Competitive sport after coronary angioplasty: suggested eligibility criteria for moderate-high intensity sport.
Competitive sport after coronary angioplasty: suggested eligibility criteria for moderate-high intensity sport.
复制标题
冠状动脉血管成形术后的竞技运动：中高强度运动的建议资格标准。
DOI：
10.2459/jcm.0b013e3282f4d9e3
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发表时间：
2008
影响因子：
3
通讯作者：
B. Reimers
中科院分区：
文献类型：
--
作者：
P. Sarto;L. Merlo;G. Pasquetto;P. Zanco;P. Pascotto;D. Noventa;B. Reimers
冠状动脉血运重建后鼓励进行体力活动，以减少再狭窄和冠状动脉疾病的进展。有些患者甚至可能选择参加或恢复竞技运动。因此，运动医生必须面临患者是否有资格这样做的决定。关于竞技运动资格的最新意大利心脏病学协议表明，在逐案检查后，冠状血管孤立性狭窄的受试者甚至可能被认为有资格参加涉及高心血管需求的运动。如果受试者风险较低，至少 1 年前已成功接受冠状动脉血管成形术，并接受每 6 个月的强制性随访检查，则这是可能的。我们认为，除了满足心脏病学方案制定的标准外，患者还应该完成一段时间的心脏病康复，在运动心肌闪烁扫描（每年进行一次）中不应显示灌注缺陷，并且应该没有心血管危险因素，对此我们提出了限制性阈值。如果个体尚未完成足够的康复期或出现心血管危险因素，则应在至少 8 周的心脏康复后且危险因素得到纠正后进行进一步评估。
Physical activity is encouraged following coronary revascularization to reduce restenosis and progression of coronary disease. Some patients may even opt to take on or resume competitive sport. Therefore, sport physicians have to face a decision whether patients are eligible or not to do so. The most recent Italian cardiology protocols regarding eligibility for competitive sport suggest that after examination on a case-by-case basis, subjects with isolated stenosis of a coronary vessel may be deemed eligible even for sports involving high-cardiovascular demand. This is possible if the subject is at low risk, has successfully undergone coronary angioplasty at least 1 year earlier, and undergoes obligatory 6-monthly follow-up examinations. In our view, in addition to fulfilling the criteria drawn up by the cardiology protocols, patients should also have completed a period of cardiologic rehabilitation, should not display perfusion defects on exercise myocardial scintigraphy (carried out annually), and should be free from cardiovascular risk factors, for which we propose restrictive threshold values. If an individual has not completed an adequate period of rehabilitation or presents cardiovascular risk factors, a further assessment should be made after at least 8 weeks of cardiac rehabilitation and after the risk factors have been corrected.
影响因子：
158.5
作者：
Albert, CM;Mittleman, MA;Manson, JE
通讯作者：
Manson, JE
影响因子：
158.5
作者：
PEKKANEN, J;LINN, S;TYROLER, HA
通讯作者：
TYROLER, HA
影响因子：
158.5
作者：
MITTLEMAN, MA;MACLURE, M;MULLER, JE
通讯作者：
MULLER, JE