METs WPW QT LQTS 9Brugada 0 METs 30 Circulation Journal Vol. 67, Suppl. IV,

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Transcription:

2002002 Guidelines for Exercise Eligibility at Schools, Work-Sites, and Sports in Patients with Heart Diseases (JCS 2003) JR 2 3 2 3 2 2 3 2 2 3 Circulation Journal Vol. 67, Suppl. IV, 2003 309

2002002 3 METs 2 2 4 5 2 2 3 4 2 3 2 3 2 3 4 5 6 7 2 3 4 5 2 2 2 2 2 3WPW 4 5 6 7 8 QT LQTS 9Brugada 0 METs 30 Circulation Journal Vol. 67, Suppl. IV, 2003

5 3 0 0.3 0.8 0.9 7080 % 2 988993 536 209 69 33.0 % 32 5.3 % 5 4.4 %QT 3 6.2 % 3 4.8 % 5 2.4 % 5 2.4 % 2.0 % 0.5 % 3 QT 6.60 00 4.50 00 576 57 63 7 2 2.8 00 2 948 999 52 23 534 72.5 % 3 3 Circulation Journal Vol. 67, Suppl. IV, 2003 3

2002002 3065 2.2 % 54.0 % 45.7 % 096,775 25 0 2.9 5.7 53 58.6 % 00 43 4 9899 8.6 40 87.8 % 2,636 42,887 497 2 40 3 3 NYHA 3 A B 32 Circulation Journal Vol. 67, Suppl. IV, 2003

2 METs MET3.5 mlkg min % METs 3 3 3 3 4060 % METs METs AT AT 2 3 METs 36 METs 6.0 METs 5 METs 50 METs 0 METs 60 % METs 2 Circulation Journal Vol. 67, Suppl. IV, 2003 33

2002002 40 50 METs METs % 3 3 METs 3 METs METs 3 METs % % % 2039 4064 6579 80 25 30 9 3.0 2.5 2.0.25 2544 3049 90 3.04.7 2.54.4 2.03.5.262.2 4559 5069 2 4.87. 4.55.9 3.64.7 2.32.95 6084 7089 36 7.20. 6.08.4 4.86.7 3.04.25 85 90 6 0.2 8.5 6.8 4.25 00 00 20 2.0 0.0 8.0 5.0 34 Circulation Journal Vol. 67, Suppl. IV, 2003

METs 2 METs 2 METs 26 4 4 5 4 A B C Circulation Journal Vol. 67, Suppl. IV, 2003 35

2002002 3 METs 2 5 A B C D E METs 5 5 METs.52.0 4.05.0 5.0.52.0 4.0.752.0.52.5 7.00.0 2.0 4.5 3.54.5 2.53.0 2.53.0.52.0 4.5 4.0 2.53.0 4.0 2.5 2.42.9 3.4.5.75 kcal 60 kg.5 METs.75 METs 36 Circulation Journal Vol. 67, Suppl. IV, 2003

2 3 4 5 6 7 2 8 6 X 2 3 2 3 ASD 2 3 ASD 2 ASD ASD Circulation Journal Vol. 67, Suppl. IV, 2003 37

2002002 7 8 20 mmhg 2040 mmhg 40 mmhg 2 20 mmhg 3 4 2 X 9 3 9 X 2 Wenckebach 3 3 38 Circulation Journal Vol. 67, Suppl. IV, 2003

2 NYHA Maximal V O2 peak V O2 peak V O2 NYHA 00 % 80 % 80 % 60 % 60 % 3.5 cm 2 20 mmhg 35 mmhg..4 cm 2 25 mmhg 50 mmhg. cm 2 26 mmhg 5 mmhg 2 Circulation Journal Vol. 67, Suppl. IV, 2003 39

2002002 3 4.5 cm 2.0.5 cm 2.0 cm 2 2 5 6 7 30 mm D C 2 NYHA 8 mlkgmin 5 METs 2 3 C 4 C 5 320 Circulation Journal Vol. 67, Suppl. IV, 2003

2 40 4 % 0 0 30 mm 50 mmhg 20 mmhg 30 2 40 % 5 METs 56 % 7 mm 0 68 0 24 8 mm 0 68 0 2 2 3050 % 40 % Circulation Journal Vol. 67, Suppl. IV, 2003 32

2002002 NYHA 2 ST 3 0 METs 4 60 % 5 2 NYHA 2 5 METs ST 3 5 METs 0 METs 4 40 % 60 % 5 X 55 % 6BNP 00 ngml NYHA 2 5 METs ST 3 5 METs 4 40 % 5 6BNP 00 ngml 7 50 % 75 % 8 METs 3METs 3.06.0 METs 6. METs 2 3 3 4 2 2 60 % 3 60 % 4 5 METs 2 322 Circulation Journal Vol. 67, Suppl. IV, 2003

2002 2 3 3 3 2 3 50 6 WPW WPW 240 240 36 4 Circulation Journal Vol. 67, Suppl. IV, 2003 323

2002002 5 80 50 30 6 6 6 2 Wenckebach 2 Mobitz 40.52.52 7 PR HV HV 90 msec His-Purkinje 8 QT 9 0 36 6 324 Circulation Journal Vol. 67, Suppl. IV, 2003

69.6 km METs METs 0 4 8 0.9 6 2.5 2 3.9 8 3 4 5.9 0 5 6 9 2 4.5 20 6 5.5 5 3.5 7 0 5 2 8 2 5.2.5 9 0 6 0 0 8 6.7 9 0 7 8.5.5 7 7.5 8 2.5 6 8 7.5 3.5 4 8.6 7 4 6 9 6.5 5 4 0 6 6 2 0.9 5.5 8 8 2 2 6 2 2.5 4 2.5 3 3 3 3.5 2.5 7 3.5 4 4.0 4.9 8 4.0 4 5.0 7.9 9 4.5 4.5 8.0 4 75 5 50 8 6 7 8 4.5 Circulation Journal Vol. 67, Suppl. IV, 2003 325