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Bewegung und Sport in der Therapie chronischer Erkrankungen – Koronare Herzkrankheit


Schmied, Christian M (2018). Bewegung und Sport in der Therapie chronischer Erkrankungen – Koronare Herzkrankheit. Praxis, 107(17-18):959-964.

Abstract

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. = 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. = Resumé: Malgré des méthodes diagnostiques et thérapeutiques de plus en plus avancées, les maladies coronariennes et l’infarctus du myocarde continuent d’être de loin la première cause de décès dans le monde. C’est pourquoi il est d’autant plus important dans ce contexte d’utiliser pleinement les mesures thérapeutiques connues mais loin d’être utilisées de manière optimale. Une activité physique adéquate dans la vie quotidienne et un entraînement supplémentaire ciblé conduisent à une amélioration de la qualité de vie fondée sur des données probantes, à une réduction de la morbidité et surtout à une réduction significative de la mortalité cardiaque et de la mortalité globale. Cependant, une évaluation précise des risques de chaque patient, avec des recommandations cohérentes en matière de formation et de suivi, est cruciale pour les conseils en matière de formation médicale. Les recommandations sportives actuelles de maladies coronariennes sont devenues beaucoup plus libérales qu’auparavant et permettent aux patients présentant un risque relativement faible de mort subite cardiaque de faire pratiquement n’importe quel type d’exercice. Cette position progressive, selon l’évaluation optimale des risques, est importante, car de nouvelles données montrent également une augmentation de l’effet préventif en fonction de la dose chez les patients atteints de coronaropathie avec l’augmentation de l’étendue de l’entraînement hebdomadaire.

Abstract

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. = 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. = Resumé: Malgré des méthodes diagnostiques et thérapeutiques de plus en plus avancées, les maladies coronariennes et l’infarctus du myocarde continuent d’être de loin la première cause de décès dans le monde. C’est pourquoi il est d’autant plus important dans ce contexte d’utiliser pleinement les mesures thérapeutiques connues mais loin d’être utilisées de manière optimale. Une activité physique adéquate dans la vie quotidienne et un entraînement supplémentaire ciblé conduisent à une amélioration de la qualité de vie fondée sur des données probantes, à une réduction de la morbidité et surtout à une réduction significative de la mortalité cardiaque et de la mortalité globale. Cependant, une évaluation précise des risques de chaque patient, avec des recommandations cohérentes en matière de formation et de suivi, est cruciale pour les conseils en matière de formation médicale. Les recommandations sportives actuelles de maladies coronariennes sont devenues beaucoup plus libérales qu’auparavant et permettent aux patients présentant un risque relativement faible de mort subite cardiaque de faire pratiquement n’importe quel type d’exercice. Cette position progressive, selon l’évaluation optimale des risques, est importante, car de nouvelles données montrent également une augmentation de l’effet préventif en fonction de la dose chez les patients atteints de coronaropathie avec l’augmentation de l’étendue de l’entraînement hebdomadaire.

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Other titles:Exercise and Sports in the Therapy of Chronic Diseases - Coronary Heart Disease
Item Type:Journal Article, refereed, further contribution
Communities & Collections:04 Faculty of Medicine > University Hospital Zurich > Clinic for Cardiology
Dewey Decimal Classification:610 Medicine & health
Language:German
Date:August 2018
Deposited On:27 Feb 2019 15:04
Last Modified:27 Feb 2019 15:08
Publisher:Hogrefe Verlag
ISSN:1661-8157
OA Status:Closed
Publisher DOI:https://doi.org/10.1024/1661-8157/a003066
PubMed ID:30131023

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