Physical examination qualified to run a cardiac arrest in Hangzhou Ma soon experts poured cold water-govos

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Physical examination qualified to run " after cardiac arrest; Hangzhou Ma " expert " " soon poured cold water;; in November 6th, the 2016 Hangzhou marathon will be run. From the "32000 seconds", the marathon has gradually evolved into a high degree of participation of ordinary citizens. Every year "hang Ma" period, WeChat circle of friends in the sun draw results, number plate, sportswear has become fashionable, but accidents also occur frequently on the track. In October 30th, the 2016 Shanghai International Marathon run. A half group of men, after crossing the end of the line about 50 meters suddenly cardiac arrest, can not afford to fall, but fortunately emergency medical team rescue in time. Less than 2 minutes apart, another male athlete was unconscious due to acute cerebral ischemia…… Statistics show that the "horse" injured amounted to 560 people, including 556 minor injuries, 4 seriously injured. Is it really a national sport to go into the marathon of ordinary people? Zhejiang Province People’s Hospital physician Ding Yahui, deputy director of cardiovascular department poured a "cold water" to everyone: "no 2-3 times a week 10 kilometers of habitual training, do not encourage participation."." Health certification only 5 items can not fully reflect the health status of the players, in Hangzhou marathon official website reporter found that, in order to successfully participate in "Hangzhou horse", in addition to the ballot, payment, contestants must pay a physical examination table. In addition to filling in the identity information, the physical examination included 6 items of personal health, including history, sudden death, family history, blood pressure, heart rhythm, electrocardiogram diagnosis, and cardiac ultrasound diagnosis. Among them, 5 belong to the required class, echocardiography is recommended to the project, optional class. Physical examination needs to be able to carry out related projects, qualified hospital seal. Ding Yahui also saw such a physical examination, a contestant was brought to the Department of Cardiology, asked him to check and seal. However, when the only 5 required the examination table, Ding Yahui expressed some anxiety. No matter how hot the marathon is now, it is, after all, the ultimate sport, which requires very high heart and lung function for the participants. Professional long-distance runners have professional sports health assessment, including cardio pulmonary function test, oxygen consumption test, quiet and quantitative load before and after exercise, heart rate, blood lactate change, etc., is very strict." Ding Yahui believes that only blood pressure, heart rhythm, ECG diagnosis project, can not fully reflect the health status of competitors. In addition, the detection rate of atrial premature beats and ventricular premature beats is limited by B ultrasound. Qualified "is a very broad concept, as long as the examination results in the normal range of medical data, can give" qualified ", but a marathon is not normal people can do exercise, need long-term training, professional health assessment." Ding Yahui said. Most of the cardiac arrest players are unaware of their own heart disease. In recent years, the sudden cardiac arrest on the marathon track is not uncommon. Why? Hangzhou emergency center physician, American Heart Association senior life support tutor Zhou Haibin explained that there are many reasons for cardiac arrest, the common main three"

体检合格跑完心脏骤停 "杭马"在即专家泼"冷水"   11月6日,2016年杭州马拉松就要开跑。从32000个参赛名额瞬间被“秒”可以看出,马拉松已逐渐演变为普通市民参与度极高的赛事。每年“杭马”期间,微信朋友圈里晒抽签结果、号码牌、运动服成了时髦,但意外事故也屡屡在赛道上发生。   10月30日,2016年上海国际马拉松开跑。一名参加半程组的男性,在越过终点线后50米左右突然心脏骤停倒地不起,好在应急安全医疗小组抢救及时。相隔不到2分钟,另一名男选手由于急性脑缺血昏迷……统计显示,本次“上马”受伤者达560人,其中轻伤556人、重伤4人。   走入普通人的马拉松真可以算是“全民运动”吗?浙江省人民医院心血管内科副主任医师丁亚辉给大家泼了盆“冷水”:“没有每周2-3次10公里的习惯性训练,不鼓励参加。”   健康证明仅5项   不能全面反映选手健康状况   在杭州马拉松赛事官网上记者发现,要顺利参加“杭马”,除了中签、缴费,参赛选手还要交体检表。这张体检表除了要选手填写身份信息外,关于个人健康的内容共有6项,包括病史、猝死家族史、血压、心律、心电图诊断、心脏超声诊断。其中,前5项属于必填类,心脏超声诊断属于推荐项目,也就是选填类。体检表需要有能开展相关项目、有资质的医院盖章。   丁亚辉也见过这样的体检表,是一名参赛选手拿来心内科请他检查并盖章的。不过,当看到这份仅有5个必填项目的体检表时,丁亚辉表示有些担忧。   “不管马拉松现在有多火,它毕竟是极限运动,对参赛者的心肺功能要求非常高。专业的长跑运动选手,有职业的体育健康评估,包括心肺功能测试、耗氧量测试、训练前后安静及定量负荷的心率、血乳酸变化等,是非常严格的。”丁亚辉认为,仅有血压、心律、心电图诊断项目,并不能够全面反映出参赛选手的健康状态。此外,心脏B超对于房性早搏和室性早搏的检出率也很有限。   “合格是一个很宽泛的概念,检查结果只要在正常数据范围内,医政就可以给出‘合格’,但马拉松不是一般正常人可以完成的运动,需要长期训练,专业的健康评估。”丁亚辉说。   心脏骤停选手   多数对自身心脏疾病不知情   近年来,在马拉松的赛道上,发生心脏骤停的选手并不罕见。为什么?杭州市急救中心主治医师、美国心脏协会高级生命支持导师周海斌解释,心脏骤停的原因有很多,常见的主要有三类:心源性原因,也就是既往有心脏病史;大量运动后电解质紊乱导致的心脏骤停;脑源性导致的心脏骤停。   “如果本身有心脏疾病史,而在此基础上承受高负荷活动,就会出现急性心力衰竭。另外,大量运动后,电解质会出现紊乱,钾离子大量丢失,也会导致心脏骤停。”周海斌说。   他认为,在运动过程中出现心脏骤停,或多或少存在心脏基础疾病。这个观点也得到了丁亚辉的认同。丁亚辉说,就马拉松比赛而言,参赛选手如果年龄在40岁以上,出现心脏骤停的多数原因在于冠心病,如果在40岁以下,或许患有先天性心脏疾病。可危险就危险在,很多人因为此前从没有出现心脏疾病的症状,因此从来没有做过相关心脏检查,也就并不知晓自己其实是有心源性疾病的。   马拉松对体力毅力都是挑战   别为了凑热闹勉强参加   本次“杭马”全程42.195公里,半程为21.0975公里,而不论完成哪一样,对体力和毅力都是挑战。   “马拉松并不是温和的健身运动,而是一项伤害性运动,对意志是挑战,对身体是伤害。如果没有每周2-3次10公里的习惯性训练,只是偶尔跑一下,想在朋友圈里‘刷’个热度凑个热闹的话,作为医生我不鼓励参加。”丁亚辉说。   两位专家列出了马拉松的“禁忌症”:没有经过心电图等全面身体检查的人;没有经过系统训练、平时较少运动的人;在做轻微活动时会感到胸部中等程度疼痛和心绞痛的人;高血压、风湿性、先天性心脏病患者。身体较弱,或自身患有如肝肾疾病、糖尿病等基础疾病的人,在选择参加马拉松这类挑战人类体能和耐力极限的运动时,也须量力而行。   “更重要的是,如果在跑马拉松的过程中出现身体的任何不适,一定要选择向就近的医疗工作人员求助,并停止继续。”丁亚辉提醒,“身体发出的警告一定要重视,绝对不可以硬着头皮继续跑。”相关的主题文章: