this review, the authors present various approaches, based on data from the literature, for different types of heart disease and for different sports. They conclude that each case requires a thorough investigation in order to reduce the number of victims of the sports stadium.
心脏病专家面临着将患有心脏病的受试者排除在体育比赛之外以及为心脏病患者开有益的体育活动处方的问题。处方（或禁忌症）的困难在于需要对每个病例进行个体评估。对于有高死亡风险或血液动力学状态不佳的心脏病病例，可以提出一些一般规则。在大多数情况下，有益或有害影响无法预测。在这篇综述中，作者根据文献数据，针对不同类型的心脏病和不同的运动项目，提出了各种方法。他们得出结论，每个病例都需要进行全面调查，以减少体育场馆中的受害者数量。
