Qianjiang Evening News·Hours News Reporter Zhang Bingqing Correspondent Zhang Xiaoyue
Recently, the news of Huawei executive and company supervisory board of directors Ding Yun sudden death has attracted attention. According to people familiar with the matter, Ding Yun is a long-distance running enthusiast. Before his death, he led his employees to Shenzhen Bay html for 5 days to "train" and ran 28.55 kilometers.
As soon as the news came out, many people questioned extreme fitness exercises such as long-distance running: Will these exercises shorten the lifespan of the heart and lead to sudden death? Not only can it not strengthen the body, but it will damage the body and cause fatality?
Image source: Visual China
Zhejiang University Second Hospital Department of Cardiology, Cardiology Rehabilitation Center Dr. Chen Huimin said that the current public information cannot determine the positive correlation between Ding Yun's long-distance running and sudden death, but he did recommend that everyone evaluate their cardiopulmonary exercise function before high-intensity extreme exercise to ensure that the heart is capable of adapting and loading.
In the past few days, a long-distance running enthusiast in Hangzhou has a heart condition and then went to the cardiac rehabilitation center and asked anxiously: Doctor, can I still run?
High-intensity extreme sports enthusiast
It is recommended to evaluate cardiopulmonary function in advance
52-year-old Mr. Liu (pseudonym) is a senior long-distance running enthusiast. He runs 2 to 3 times a week, each time more than 20 kilometers, and has been persisting for nearly 10 years.
Recently, after running, he felt a little uncomfortable in his heart and had dizziness, so he came to the Department of Cardiology, Binjiang Campus, Zhejiang University Second Hospital for treatment. A cardiac hypertrophy and electrocardiogram showed that he had non-obstructive hypertrophic cardiomyopathy .
Dr. Chen said that long-term exercise training will cause changes in the heart structure, one of which is myocardial hypertrophy, which is very common among athletes. This physiological change is actually a manifestation of good heart function and is reversible. However, Mr. Liu has pathological myocardial hypertrophy and has discomfort after exercise, so he needs to pay attention.
"Then can I run in the future?" After listening to the doctor's analysis, Mr. Liu's first reaction was that he was worried that his running career would be interrupted.
Doctor Chen said, "Don't run for the time being. You can come to our cardiac rehabilitation center to evaluate the cardiopulmonary exercise function."
The "ride a bike" he mentioned refers to the cardiopulmonary exercise test. In the past, the cardiopulmonary function evaluation was mostly conducted in a quiet state. The cardiopulmonary function evaluation conducted in this state of exercise can more truly reflect the potential and safe range of heart function. It is currently recognized internationally for the gold standard for evaluating maximum exercise ability.
Doctor Chen said that many marathon athletes will perform a cardiopulmonary exercise test before the competition to avoid sudden death and other accidents during running.
In addition to high-intensity extreme exercise enthusiasts, cardiopulmonary exercise tests are also suitable for people who already suffer from cardiovascular diseases (such as: coronary heart disease , heart valve disease , heart failure , including patients after heart surgery), or in the early stages of cardiovascular disease, high risk factors for cardiovascular disease, and sub-healthy people (including hypertension , hyperlipidemia, hyperglycemia , obesity, smoking, sitting for a long time, staying up late for a long time, and working stress, etc.).
Determine the rehabilitation plan based on the evaluation
Recommend the most suitable exercise intensity
Zhezhou University Second Hospital Binjiang Campus Cardiopulmonary Exercise Laboratory is not large in area, and there is an fitness bike and a monitoring equipment inside. Rehabilitation therapists Liu Lu and Hong Liqiong were prepared early.
The left is the exercise laboratory, and the right is the exercise rehabilitation room. They first formulated a complete test procedure based on Mr. Liu's age, height, weight and heart examination, and fully armed him: wear a breathing mask on his face, a breathing sensor installed on it, and wear an electrocardiogram monitoring device and a blood pressure belt. After static detection of lung function in
, Mr. Liu rode on the exercise bike. At the beginning, it was a warm-up stage without resistance, which was a piece of cake for him who had long-term exercise. Slowly, the resistance of the foot pedal steadily increases until it increases to the maximum calculated based on the patient's condition.
At this time, even Mr. Liu, who usually runs 20 kilometers in one go, felt a little difficult. Liu Lu observed closely from the side, "Looking at the illustration on the right, how much level do you think you have reached for the grading force?" "Level 17, it's very tired!" He answered breathlessly.
(A patient is undergoing a cardiopulmonary exercise test in the load-increasing stage)
During this exercise, the instrument always monitors his blood pressure, electrocardiogram, cardiac contraction function, oxygen uptake, anaerobic threshold and other indicators, and automatically generates a cardiopulmonary function report based on the indicators.
Finally, Mr. Liu's report showed that his Weber cardiac function was classified as A, which was none or mild cardiac insufficiency, and his exercise tolerance was judged to be mildly reduced.
Hong Liqiong analyzed that this report can clarify the maximum activity level that the heart can currently withstand and the appropriate daily exercise intensity, such as being able to walk briskly or swim? Can you climb or play basketball? The report suggests that there is a safe heart rate range during exercise, and it is basically safe for the patient to maintain the heart rate during exercise. If the heartbeat exceeds this range per minute, it means that exercise enters high intensity, and high intensity exercise is not suitable for everyone. Blind exercise will increase the risk of cardiovascular events such as myocardial ischemia and .
Dr. Chen said that if this is a report from a healthy population, he can continue to run appropriately and regularly. However, considering that Mr. Liu has found hypertrophic cardiomyopathy , it is recommended to perform exercise for a period of time to recover , and then resume long-distance running, but the frequency should be appropriately reduced.
Next to the cardiopulmonary exercise laboratory is the sports rehabilitation room, which displays sports equipment such as treadmills, fitness bikes, etc., just like a small gym, and therapist leads the patient to dance.
Rehabilitation therapists will formulate personalized exercise plans based on the evaluation results to accurately evaluate exercise intensity. The patient is monitored by electrocardiogram, blood pressure, and oxygen saturation throughout the process while exercising, and has a professional exercise therapist to ensure exercise safety and avoid the occurrence of adverse events in .
Dr. Chen said that the Cardiovascular Hospital of Zhejiang University Second Hospital (Boao Campus) will soon open a larger cardiopulmonary exercise laboratory and exercise rehabilitation room to provide more patients with accurate cardiopulmonary assessment and effective exercise prescription .
Qianjiang Evening News has won 5 valuable cardiopulmonary exercise test spots for readers. You can sign up below, first come, first served!
Reminder that the cardiopulmonary exercise test is suitable for middle-aged and young people. If it is the elderly or weak, it can be replaced with a six-minute walk test.
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