要注意的是，开始运动前应采取药物治疗控制心衰。有条件的应到医院行心肺功能检测，以判断机体对运动的反应，决定安全有效的运动水平，并参照医生开具的运动处方进行运动。总之，药物与运动同时进行比单用一种措施更有效。对于几乎所有的心衰患者，系统的运动应为整体治疗的一部分。
最后祝大家生活愉快，身体健康！想了解更多心血管科普小知识，请关注我们，咱们下期见。
【英文版】
Can heart failure patients still exercise? The answers are all here
Dear friends, nice to meet you!Now it is time for “Health talk for three minutes every day”,My name is Zheng Junbo, a doctor of Daojian Doctor Group of Cardiovascular Rehabilitation.Today, I'd like to tell you whether patients with heart failure can exercise.
Patients with heart failure are often cautious, and they dare not exercise.In fact, most patients can significantly improve heart function and quality of life and reduce the risk of death through regular exercise. The key is to exercise properly, through the right amount of exercise or activity, patients will feel comfortable, more energetic than before, and their night sleep will also be improved.
How to exercise is very particular, next let's talk about it.
What should we pay attention to before exercise?
Measure the pulse before exercise. If the pulse is more than 100 beats per minute, it is not suitable to participate in sports or activities. In addition, warm-up before exercise can promote vasodilation. Do at least 10 minutes of stretching, walking or other activities.
When is the best time to take exercise?
In general, exercise once or twice a day for 20-30 minutes is OK, and it will be better to take exercise 2-3 hours after meals or 1 hour before meals. When the weather is very hot, it can be carried out in the morning or at night. Exercise should be carried out in the sun in winter. In short, you should choose the time not too cold or too hot to take exercises.
What kind of sports can you do?
Do what you can.
Patients with heart failure should take part in the activities that the heart can bear and do everything at your power during the recovery period,but do not act too fast. As the heart function of patients with heart failure are very different from those of normal people.
Start with small activities.
The exercise and activity of patients with heart failure in rehabilitation period should start from the minimum, and be increased slowly, excessive exercise should be avoid. At the beginning, you should do some indoor activities accompanied and supervised by family members or medical staff, and then move to the outdoor after you can tolerate it. The walking distance should be increased gradually.
Aerobic impedance exercise could be selected as the exercise mode.
You can do walking, climbing stairs, swimming, cycling, dancing slow three or slow four, playing Taijiquan, Taijijian, etc., and you can also properly do some activities of limbs and joints, and the activity time should not be long.Proper strength exercise can enhance the movement of respiratory muscle (diaphragm and abdominal muscle), reduce dyspnea, improve quality of life, and enhance exercise tolerance. Low weight resistance exercise (such as dumbbell exercise) can enhance the strength of limbs and trunk muscles, and reduce fatigue.Generally, exercise 1 or 2 groups, repeated 12 to 15 times in each group, can make muscles get enough exercise.
Do not do explosive sports or activities, such as sudden jumping, turning, lifting heavy objects, holding children, lifting wine bottle cap, throwing away
What should we pay attention to in sports?
Monitor symptoms during exercise or activity. If excessive fatigue, chest tightness, shortness of breath, precordial pain, headache, nausea, pale complexion and other symptoms occur during exercise,it means that the heart can not bear the amount of exercise, and you should stop immediately and have a full rest.
How long is it appropriate to exercise?
The ideal target is for patients to walk or pedal on the spot for 30 to 40 minutes (which can be pided into 10 minutes per session) within the expected heart rate range,3-5 times a week, and the expected heart rate is 20 beats / min more than that at rest.
What should we pay attention to after exercise?
After the exercise, it is necessary to carry out relaxation exercise, so as to gradually ease the muscles and reduce the discomfort after exercise.Through the appropriate amount of exercise or activity, patients can feel comfortable and feel more energetic than before.Good sleep at night without other discomfort symptoms indicates moderate exercise.If there are symptoms of discomfort or poor sleep, it means that the amount of exercise or activity is too large, you’d better reduce the amount of exercise or adjust the way of exercise.
