At present, the medical community has reached a consensus that exercise is not only a means of fitness, but also a good measure to prevent and treat diseases.
Regular and moderate exercise can improve vascular endothelial function, make coronary atherosclerotic plaque more stable, improve cardiac function, improve the quality of life of patients, and obviously reduce hospitalization rate and mortality rate. Therefore, there is no doubt that proper exercise is good for patients with coronary heart disease!
Theoretically speaking, the intensity of exercise has different effects on improving heart and blood vessel function, physique and prognosis. In a certain range, the greater the intensity of exercise, the greater the cardiovascular benefits, but it also increases the risk of exercise. For patients with coronary heart disease complicated with ischemic cardiomyopathy, poor cardiac function, or unstable blood pressure and heart rate control, excessive exercise may cause certain danger. There are even acute myocardial ischemia and even acute myocardial infarction caused by excessive exercise.
Exercise for patients with coronary heart disease is very particular;
As a therapeutic method, exercise needs to meet two conditions in the use of patients with coronary heart disease: first, it is safe; Second, it is effective. Therefore, in order to ensure the exercise safety of patients with coronary heart disease, exercise risk assessment should be conducted under the guidance of qualified and experienced doctors. Exercise load test and risk stratification are the key steps of risk assessment, which are generally divided into low risk, medium risk and high risk.
Then, according to the risk stratification of patients, a personalized exercise program should be formulated according to the principle of exercise prescription. Of course, the following basic principles can be used for reference:
Many friends are puzzled: Will coronary heart disease continue to exercise? Or let the heart have a good rest? When each patient of Dr. Wang leaves the hospital, he will explain clearly how to eat, how to take medicine, how to review and how to exercise. But why can some people with coronary heart disease exercise and some people with coronary heart disease not exercise? Of course, you can exercise, but be specific: 1. What exercise is good for the heart? 2. Different people have different exercise intensity. 3. It is true that some coronary heart diseases do not recommend exercise. First, aerobic exercise Only aerobic exercise is good for the heart. Simply put, low-intensity long-term exercise is aerobic exercise, such as walking, jogging, long-distance slow swimming, cycling, dancing and so on. Aerobic exercise can effectively exercise the heart, lungs and other organs, and can improve the cardiovascular and pulmonary functions. Why is this? When we exercise, muscle contraction needs a lot of energy and oxygen, because the demand for oxygen increases, the number of heart contractions, the amount of blood pumped out, the number of breaths, the degree of lung expansion and so on increase. When the exercise continues and the muscles contract for a long time, the heart and lungs must strive to provide oxygen to the muscles and take away the waste in the muscles. This constant demand can improve the endurance of the heart and lungs. Persisting in aerobic exercise for a long time can increase the amount of hemoglobin in the body, improve the body's resistance, resist aging, enhance the working efficiency of cerebral cortex and cardiopulmonary function, increase fat consumption, prevent arteriosclerosis, reduce the incidence of cardiovascular and cerebrovascular diseases, and be beneficial to the control of blood pressure, blood lipid and blood sugar. It is recommended that the heart rate be controlled at170-your age, 5-7 times a week, and each time is not less than 30 minutes! Second, exercise endurance Everyone's physical strength, innate conditions and acquired ability are different. So choose exercise according to your ability, instead of making a plan or a goal casually. Coronary heart disease itself has its own severity, which cannot be mentioned in the same breath. Who can exercise? The problem of coronary artery stenosis is completely solved, for example, the vascular stenosis is completely solved, and there is no residual problem, so the exercise is relieved. If the vascular stenosis is not serious and there is no angina attack, you can exercise. No heart failure, no ischemic attack to exercise. Third, exercise is not recommended when 1, and cardiac function is not recommended at grades 3 and 4. 2. If you still have angina pectoris, exercise is not recommended. 3. Exercise is not recommended if there is still severe vascular stenosis or stent or bypass is needed. 4, acute myocardial infarction 1 month. Fourth, carrying nitroglycerin Even if coronary heart disease has no symptoms, it is recommended to carry nitroglycerin during exercise, just in case. If you feel unwell, stop exercising immediately. In a word, coronary heart disease can be exercised, but we should evaluate the cardiac function and myocardial ischemia according to our own specific situation, and choose the aerobic exercise that suits us according to our actual ability. We can't say that exercise is good for the heart, and encourage all friends with coronary heart disease to exercise; You can't say that exercise can induce myocardial ischemia or heart failure, so you don't exercise!
Is exercise good or bad for people with coronary heart disease? How to exercise?
With the improvement of our living standard, the incidence of coronary heart disease is increasing gradually. We know that the main symptoms of coronary heart disease are chest tightness and chest pain. Can coronary heart disease exercise? Today, I will share some knowledge about coronary heart disease exercise.
1. How is coronary heart disease graded according to its severity? 2. Can patients with coronary heart disease exercise? It is said that life lies in exercise, and patients with coronary heart disease can also exercise, but only if exercise does not cause discomfort such as chest tightness and chest pain;
3. How should patients with coronary heart disease exercise?
Generally choose aerobic exercise:
Conclusion: Patients with grade ⅰ and ⅱ coronary heart disease can choose proper exercise, and patients with grade ⅲ and ⅳ should go to hospital as soon as possible. The above is my answer to this question. If you have any questions, please leave a message below and I will definitely reply. Coronary heart disease is the most common heart disease, and it is lifelong. Once diagnosed, you need to take medicine for life, which is incurable and certainly not terminal, affecting the normal life of patients.
Is it better for people with coronary heart disease to exercise or not to exercise? How should they exercise? For a long time, the benefits of sports are obvious to all. Moderate exercise is helpful to the recovery of heart function, but it also increases the burden on the heart, which also worries patients with coronary heart disease.
1, patients with coronary heart disease can exercise: to be sure, moderate exercise is definitely beneficial for patients with coronary heart disease, and exercise prescription has always been one of the lifestyle prescriptions prescribed by doctors for patients with coronary heart disease.
This is because lack of physical activity is also an independent risk factor for coronary heart disease. Exercise can not only improve heart function, but also reduce blood pressure and lipid, which is helpful to delay the development of atherosclerosis. Therefore, exercise must be beneficial to patients with coronary heart disease and is highly recommended.
However, the premise of exercise is that the patient's condition allows. Exercise is not recommended for patients with unstable condition, weak cardiac function, angina pectoris, severe coronary artery stenosis, preparation of stent or bypass surgery, and recent myocardial infarction. In addition, patients with stable condition can exercise, but we must pay attention to controlling the intensity of exercise and choosing appropriate exercise items and exercise time.
2. How to exercise for patients with coronary heart disease: Patients with coronary heart disease can exercise, but they should pay attention to what they can do. This first requires patients to choose the exercise that suits them according to their own abilities.
At present, aerobic exercise is considered to be effective and beneficial, which is also the exercise mode we have been advocating, including brisk walking, jogging, mountain climbing, swimming, cycling, Tai Ji Chuan and square dance, and patients can choose. Patients should pay attention to warm-up exercise about 15 minutes before exercise, and monitor their heartbeat and pulse during exercise. Once you find that your heart is uncomfortable, you should stop exercising immediately and seek medical advice if necessary. After exercise, patients should also stop slowly and avoid taking a bath immediately. It is advisable for patients to exercise for about 30 minutes at a time, and long-term and high-intensity exercise is prohibited to prevent adverse consequences.
Some patients have a bad heart, and their symptoms will be obviously improved after exercise. Some patients' symptoms did not improve after exercise, but worsened. Whether they exercise or not depends on the severity of their illness.
Example 1: My patient, Ms. Jin, aged 70, was diagnosed with coronary heart disease in the local central hospital. However, due to the low degree of stenosis, the symptoms were not particularly obvious, and she did not intervene in time. In two years, her condition has advanced by leaps and bounds. When I saw her again, she was already faced with the choice of stent, which was caused by the lack of timely control (medicine+diet+exercise+nerve control). Such patients should be more active in the early stage.
Example 2: Patient Xiao Wang, who was 80 years old when he was first diagnosed, had coronary artery disease stenosis. Moreover, due to daily habits and other reasons, the disease has progressed rapidly, which has damaged myocardium and cardiac function. When resting at home, he often has chest pain, chest tightness, palpitation, fatigue and other symptoms. For such a patient, the less exercise the better, otherwise his life will be in danger.
If you have to exercise, how should you choose? Patients with coronary heart disease need to pay attention to proper exercise.
Walk slowly, quickly, jog, run fast, etc. , all need to be determined according to the severity of the disease. When the illness is mild, there are no bad symptoms after exercise, but if the breathing is a little short, it is not boring and painless, then the exercise method is correct, and the intensity of this exercise can be appropriately strengthened.
If you have chest tightness, shortness of breath, chest pain and other symptoms after exercise, you must stop in time, indicating that the exercise method is wrong. If it continues, it will seriously affect the heart function, increase the heart load and damage the heart.
If the patient may have a sudden illness without exercise, then exercise must be strictly prohibited, because once the symptoms cannot be controlled after exercise, serious adverse events will occur.
Patients with heart disease should avoid excessive exercise. First, overwork will affect the function of the heart, which is not conducive to disease control. Secondly, high-intensity exercise may lead to aggravation of symptoms.
Patients with heart disease should take first-aid drugs during exercise to avoid sudden symptoms. Patients with serious illness should exercise with their families as much as possible. Once you feel unwell, you should take medicine in time for first aid, and you need to go to the hospital for physical examination regularly to follow up your illness. Ms. Jin's case is a warning, because the speed of the disease development is unimaginable.
I hope my answer can help you!
If you don't understand anything, you can tell me in the comments!
Patients with coronary heart disease need exercise, and the professional point is called cardiac rehabilitation.
What is cardiac rehabilitation? Cardiac rehabilitation refers to gradually enhancing the function of the heart and enhancing the blood supply capacity of the coronary artery through moderate exercise.
How to determine the amount of exercise? First of all, we should evaluate the functional level of the heart. When the condition of patients with coronary heart disease is stable, they can go to cardiac rehabilitation department to do exercise treadmill test, mainly to evaluate the maximum exercise intensity that patients can accept at present.
After the evaluation, professionals will formulate corresponding exercise prescriptions according to the evaluation results, that is, the exercise frequency, intensity and time of each exercise.
After that, the cardiac function will be evaluated regularly, and the exercise prescription will change according to the results.
Yes, the physical education major is called rehabilitation.