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沈意清
2017.12.01 天冷心血管高危險群要小心 運動切莫一時興起
2017.12.01 天冷心血管高危險群要小心 運動切莫一時興起
2017.12.01 天冷心血管高危險群要小心 運動切莫一時興起
By
沈意清
Senior Account Executive
・
Yilan County, Taiwan
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天氣冷心血管疾病病友要小心,可別一時興起去運動,過度劇烈的活動,反而造成心臟無法負荷,再次引發心臟疾病。羅東博愛醫院復健醫學科葉書銘主治醫師提醒平時有在運動的心血管病人運動時,要注意保暖並保持規律時間運動,反之若平常沒有運動習慣,有胸悶、喘症狀時,可千萬別貿然劇烈運動,小心一動讓自己身陷危機。 近年來,台灣瘋路跑,入秋後幾乎每周都有路跑活動,參賽者不乏喜歡呼朋引伴挑戰各場賽式,但心血管疾病病人可以隨揪隨去跑路跑嗎?動過刀就無法再跑步嗎? 羅東博愛醫院復健醫學科心肺復健葉書銘醫師表示,若平常沒有運動習慣卻想跑步的心血管疾病患者,不建議在沒有練習的情況下參加路跑,尤其是剛術後或剛心肌梗塞後的病人,想運動必須循序漸進,切末操之過急。 葉書銘醫師說若平常有跑步的病友,路跑不會對身體造成太大負擔,跑對距離反而有益,大幅降低心臟病友再次復發的機率。在2015年的一篇醫學研究論文顯示,心臟病患者有跑步習慣且每天跑的距離為6-7公里,每個月控制在200公里以內是安全的,但若超過的話可能會有顯著的傷害,所以心臟病友保有跑步的習慣是沒有關係的。 同時葉書銘醫師也建議心血管疾病病人跑步暖身的時間與緩和的時間一定要加強,在足夠的暖身後,建議用低速起跑,到了冬季,一定要確定身體熱開在用平常的速度去跑,緩和時也要慢慢緩和降低速度。 上個月一名喜愛跑步的67歲心導管患者前來心肺復健門診看診,在術後3-4周透過運動心肺評估與檢測後,得知老翁的運動安全心跳範圍運動休息心跳數為正常心跳加20-30(一般人為60-70),為運動休息心跳數20-30,加上老翁回家後積極運動,目前身體已恢復到發病前的運動量,並且可以自在地從柯林村走到羅東運動公園再跑回柯林村,老翁表示,目前跑步跟以前沒有差異,跑起來很輕鬆。 提醒心血管疾病病人,別害怕運動,而是要知道怎麼動,透過心肺復健,除了可以幫心血管疾病病人量身打造運動處方,更有效且安全降低死亡率,也恢復身體活動的能力,不但能協助心血管疾病的壯年人口重回工作,並讓長者活得更好,享受運動、嗜好、社交及家庭生活。
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沈意清
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Published: Apr 29th 2019
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