Schelcher U, Schöniger M, Kober G
Klinik Nordrhein der LVA Rheinprovinz.
Versicherungsmedizin. 1995 Aug 1;47(4):137-41.
Swimming differs from other forms of exercise due to its additional hydrostatic and thermal burden. It was investigated whether additional pathologic findings in comparison to history and standard exercise tests can be obtained by holter monitoring during swimming. Symptoms and exercise electrocardiogram were compared with the holter ECG during swimming in 125 patients divided into 3 groups with different diagnoses and severity of cardiac diseases. In a considerable percentage of patients ischemic changes and severe rhythm disturbances were found only during swimming with further diagnostic and therapeutic consequences, though patients with moderate and severe angina and with significant ischemic signs in the exercise test were excluded and mainly patients with slight or absent symptoms were evaluated predominantly. Thus, since swimming is a favorite leisure-time occupation also in patients with diseases of heart and circulation, holter monitoring during swimming is of diagnostic importance in the rehabilitation of these patients.
游泳因其额外的静水压力和热负荷而有别于其他形式的运动。研究了与病史及标准运动试验相比，游泳期间通过动态心电图监测是否能获得更多的病理发现。将125例分为3组、具有不同心脏病诊断和严重程度的患者在游泳期间的症状、运动心电图与动态心电图进行了比较。在相当比例的患者中，仅在游泳期间发现了缺血性改变和严重的心律失常，这带来了进一步的诊断和治疗后果，尽管中度和重度心绞痛患者以及运动试验中有明显缺血迹象的患者已被排除，且主要评估的是症状轻微或无症状的患者。因此，鉴于游泳也是心脏和循环系统疾病患者喜爱的休闲活动，游泳期间的动态心电图监测对这些患者的康复具有诊断意义。
