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Erschienen in: Herz 2/2016

01.03.2016 | CME Zertifizierte Fortbildung

Körperliches Training in der Therapie von Herzerkrankungen

Klinische Evidenz und zukünftige Optionen

verfasst von: S. Schwarz, A. Boscheri, J. Christle, A. Duvinage, K. Esefeld, H. Fricke, N. Pitsch, A. Pressler, M. Weichenberger, Prof. Dr. med. M. Halle

Erschienen in: Herz | Ausgabe 2/2016

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Zusammenfassung

Ein gezieltes körperliches Training als eine ergänzende Option zur medikamentösen und interventionellen Therapie hat in die kardiologischen Leitlinien Einzug erhalten. So zeigen Trainingsprogramme bei kardiovaskulären Risikofaktoren wie der arteriellen Hypertonie, beim Diabetes mellitus Typ 2 und bei Dyslipoproteinämie ebenso positive Effekte wie bei der koronaren Herzerkrankung, nach akutem Myokardinfarkt, bei Herzinsuffizienz mit erhaltener oder eingeschränkter linksventrikulärer Pumpfunktion, bei Vorhofflimmern, nach kathethergestützem Aortenklappenersatz (TAVI), nach Implantation von implantierbaren Kardioverter-Defibrillatoren (ICD) oder linksventrikulären Unterstützungssystemen (VAD). Diese Trainingsprogramme müssen auf Krankheitsentität, -stadium, Komorbiditäten, Alter des Patienten, Medikation und Belastbarkeit individuell abgestimmt werden. Hierzu ist in Ergänzung zur kardiologischen Untersuchung vor Beginn eines körperlichen Trainings eine maximale Ergometrie durchzuführen. Optimalerweise wird diese ergänzt durch eine Spirometrie zur Bestimmung der maximalen Sauerstoffaufnahme, anhand derer die Intensität des Trainings durch Pulsvorgaben festgelegt und mittels einer Pulsuhr überprüft werden kann.
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Metadaten
Titel
Körperliches Training in der Therapie von Herzerkrankungen
Klinische Evidenz und zukünftige Optionen
verfasst von
S. Schwarz
A. Boscheri
J. Christle
A. Duvinage
K. Esefeld
H. Fricke
N. Pitsch
A. Pressler
M. Weichenberger
Prof. Dr. med. M. Halle
Publikationsdatum
01.03.2016
Verlag
Springer Medizin
Erschienen in
Herz / Ausgabe 2/2016
Print ISSN: 0340-9937
Elektronische ISSN: 1615-6692
DOI
https://doi.org/10.1007/s00059-016-4403-y

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