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Koronare Herzkrankheit

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Die atherosklerotisch bedingte koronare Herzkrankheit (KHK) ist bei Personen oberhalb des dritten Lebensjahrzehnts die häufigste Ursache für kardiale Ereignisse und plötzliche Todesfälle während oder nach körperlicher Belastung [36, 61, 66] (s. auch Kap. 2). Das Risiko des Auftretens eines akuten Myokardinfarkts oder plötzlichen Herztods steigt mit der Belastungsintensität [40, 69]. Vor dem Hintergrund dieser Tatsache muss die körperliche Aktivität bei KHK ambivalent bewertet werden: Einerseits ist das akute Risiko für kardiale Ereignisse während körperlicher Belastung erhöht, andererseits kann das kardiovaskuläre Risiko durch körperliches Training langfristig reduziert werden [5, 51]. Wie bei jeder Form der Therapie muss der potenzielle Nutzen von körperlicher Aktivität und Sport gegen ein mögliches Risiko abgewogen werden. Da mit zunehmender Ausprägung der KHK zudem auch Leistungsfähigkeit und Belastbarkeit abnehmen, ist eine objektive Einstufung der Belastungsrisiken für Patienten mit KHK von großer Bedeutung. Aber auch bei vermeintlich Gesunden muss eine mögliche KHK bedacht werden, da das Risiko für einen plätzlichen Herztod oder einen Myokardinfarkt beim Sport durch eine verborgene KHK deutlich erhöht ist [62].

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© Steinkopff Verlag Darmstadt 2007

Authors and Affiliations

  1. 1.Abteilung Rehabilitative und Präventive SportmedizinMedizinische UniversitätsklinikFreiburg

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