Skip to main content

2017 | Sportmedizin | OriginalPaper | Buchkapitel

6. Empfehlungen für den internistischen Untersuchungsgang in der Sportmedizin

verfasst von : Rochus Pokan, Harald Gabriel, Helmut Hörtnagl, Andrea Podolsky, Karin Vonbank, Manfred Wonisch

Erschienen in: Kompendium der Sportmedizin

Verlag: Springer Vienna

Zusammenfassung

Der positive Effekt regelmäßig durchgeführter körperlicher Aktivität auf die Gesundheit ist unbestritten und mit hoher wissenschaftlicher Evidenz belegt. Regelmäßige körperliche Aktivität bzw. körperliches Training verringert sowohl in der Primär- als auch in der Sekundärprävention Morbidität und Mortalität und verbessert die Lebensqualität.
Literatur
Zurück zum Zitat American Diabetes Association – Position Statement Physical Activity/Exercise and Diabetes (1997) Diabetes Care 27, Suppl: 58–62CrossRef American Diabetes Association – Position Statement Physical Activity/Exercise and Diabetes (1997) Diabetes Care 27, Suppl: 58–62CrossRef
Zurück zum Zitat Banzer W, Pfeifer K, Vogt L (2004) Funktionsdiagnostik des Bewegungssystems in der Sportmedizin. Springer, Berlin Heidelberg New YorkCrossRef Banzer W, Pfeifer K, Vogt L (2004) Funktionsdiagnostik des Bewegungssystems in der Sportmedizin. Springer, Berlin Heidelberg New YorkCrossRef
Zurück zum Zitat Benzer W, in Zusammenarbeit mit der Arbeitsgruppe für kardiologische Rehabilitation und Sekundärprävention der ÖKG (2008) Guidelines für die ambulante kardiologische Rehabilitation und Prävention in Österreich – Update 2008. Beschluss der Österreichischen Kardiologischen Gesellschaft vom Juni 2008. J Am Coll Cardiol 15 (9–10): 298–309 Benzer W, in Zusammenarbeit mit der Arbeitsgruppe für kardiologische Rehabilitation und Sekundärprävention der ÖKG (2008) Guidelines für die ambulante kardiologische Rehabilitation und Prävention in Österreich – Update 2008. Beschluss der Österreichischen Kardiologischen Gesellschaft vom Juni 2008. J Am Coll Cardiol 15 (9–10): 298–309
Zurück zum Zitat Bianco M, Bria S, Gianfelici A, Sanna N, Palmieri V, Zeppilli P (2001) Does early repolarization in the athlete have analogies with the Brugada syndrome? Eur Heart J 22: 504–510CrossRefPubMed Bianco M, Bria S, Gianfelici A, Sanna N, Palmieri V, Zeppilli P (2001) Does early repolarization in the athlete have analogies with the Brugada syndrome? Eur Heart J 22: 504–510CrossRefPubMed
Zurück zum Zitat Bille K, Figueiras D, Schamasch P, Kappenberger L, Brenner JI, Meijboom FJ, Meijboom EJ (2006) Sudden cardiac death in athletes: the Lausanne Recommendations, Eur J Cardiovasc Prev Rehabil 13: 859–875CrossRefPubMed Bille K, Figueiras D, Schamasch P, Kappenberger L, Brenner JI, Meijboom FJ, Meijboom EJ (2006) Sudden cardiac death in athletes: the Lausanne Recommendations, Eur J Cardiovasc Prev Rehabil 13: 859–875CrossRefPubMed
Zurück zum Zitat Borer JS, Bonow RO (2003) Contemporary approach to aortic and mitral regurgitation. Circulation 108: 2432–2438CrossRefPubMed Borer JS, Bonow RO (2003) Contemporary approach to aortic and mitral regurgitation. Circulation 108: 2432–2438CrossRefPubMed
Zurück zum Zitat Corrado D, Basso C, Schiavon M, Thiene G (1998) Screening for hypertrophic cardiomyopathy in young athletes. N Engl J Med 339: 364–9CrossRefPubMed Corrado D, Basso C, Schiavon M, Thiene G (1998) Screening for hypertrophic cardiomyopathy in young athletes. N Engl J Med 339: 364–9CrossRefPubMed
Zurück zum Zitat Corrado BJ, Basso C, Rizzoli G, Schiavon M, Thiene G (2003) Does Sports Activity Enhance the Risk of Sudden Death in Adolescents and Young Adults? JACC 42(11): 1959–63CrossRefPubMed Corrado BJ, Basso C, Rizzoli G, Schiavon M, Thiene G (2003) Does Sports Activity Enhance the Risk of Sudden Death in Adolescents and Young Adults? JACC 42(11): 1959–63CrossRefPubMed
Zurück zum Zitat Corrado D, Pelliccia A, Bjornstad HH, Vanhees L, Biffi A, Borjesson M, Panhuyzen-Goedkoop N, Deligiannis A, Solberg E et al. (2005) Study Group of Sport Cardiology of the Working Group of Cardiac Rehabilitation and Exercise Physiology and the Working Group of Myocardial and Pericardial Diseases of the European Society of Cardiology. Cardiovascular pre-participation screening of young competitive athletes for prevention of sudden death: proposal for a common European protocol. Consensus Statement of the Study Group of Sport Cardiology of the Working Group of Cardiac Rehabilitation and Exercise Physiology and the Working Group of Myocardial and Pericardial Diseases of the European Society of Cardiology. Eur Heart J 26(5): 516–24CrossRefPubMed Corrado D, Pelliccia A, Bjornstad HH, Vanhees L, Biffi A, Borjesson M, Panhuyzen-Goedkoop N, Deligiannis A, Solberg E et al. (2005) Study Group of Sport Cardiology of the Working Group of Cardiac Rehabilitation and Exercise Physiology and the Working Group of Myocardial and Pericardial Diseases of the European Society of Cardiology. Cardiovascular pre-participation screening of young competitive athletes for prevention of sudden death: proposal for a common European protocol. Consensus Statement of the Study Group of Sport Cardiology of the Working Group of Cardiac Rehabilitation and Exercise Physiology and the Working Group of Myocardial and Pericardial Diseases of the European Society of Cardiology. Eur Heart J 26(5): 516–24CrossRefPubMed
Zurück zum Zitat Corrado D, Basso C, Pavei A, Michieli P, Schiavon M, Thiene G (2006) Trends in sudden cardiovascular death in young competitive athletes after implementation of a preparticipation screening program. JAMA 296: 1593–1601CrossRefPubMed Corrado D, Basso C, Pavei A, Michieli P, Schiavon M, Thiene G (2006) Trends in sudden cardiovascular death in young competitive athletes after implementation of a preparticipation screening program. JAMA 296: 1593–1601CrossRefPubMed
Zurück zum Zitat Corrado D, Basso C, Schiavon M, Pelliccia A, Thiene G (2008) Pre-Participation Screening of Young Competitive Athletes for Prevention of Sudden Cardiac Death. J Am Coll Cardiol 52: 1981–1989CrossRefPubMed Corrado D, Basso C, Schiavon M, Pelliccia A, Thiene G (2008) Pre-Participation Screening of Young Competitive Athletes for Prevention of Sudden Cardiac Death. J Am Coll Cardiol 52: 1981–1989CrossRefPubMed
Zurück zum Zitat Crawford MH, Bernstein SJ, Deedwania PC, DiMarco JP, Ferrick KJ, Garson A Jr, Green LA, Greene HL, Silka MJ, Stone PH, Tracy CM, Gibbons RJ, Alpert JS, Eagle KA, Gardner TJ, Gregoratos G, Russell RO, Ryan TJ (1999) Guidelines for ambulatory electrocardiography: executive summary and recommendations. Jr ACC/AHA 100(8): 886–93 Crawford MH, Bernstein SJ, Deedwania PC, DiMarco JP, Ferrick KJ, Garson A Jr, Green LA, Greene HL, Silka MJ, Stone PH, Tracy CM, Gibbons RJ, Alpert JS, Eagle KA, Gardner TJ, Gregoratos G, Russell RO, Ryan TJ (1999) Guidelines for ambulatory electrocardiography: executive summary and recommendations. Jr ACC/AHA 100(8): 886–93
Zurück zum Zitat De Backer G, Ambrosioni E, Borch-Johnsen K (2003) European guidelines on cardiovascular disease and prevention in clinical practice. Atherosclerosis 171(1): 145–55CrossRefPubMed De Backer G, Ambrosioni E, Borch-Johnsen K (2003) European guidelines on cardiovascular disease and prevention in clinical practice. Atherosclerosis 171(1): 145–55CrossRefPubMed
Zurück zum Zitat Diabetes Prevention Program Research Group (2002) Reduction in the Incidence of Type 2 Diabetes with Lifestyle Intervention or Metformin. N Engl J Med 346: 393–403CrossRefPubMedCentral Diabetes Prevention Program Research Group (2002) Reduction in the Incidence of Type 2 Diabetes with Lifestyle Intervention or Metformin. N Engl J Med 346: 393–403CrossRefPubMedCentral
Zurück zum Zitat Fletcher GF, Balady G, Blair SN (1996) Statement on exercise: benefits and recommendations for physical activity programs for all Americans. A statement for health professionals by the Committee on Exercise and Cardiac Rehabilitation of the Council on Clinical Cardiology, American Heart Association. Circulation 4: 857–62CrossRef Fletcher GF, Balady G, Blair SN (1996) Statement on exercise: benefits and recommendations for physical activity programs for all Americans. A statement for health professionals by the Committee on Exercise and Cardiac Rehabilitation of the Council on Clinical Cardiology, American Heart Association. Circulation 4: 857–62CrossRef
Zurück zum Zitat Galan A, Zoghbi WA, Quinones MA (1991) Determination of severity of valvular aortic stenosis by Doppler echocardiography and relation of findings to clinical outcome and agreement with hemodynamic measurements determined at cardiac catheterization. Am J Cardiol 67: 1007–1012CrossRefPubMed Galan A, Zoghbi WA, Quinones MA (1991) Determination of severity of valvular aortic stenosis by Doppler echocardiography and relation of findings to clinical outcome and agreement with hemodynamic measurements determined at cardiac catheterization. Am J Cardiol 67: 1007–1012CrossRefPubMed
Zurück zum Zitat Gavazzi A, De Maria R, Renosto G, Moro A, Borgia M, Caroli A, Castelli G, Ciaccheri M, Pavan D, De Vita C (1993) The spectrum of left ventricular size in dilated cardiomyopathy: Clinical correlates and prognostic implications. Am Heart J 125: 410–422CrossRefPubMed Gavazzi A, De Maria R, Renosto G, Moro A, Borgia M, Caroli A, Castelli G, Ciaccheri M, Pavan D, De Vita C (1993) The spectrum of left ventricular size in dilated cardiomyopathy: Clinical correlates and prognostic implications. Am Heart J 125: 410–422CrossRefPubMed
Zurück zum Zitat Gibbons RJ, Balady GJ, Bricker JT, Chaitman BR, Fletcher GF, Froelicher VF, Mark DB, McCallister BD, Mooss AN, O’Reilly MG, Winters Jr WL, Gibbons RJ, Antman EM, Alpert JS, Faxon DP, Fuster V, Gregoratos G, Hiratzka LF, Jacobs AK, Russell RO, Smith Jr FAHA, Committee Members, Task Force Members (2002) ACC/AHA 2002 guideline update for exercise testing: summary article: A report of the American college of cardiology/American heart association task force on practice guidelines (committee to update the 1997 exercise testing guidelines) J Am Coll Cardiol 40: 1531–40 Gibbons RJ, Balady GJ, Bricker JT, Chaitman BR, Fletcher GF, Froelicher VF, Mark DB, McCallister BD, Mooss AN, O’Reilly MG, Winters Jr WL, Gibbons RJ, Antman EM, Alpert JS, Faxon DP, Fuster V, Gregoratos G, Hiratzka LF, Jacobs AK, Russell RO, Smith Jr FAHA, Committee Members, Task Force Members (2002) ACC/AHA 2002 guideline update for exercise testing: summary article: A report of the American college of cardiology/American heart association task force on practice guidelines (committee to update the 1997 exercise testing guidelines) J Am Coll Cardiol 40: 1531–40
Zurück zum Zitat Gohlke H, Kubler W, Mathes P, Meinertz T, Schuler G, Gysan DB, Sauer G (2005) German Society of Cardiology. Position paper on the primary prevention of cardiovascular diseases. Current position of the 25.3.2003. Statement of the Board of the German Society of Cardiology – heart and circulatory research work commissioned by for the board by Project Group on Prevention: Z Kardiol 94, Suppl 3: III/113–5 Gohlke H, Kubler W, Mathes P, Meinertz T, Schuler G, Gysan DB, Sauer G (2005) German Society of Cardiology. Position paper on the primary prevention of cardiovascular diseases. Current position of the 25.3.2003. Statement of the Board of the German Society of Cardiology – heart and circulatory research work commissioned by for the board by Project Group on Prevention: Z Kardiol 94, Suppl 3: III/113–5
Zurück zum Zitat Gohlke H, Albus C, Gysan DB, Hahmann HW, Mathes P (2009) Cardiovascular prevention in clinical practice (ESC and German guidelines 2007). Herz 34(1): 4–14CrossRefPubMed Gohlke H, Albus C, Gysan DB, Hahmann HW, Mathes P (2009) Cardiovascular prevention in clinical practice (ESC and German guidelines 2007). Herz 34(1): 4–14CrossRefPubMed
Zurück zum Zitat Kendall FP, McCreary E, Provance PG (1993) Muscles testing and Function, 4th ed. Williams & Wilkins Kendall FP, McCreary E, Provance PG (1993) Muscles testing and Function, 4th ed. Williams & Wilkins
Zurück zum Zitat Kindermann W (2003) Physiologische Anpassungen des Herz-Kreislauf-Systems an körperliche Belastung. In: Kindermann W, Dickhuth HH, Nieß A, Röcker K, Urhausen A (Hrsg). Sportkardiologie. Steinkopf, Darmstadt; 1–18CrossRef Kindermann W (2003) Physiologische Anpassungen des Herz-Kreislauf-Systems an körperliche Belastung. In: Kindermann W, Dickhuth HH, Nieß A, Röcker K, Urhausen A (Hrsg). Sportkardiologie. Steinkopf, Darmstadt; 1–18CrossRef
Zurück zum Zitat Lahav D, Leshno M, Brezis M (2009) Is an exercise tolerance test indicated before beginning regular exercise? A decision analysis. Gen Intern Med 24(8): 934–938CrossRef Lahav D, Leshno M, Brezis M (2009) Is an exercise tolerance test indicated before beginning regular exercise? A decision analysis. Gen Intern Med 24(8): 934–938CrossRef
Zurück zum Zitat Lang RM, Bierig M, Devereux RB, Flachskampf FA, Foster E, Pellika PA, Picard MH, Roman MJ, Seward J, Shanewise J, Solomon S, Spencer KT, Sutton MStJ, Stewart W (2006) Recommendations for Chamber quantification. Eur J Echocardiography 7: 79–108CrossRef Lang RM, Bierig M, Devereux RB, Flachskampf FA, Foster E, Pellika PA, Picard MH, Roman MJ, Seward J, Shanewise J, Solomon S, Spencer KT, Sutton MStJ, Stewart W (2006) Recommendations for Chamber quantification. Eur J Echocardiography 7: 79–108CrossRef
Zurück zum Zitat Lewis JF, Spirito P, Pelliccia A, Maron BJ (1992) Usefulness of Doppler echocardiographic assessment of diastolic filling in distinguishing “athlete’s heart” from hypertrophic cardiomyopathy. Am J Cardiol 68: 296–300 Lewis JF, Spirito P, Pelliccia A, Maron BJ (1992) Usefulness of Doppler echocardiographic assessment of diastolic filling in distinguishing “athlete’s heart” from hypertrophic cardiomyopathy. Am J Cardiol 68: 296–300
Zurück zum Zitat Mancia G, de Backer G, Dominiczak A, Cifkova R, Fagard R, Germano G, Grassi G, Heagerty AM, Kjeldsen SE, Laurent S et al. (2007) Guidelines for the Management of Arterial Hypertension. The Task Force for the Management of Arterial Hypertension of the European Society of Hypertension (ESH) and of the European Society of Cardiology (ESC). Journal of Hypertension 25: 1105–1187CrossRefPubMed Mancia G, de Backer G, Dominiczak A, Cifkova R, Fagard R, Germano G, Grassi G, Heagerty AM, Kjeldsen SE, Laurent S et al. (2007) Guidelines for the Management of Arterial Hypertension. The Task Force for the Management of Arterial Hypertension of the European Society of Hypertension (ESH) and of the European Society of Cardiology (ESC). Journal of Hypertension 25: 1105–1187CrossRefPubMed
Zurück zum Zitat Maron BJ, Pelliccia A, Spataro A, Granata M (1993) Reduction in left ventricular wall thickness after deconditioning in highly trained Olympic athletes. Br Heart J 69: 125–128CrossRefPubMedPubMedCentral Maron BJ, Pelliccia A, Spataro A, Granata M (1993) Reduction in left ventricular wall thickness after deconditioning in highly trained Olympic athletes. Br Heart J 69: 125–128CrossRefPubMedPubMedCentral
Zurück zum Zitat Maron BJ, Thompson PD, Puffer JC, McGrew CA, Strong WB, Douglas PS, Clark LT, Mitten MJ, Crawford MH, Atkins DL, Driscoll DJ, Epstein AE (1996) Cardiovascular preparticipation screening of competitive athletes. A statement for health professionals from the Sudden Death Committee (clinical cardiology) and Congenital Cardiac Defects Committee (cardiovascular disease in the young). American Heart Association Circulation 94(4): 850–6PubMed Maron BJ, Thompson PD, Puffer JC, McGrew CA, Strong WB, Douglas PS, Clark LT, Mitten MJ, Crawford MH, Atkins DL, Driscoll DJ, Epstein AE (1996) Cardiovascular preparticipation screening of competitive athletes. A statement for health professionals from the Sudden Death Committee (clinical cardiology) and Congenital Cardiac Defects Committee (cardiovascular disease in the young). American Heart Association Circulation 94(4): 850–6PubMed
Zurück zum Zitat Maron BJ, Zipes DP (2005) BETHESDA CONFERENCE REPORT. 36th Bethesda Conference: Eligibility Recommendations for Competitive Athletes with Cardiovascular Abnormalities. JACC 45, 8: 1312–1375 Maron BJ, Zipes DP (2005) BETHESDA CONFERENCE REPORT. 36th Bethesda Conference: Eligibility Recommendations for Competitive Athletes with Cardiovascular Abnormalities. JACC 45, 8: 1312–1375
Zurück zum Zitat Maron BJ, Thompson PD, Ackerman MJ, Balady G, Berger S, Cohen D, Dimeff R, Douglas PS, Glover DW, Hutter AM et al. (2007) Recommendations and Considerations Related to Preparticipation Screening for Cardiovascular Abnormalities in Competitive Athletes: 2007 Update. A Scientific Statement from the American Heart Association Council on Nutrition, Physical Activity, and Metabolism: Endorsed by the American College of Cardiology Foundation. Circulation 115: 1643–1655CrossRefPubMed Maron BJ, Thompson PD, Ackerman MJ, Balady G, Berger S, Cohen D, Dimeff R, Douglas PS, Glover DW, Hutter AM et al. (2007) Recommendations and Considerations Related to Preparticipation Screening for Cardiovascular Abnormalities in Competitive Athletes: 2007 Update. A Scientific Statement from the American Heart Association Council on Nutrition, Physical Activity, and Metabolism: Endorsed by the American College of Cardiology Foundation. Circulation 115: 1643–1655CrossRefPubMed
Zurück zum Zitat Marti B, Villiger B, Hintermann M, Lerch R (1998) Stellungnahme der Schweizerischen Gesellschaft für Sportmedizin vom 26. Sept 1997: Plötzlicher Herztod beim Sport: sinnvolle Vorsorgeuntersuchungen und Präventivmaßnahmen. Schweizerische Zs f Sportmedizin und Sporttraumatologie 46(2): 83–85 Marti B, Villiger B, Hintermann M, Lerch R (1998) Stellungnahme der Schweizerischen Gesellschaft für Sportmedizin vom 26. Sept 1997: Plötzlicher Herztod beim Sport: sinnvolle Vorsorgeuntersuchungen und Präventivmaßnahmen. Schweizerische Zs f Sportmedizin und Sporttraumatologie 46(2): 83–85
Zurück zum Zitat McKenna WJ, Thiene G, Nava A, Fontaliran F, Blomstrom-Lundqvist C, Fontaine G, Camerini F (1994) Diagnosis of arrhythmogenic right ventricular dysplasia/cardiomyopathy. Br Heart J 71: 215–218CrossRefPubMedPubMedCentral McKenna WJ, Thiene G, Nava A, Fontaliran F, Blomstrom-Lundqvist C, Fontaine G, Camerini F (1994) Diagnosis of arrhythmogenic right ventricular dysplasia/cardiomyopathy. Br Heart J 71: 215–218CrossRefPubMedPubMedCentral
Zurück zum Zitat Mittleman MA, Maclure M, Tofler GH (1993) Triggering of acute myocardial infarction by heavy physical exertion. New Engl J Med 329: 1677–1683CrossRefPubMed Mittleman MA, Maclure M, Tofler GH (1993) Triggering of acute myocardial infarction by heavy physical exertion. New Engl J Med 329: 1677–1683CrossRefPubMed
Zurück zum Zitat Moinard J, Yquel R, Manier G (2004) Pulmonary gas exchange during exercise in healthy subjects. Rev Mal Respir 21: 950–60CrossRefPubMed Moinard J, Yquel R, Manier G (2004) Pulmonary gas exchange during exercise in healthy subjects. Rev Mal Respir 21: 950–60CrossRefPubMed
Zurück zum Zitat Mont L, Elosua R, Brugada J (2009) Endurance sport practice as a risk factor for atrial fibrillation and atrial flutter. Europace 11: 11–17CrossRefPubMed Mont L, Elosua R, Brugada J (2009) Endurance sport practice as a risk factor for atrial fibrillation and atrial flutter. Europace 11: 11–17CrossRefPubMed
Zurück zum Zitat O’Connor CM, Whellan DJ, Lee KL, Keteyian SJ, Cooper LS, Ellis SJ, Leifer ES, Kraus WE, Kitzmann DW, Blumenthal JA et al. (2009) Efficacy and Safety of Exercise Training in Patients with Chronic Heart Failure. JAMA 301(14): 1439–1450CrossRefPubMedPubMedCentral O’Connor CM, Whellan DJ, Lee KL, Keteyian SJ, Cooper LS, Ellis SJ, Leifer ES, Kraus WE, Kitzmann DW, Blumenthal JA et al. (2009) Efficacy and Safety of Exercise Training in Patients with Chronic Heart Failure. JAMA 301(14): 1439–1450CrossRefPubMedPubMedCentral
Zurück zum Zitat Pinamonti B, Alberti E, Cigalotto A, Dreas L, Salvi A, Silvestri F, Camerini F (1988) Echocardiographic findings in myocarditis. Am J Cardiol 62: 2285–2291CrossRef Pinamonti B, Alberti E, Cigalotto A, Dreas L, Salvi A, Silvestri F, Camerini F (1988) Echocardiographic findings in myocarditis. Am J Cardiol 62: 2285–2291CrossRef
Zurück zum Zitat Pokan R, Hofmann P, Wonisch M, Hörtnagl H (2004) Funktionsdiagnostik akuter und chronischer Anpassung des Herz-Kreislaufsystems an körperliche Belastungen. In: Pokan R, Förster H, Hofmann P, Hörtnagl H, Ledl-Kurkowski E, Wonisch M (Hrsg). Kompendium der Sportmedizin – Physiologie, Innere Medizin und Pädiatrie. Springer, Wien New York, S 45–83CrossRef Pokan R, Hofmann P, Wonisch M, Hörtnagl H (2004) Funktionsdiagnostik akuter und chronischer Anpassung des Herz-Kreislaufsystems an körperliche Belastungen. In: Pokan R, Förster H, Hofmann P, Hörtnagl H, Ledl-Kurkowski E, Wonisch M (Hrsg). Kompendium der Sportmedizin – Physiologie, Innere Medizin und Pädiatrie. Springer, Wien New York, S 45–83CrossRef
Zurück zum Zitat Pollock ML, Franklin BA, Balady GJ, Chaitman BL, Fleg JL, Fletcher B, Limacher M, Pina IL, Stein RA, Williams M, Bazzarre T (2000) AHA Science Advisory. Resistance exercise in individuals with and without cardiovascular disease: benefits, rationale, safety, and prescription: An advisory from the Committee on Exercise, Rehabilitation, and Prevention, Council on Clinical Cardiology, American Heart Association; position paper endorsed by the American College of Sports Medicine. Circulation 101(7): 828–33CrossRefPubMed Pollock ML, Franklin BA, Balady GJ, Chaitman BL, Fleg JL, Fletcher B, Limacher M, Pina IL, Stein RA, Williams M, Bazzarre T (2000) AHA Science Advisory. Resistance exercise in individuals with and without cardiovascular disease: benefits, rationale, safety, and prescription: An advisory from the Committee on Exercise, Rehabilitation, and Prevention, Council on Clinical Cardiology, American Heart Association; position paper endorsed by the American College of Sports Medicine. Circulation 101(7): 828–33CrossRefPubMed
Zurück zum Zitat Prefaut C, Durand F, Mucci P, Caillaud C (2000) Exercise induced arterial hypoxaemia in athelets: a review. Sports Med 30: 47–61CrossRefPubMed Prefaut C, Durand F, Mucci P, Caillaud C (2000) Exercise induced arterial hypoxaemia in athelets: a review. Sports Med 30: 47–61CrossRefPubMed
Zurück zum Zitat Priori SG, Aliot E, Blomstrom-Lundqvist C (2001) Task Force on Sudden Cardiac Death of the European Society of Cardiology. Eur Heart J 22: 1374–1450CrossRefPubMed Priori SG, Aliot E, Blomstrom-Lundqvist C (2001) Task Force on Sudden Cardiac Death of the European Society of Cardiology. Eur Heart J 22: 1374–1450CrossRefPubMed
Zurück zum Zitat Rodgers GP, Ayanian JZ, Balady G (2000) American College of Cardiology/American Heart Association. Clinical Competence statement on stress testing: a report of the American College of Cardiology/American Heart Association/American College of Physicians – American Society of Internal Medicine Task Force on Clinical Competence. J Am Coll Cardiol 4: 1441–53 Rodgers GP, Ayanian JZ, Balady G (2000) American College of Cardiology/American Heart Association. Clinical Competence statement on stress testing: a report of the American College of Cardiology/American Heart Association/American College of Physicians – American Society of Internal Medicine Task Force on Clinical Competence. J Am Coll Cardiol 4: 1441–53
Zurück zum Zitat Samitz G, Benzer W, Zwahlen M (2009) Wirksamkeit der umfassenden kardiologischen Rehabilitation und Sekundärprävention: klinische und epidemiologische Evidenz: In: Pokan R, Benzer W, Gabriel H, Hofmann P, Kunschitz E, Samitz G, Schindler K, Wonisch M (Hrsg) Kompendium der kardiologischen Prävention und Rehabilitation. Springer, Wien New York, S 17–36CrossRef Samitz G, Benzer W, Zwahlen M (2009) Wirksamkeit der umfassenden kardiologischen Rehabilitation und Sekundärprävention: klinische und epidemiologische Evidenz: In: Pokan R, Benzer W, Gabriel H, Hofmann P, Kunschitz E, Samitz G, Schindler K, Wonisch M (Hrsg) Kompendium der kardiologischen Prävention und Rehabilitation. Springer, Wien New York, S 17–36CrossRef
Zurück zum Zitat Sauer G, Andresen D, Cierpka R, Lemke B, Mibach F, Perings C, Vaerst R (2005) Positionspapier zur Durchführung von Qualitätskontrollen bei Ruhe-, Belastungs- und Langzeit-EKG. Z Kardiol 94: 844–857CrossRefPubMed Sauer G, Andresen D, Cierpka R, Lemke B, Mibach F, Perings C, Vaerst R (2005) Positionspapier zur Durchführung von Qualitätskontrollen bei Ruhe-, Belastungs- und Langzeit-EKG. Z Kardiol 94: 844–857CrossRefPubMed
Zurück zum Zitat Seto CK, Pendieton ME (2009) Preparticipation Cardiovascular Screening in Young Athletes. Current Guidelines and Dilemmas. Current Sports Medicine Reports 59–64 Seto CK, Pendieton ME (2009) Preparticipation Cardiovascular Screening in Young Athletes. Current Guidelines and Dilemmas. Current Sports Medicine Reports 59–64
Zurück zum Zitat Sharma S, Maron BJ, Whyte G, Firoozi S, Elliott PM, McKenna WJ (2002) Physiologic Limits of Left Ventricular Hypertrophy. In: Elite Junior Athletes: Relevance to Differential Diagnosis of Athlete’s Heart and Hypertrophic Cardiomyopathy. J ACC 40(8): 1431–1436 Sharma S, Maron BJ, Whyte G, Firoozi S, Elliott PM, McKenna WJ (2002) Physiologic Limits of Left Ventricular Hypertrophy. In: Elite Junior Athletes: Relevance to Differential Diagnosis of Athlete’s Heart and Hypertrophic Cardiomyopathy. J ACC 40(8): 1431–1436
Zurück zum Zitat Siscovick DS, Weiss NS, Fletcher RH, Lasky T (1984) The incidence of primary cardiac arrest during vigorous exercise. New Engl J Med 311: 874–877CrossRefPubMed Siscovick DS, Weiss NS, Fletcher RH, Lasky T (1984) The incidence of primary cardiac arrest during vigorous exercise. New Engl J Med 311: 874–877CrossRefPubMed
Zurück zum Zitat Thiene G, Carturan E, Corrado D, Basso C (2010) Prevention of sudden cardiac death in the young and in athletes: dream or reality? Cardiovasc Pathol 19(4): 207–217CrossRefPubMed Thiene G, Carturan E, Corrado D, Basso C (2010) Prevention of sudden cardiac death in the young and in athletes: dream or reality? Cardiovasc Pathol 19(4): 207–217CrossRefPubMed
Zurück zum Zitat Tillmanns H, Erdogan A, Sedding D (2009) Treatment of chronic CAD – do the guidelines (ESC, AHA) reflect daily practice? Herz 34(1): 39–54CrossRefPubMed Tillmanns H, Erdogan A, Sedding D (2009) Treatment of chronic CAD – do the guidelines (ESC, AHA) reflect daily practice? Herz 34(1): 39–54CrossRefPubMed
Zurück zum Zitat Thompson WR, Gordon NF, Pescadello LS (2009) ACSM’s Guidelines for Exercise Testing and Prescription. Wolters Kluwer/Lippincott Williams & Wilkins, Philadelphia Thompson WR, Gordon NF, Pescadello LS (2009) ACSM’s Guidelines for Exercise Testing and Prescription. Wolters Kluwer/Lippincott Williams & Wilkins, Philadelphia
Zurück zum Zitat Uhrhausen A, Kindermann W (1999) Sports-Specific Adaptations and Differentiation of the Athlete’s Heart. Sports Med 28(4): 237–244CrossRef Uhrhausen A, Kindermann W (1999) Sports-Specific Adaptations and Differentiation of the Athlete’s Heart. Sports Med 28(4): 237–244CrossRef
Zurück zum Zitat Vogiatzis I, Zakynthinos S, Boushel R, Athanasopoulos D, Guenette JA, Wagnes H, Roussos C, Wagner PD (2008) The contribution of intrapulmonary shunts to the alveolar-to-arterial oxygen difference during exercise is very small. J Physiol 586: 2381–2391CrossRefPubMedPubMedCentral Vogiatzis I, Zakynthinos S, Boushel R, Athanasopoulos D, Guenette JA, Wagnes H, Roussos C, Wagner PD (2008) The contribution of intrapulmonary shunts to the alveolar-to-arterial oxygen difference during exercise is very small. J Physiol 586: 2381–2391CrossRefPubMedPubMedCentral
Zurück zum Zitat Wonisch M, Berent R, Klicpera M, Laimer H, Marko C, Pokan R, Schmid P, Schwann H (2008) Praxisleitlinien Ergometrie. J Kardiol 15, Suppl A: 3–17 Wonisch M, Berent R, Klicpera M, Laimer H, Marko C, Pokan R, Schmid P, Schwann H (2008) Praxisleitlinien Ergometrie. J Kardiol 15, Suppl A: 3–17
Zurück zum Zitat Wonisch M (2009) Arterielle Hypertonie. In: Pokan R, Benzer W, Gabriel H, Hofmann P, Kunschitz E, Mayr K, Samitz G, Schindler K, Wonisch M (Hrsg) Kompendium der kardiologischen Prävention und Rehabilitation. Springer, Wien New York, S 79–81CrossRef Wonisch M (2009) Arterielle Hypertonie. In: Pokan R, Benzer W, Gabriel H, Hofmann P, Kunschitz E, Mayr K, Samitz G, Schindler K, Wonisch M (Hrsg) Kompendium der kardiologischen Prävention und Rehabilitation. Springer, Wien New York, S 79–81CrossRef
Metadaten
Titel
Empfehlungen für den internistischen Untersuchungsgang in der Sportmedizin
verfasst von
Rochus Pokan
Harald Gabriel
Helmut Hörtnagl
Andrea Podolsky
Karin Vonbank
Manfred Wonisch
Copyright-Jahr
2017
Verlag
Springer Vienna
DOI
https://doi.org/10.1007/978-3-211-99716-1_6

Arthropedia

Grundlagenwissen der Arthroskopie und Gelenkchirurgie. Erweitert durch Fallbeispiele, Videos und Abbildungen. 
» Jetzt entdecken

Update Orthopädie und Unfallchirurgie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.