61-year-old Lao Zhang died two weeks ago, which is surprising, because he is usually in good health, exercises regularly, and has no chronic diseases such as high blood pressure, hyperlipidemia, coronary heart disease, diabetes, etc., but before his death, he suffered from a cold, fever, muscle aches, A little tired, he didn't care, he thought he exercised, sweating would be good, who knew that this exercise turned out to be goodbye, the examination before his death found that he had myocarditis, which is a complication caused by viral cold, if you encounter this situation, you can't exercise, but you need to rest, otherwise it may induce myocardial infarction, and even sudden death, Lao Zhang is caused by this, it's a pity.
Death
In fact, not only Lao Zhang, but also some cases, such as the sudden death of one person in the 2024 Hong Kong Marathon, and there have been cases of sudden death in many marathons in the past, which is worth being vigilant against!
Since exercise can cause sudden death, who are the people who can't exercise?
1. People with myocarditis
Myocarditis is a common and frequent clinical disease, which refers to the limited or diffuse inflammatory lesions of the myocardium as the main manifestation of the disease, according to the established Dallas criteria, the histological evidence of intramyocardial invasion is myocardial inflammatory cell infiltration, accompanied by adjacent myocardial cell degeneration and necrosis.
Myocarditis is often caused by viral and bacterial infections, which is extremely harmful, in addition to the need for timely treatment, do not exercise, otherwise it will be aggravated and even lead to sudden death.
2. Patients with coronary vascular malformations
Coronary artery malformation is coronary artery ectopia, which originates congenitally, and coronary artery malformation refers to a rare coronary pattern in the general population, and abnormalities in initiation, distribution, and termination can be regarded as malformations. For example, single coronary artery malformation, coronary artery fistula, muscle bridge, etc., often manifest as myocardial ischemia, where patients need to rest, if exercise will aggravate myocardial ischemia, and even cause avascular necrosis and lead to sudden death.
Coronary vascular malformations
3. Hypertrophic cardiomyopathy
Hypertrophic cardiomyopathy is characterized by hypertrophy of the heart muscle. According to the presence or absence of obstruction in the left ventricular outflow tract, it can be divided into obstructive and non-obstructive hypertrophic cardiomyopathy, and patients with asymmetric ventricular septal hypertrophy causing subaortic stenosis are called idiopathic hypertrophic subaortic stenosis.
If the patient exercise, especially a lot of exercise, will limit the flow of blood, the patient will suffer from sudden death due to poor blood circulation.
4. Some patients with arrhythmia
Arrhythmia is a common and frequent clinical disease, and some patients with arrhythmia, such as patients with ventricular arrhythmia, severe atrioventricular block, and some patients with prolonged QT interval, will also die suddenly from exercise.
arrhythmia
5. Patients with Marfan syndrome
Marfan syndrome, also known as Marfan syndrome, congenital mesodermal dysplasia, is a relatively rare congenital inherited connective tissue disease, caused by autosomal dominant inheritance, accompanied by a family history.
People with Marfan syndrome themselves will die suddenly, and if they don't exercise properly, they are more likely to die suddenly, so it is important to be careful.
6. Patients with unstable arterial plaque
Some patients have plaques in the blood vessels, and they are new plaques, and such soft plaques are easy to fall off, especially when strenuous exercise is more likely to fall off, resulting in myocardial infarction and sudden death.
Vascular plaque
7. Cor pulmonale
Cor pulmonale, also known as cor pulmonale, is a heart disease caused by pulmonary hypertension due to broncho-lung tissue or pulmonary artery vascular disease. In addition to the various symptoms and signs of pre-existing lung and thoracic diseases, the main symptoms are the gradual appearance of pulmonary and heart failure and other organ damage.
Patients with cor pulmonale cannot exercise, cannot exercise for a long time, and cannot have strenuous exercise.
7. Hypertensive heart disease
Due to the long-term increase in blood pressure, it will cause damage to the heart, and then cause heart disease, this heart disease caused by high blood pressure, also known as hypertensive heart disease, such patients should not exercise vigorously.
In addition, rheumatic heart disease, bronchial asthma, aortic dissection, etc. can also cause sudden death, and do not exercise vigorously.
Bronchial asthma
These patients are prone to sudden death when exercising, so how can the elderly prevent it?
1. Do not exercise in the advanced or severe stage of the disease
For these diseases, it is easy to cause sudden death, so try to reduce exercise, especially in the advanced or severe stage of the disease, otherwise it is easy to sudden death.
2. Moderate exercise during the stable period
If the disease is stable, the patient can exercise moderately, but it is advisable to exercise less vigorously and with a small amount of exercise, such as a short period of running.
3. Don't exercise for too long
For patients with the above diseases, if you want to exercise, you must not exercise for a long time, because long-term exercise will consume a lot of physical strength and energy, which will lead to ischemia and hypoxia, so do not exercise for too long.
Prolonged exercise leads to a heart attack
4. Self-test during exercise
The above-mentioned patients should learn to self-test during exercise, so that they are not fatigued and have no discomfort during exercise. If you feel unwell, you need to rest immediately and go to the hospital as soon as possible for a check-up.
5. Control blood pressure, blood sugar, and blood lipids
For patients with high blood pressure, high blood sugar, and high blood lipids, it is necessary to standardize the use of drugs to control blood pressure, blood sugar, blood lipids, etc., and reduce risk factors.
Lao Zhang's sudden death after exercise is heart-wrenching, the above people can not exercise or exercise less, the above methods can prevent sudden death, please collect and remember!
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