Document Detail


The cardiovascular complications of vigorous physical activity.
MedLine Citation:
PMID:  8911236     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To review the cardiovascular risks of exercise for practicing physicians. DATA SOURCES: Relevant medical literature as well as the author's clinical and research experience on the topic. RESULTS: The predominant causes of exercise-related cardiovascular complications are congenital abnormalities in young subjects and atherosclerotic coronary disease in adults. The absolute incidence of exercise deaths is low. Only approximately 0.75 and 0.13 per 100,000 young male and female athletes and 6 per 100,000 middle-aged men die during exertion per year. Nevertheless, exercise does acutely and transiently increase the risk of cardiac events. CONCLUSIONS: Routine cardiovascular testing to prevent exercise events (echocardiography in the young and exercise testing in adults) has limited usefulness because of the rarity of such events, the cost of screening, and poor predictive accuracy of exercise testing for exercise events. Physicians should (1) perform routine screening and cardiac auscultation in young athletes; (2) carefully evaluate exercise-induced symptoms; and (3) ensure that adults know the symptoms of cardiac ischemia.
Authors:
P D Thompson
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't; Review    
Journal Detail:
Title:  Archives of internal medicine     Volume:  156     ISSN:  0003-9926     ISO Abbreviation:  Arch. Intern. Med.     Publication Date:  1996 Nov 
Date Detail:
Created Date:  1996-12-06     Completed Date:  1996-12-06     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0372440     Medline TA:  Arch Intern Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  2297-302     Citation Subset:  AIM; IM    
Affiliation:
Section of Preventive Cardiology, University of Pittsburgh Heart Institute, PA, USA.
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MeSH Terms
Descriptor/Qualifier:
Adult
Cardiovascular Diseases / etiology*,  mortality,  prevention & control
Cause of Death
Death, Sudden, Cardiac / epidemiology,  etiology*,  prevention & control
Exercise / physiology*
Female
Humans
Incidence
Male
Mass Screening / methods
Middle Aged
Predictive Value of Tests
Risk Factors
Sports
Comments/Corrections
Comment In:
Arch Intern Med. 1997 Jun 9;157(11):1269-70   [PMID:  9183244 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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