Skip to main content

Herzrhythmusstörungen

  • Chapter
Sportkardiologie

Zusammenfassung

Obwohl die Frage nach der körperlichen Belastbarkeit bei Herzrhythmusstörungen in der Praxis häufig gestellt wird, sind gesicherte Erkenntnisse hierüber eher spärlich, insbesondere existieren kaum Daten aus prospektiven Studien bei Sporttreibenden. Mögliche Empfehlungen werden sich danach richten, inwieweit durch die jeweilige Herzrhythmusstörung eine erhöhte Morbidität oder Mortalität besteht und, umgekehrt formuliert, inwieweit die Vermeidung körperlicher Aktivität zu einer Reduzierung des Risikos führt [3, 16, 22, 39, 40]. Generell ist das Risiko, während körperlicher Belastung an ernsthaften Herzrhythmusstörungen zu sterben, erhöht. Andererseits sinkt das Risiko während Belastung und in Ruhe deutlich, wenn regelmäßig Sport betrieben oder eine regelmäßige körperliche Aktivität ausgeübt wird (siehe Kapitel 2). Man darf also nicht nur das Risiko während der körperlichen Belastung betrachten, vielmehr muss das Gesamtrisiko berücksichtigt werden.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 54.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Literatur

  1. ACC/AHA/ESC (2001) Guidelines for the management of patients with atrial fibrillation: Executive summary. Circulation 104: 2118–2150

    Google Scholar 

  2. Al-Khatib SM, Pritchett LC (1999) Clinical features of Wolff-Parkinson-White syndrome. Am Heart 138: 403–413

    Article  CAS  Google Scholar 

  3. American Heart Association (AHA) (1996) Cardiovascular preparticipation screening of competitive athletes. Circulation 94: 850–856

    Google Scholar 

  4. Belhassen B, Viskin S (1993) Idiopathic ventricular tachycardia and fibrillation. J Cardiovasc Electrophysiol 4: 356–368

    Article  PubMed  CAS  Google Scholar 

  5. Biffi A, Pellicia A, Verdile L, Fernando F, Sparato A, Caselli S, Santini M, Maron BJ (2002) Longterm clinical significance of frequent and complex ventricular tachyarrhythmias in trained athletes. J Am Coll Cardiol 40: 446–452

    Article  PubMed  Google Scholar 

  6. Björnstadt H, Storstein L, Meen HD, Hals 0 (1994) Ambulatory electrocardiographic findings in top athletes, athletic students and control subjects. Cardiology 84: 42–50

    Google Scholar 

  7. Brugada P, Brugada J (1992) Right bundle branch block, persistent ST segment elevation and sudden cardiac death: a distinct clinical and electrocardiographic sindrome. A multicenter report. J Am Coll Cardiol 22: 15: 1391–1396

    Article  Google Scholar 

  8. Calkins H, Yong P, Miller JM, Olshansky B, Carlson MD, Saul JP, Huang JL, Liem B, Klein LS, Moser SA, Bloch DA, Gillette PC, Prystowsky EN (1999) Catheter ablation of accessory pathways, atrioventricular nodal reentrant tachycardia, and the atrioventricular junction. Final results of a prospective, multicenter clinical trial. Circulation 99: 262–270

    Google Scholar 

  9. Cohen HC, Singer DH (1995) Bundle branch block and other forms of aberrant intraventricular conduction: clinical aspects. In: Mandel WJ (ed) Cardiac arrhythmias. JB Lippincott, Philadelphia, p 513

    Google Scholar 

  10. Corrado D, Thiene G, Nava A, Rossi L, Pennelli N (1990) Sudden cardiac death in young competitive athletes: clinicopathological correlations in 22 cases. Am J Cardiol 89: 588–596

    CAS  Google Scholar 

  11. Cosio F, Lopez-Gil M, Goicolea A, Arribas F, Barroso JL (1993) Radiofrequency ablation of the inferior vena cava-tricuspid valve isthmus in common atrial flutter. Am J Cardiol 71: 705–709

    Article  PubMed  CAS  Google Scholar 

  12. Coumel P (1996) Autonomic influences in atrial tachyarrhythmias. J Cardiovasc Elektrophysiol 7: 999–1007

    Article  CAS  Google Scholar 

  13. Deutsche Gesellschaft für Kardiologie (1996) Richtlinien zur Herzschrittmachertherapie. Z Kardiol 85: 611–628

    Google Scholar 

  14. Dickhuth HH, Lehmann M, Auch-Schwelk W, Meinertz T, Keul J (1987) Physical training, vegetative regulation and cardiac hypertrophy. J Cardiovas Pharmacol 10: 571 - S78

    Google Scholar 

  15. Dickhuth HH, Heitkamp HC, Konz KH, Röcker K, Haasis R (1997) Leistungsfähigkeit, Herzfrequenzverhalten und sympathische Regulation von Schrittmacherpatienten im frequenzadaptierten (VVI-R, DDD-R) und nicht sensorgesteuerten Modus ( DDD ). Dtsch Z Sportmed 48: 324–329

    Google Scholar 

  16. Estes III NAM, Link MS, Cannom DS, Naccarelli GV, Prystowsky EN, Maron BJ, Olshansky B (2001) Report of the NASPE policy conference on arrhythmias and the athlete. J Cardiovasc Electrophysiol 12: 1208–1219

    Article  PubMed  Google Scholar 

  17. Flensted-Jensen E (1969) Wolff-Parkinson-White syndrome. A long-term follow-up of 47 cases. Acta Med Scand 186: 65–74

    Article  PubMed  CAS  Google Scholar 

  18. Franklin BA, Fletcher GF, Gordon NF, Noakes TD, Ades PA, Balady GJ (1997) Cardiovascular evaluation of the athlete. Issues regarding performance, screening and sudden cardiac death. Sports Med 24: 97–119

    Google Scholar 

  19. Futterman LG, Myerburg R (1998) Sudden death in athletes. An update. Sports Medicine 26: 335–350

    Google Scholar 

  20. Gregoratos G, Cheitlin MD, Conill A, Epstein AE, Fellows C, Ferguson TB, Freedman RA, Hlatky MA, Naccarelli GV, Saksena S, Schlant RC, Silka MJ (1998) ACC/AHA guidelines for implantation of cardiac pacemakers and antiarrhythmic devices: executive summary. Circulation 97: 1325–1335

    Article  PubMed  CAS  Google Scholar 

  21. Haissaguerre M, Jais P, Shah DC, Takahashi A, Hocini M, Quiniou G, Garrigue S, LeMouroux A, Le Matayer P, Clementy J (1998) Spontaneous initiation of atrial fibrillation by ectopic beats originating in the pulmonary veins. N Eng J Med 339: 659–666

    Article  CAS  Google Scholar 

  22. Josephson ME, Schibgilla VH (1996) Athletes and arrhythmias: clinical considerations and perspectives. Eur Heart J 17: 498–505

    Article  PubMed  CAS  Google Scholar 

  23. Kalusche D, Csapo G (1997) Konventionelle und intrakardiale Elektrokardiographie. Novartis Pharma GmbH

    Google Scholar 

  24. Kindermann M (2001) Sport bei Patienten mit Herzschrittmacher. Dtsch Z Sportmed 52: 222–226

    Google Scholar 

  25. Koepchen HP (1982) Zentralnervöse Steuerung der Herzfrequenz. In: Brisse B, Bender F (Hrsg) Autonome Innervation des Herzens. Steinkopff, Darmstadt, S 66–85

    Google Scholar 

  26. Krahn AD, Klein GJ, Yee R (1998) The approach to the athlete with Wolff-Parkinson-White-syndrome. In: Estes III NAM, Salem DN, Wang PJ, (eds) Sudden cardiac death in the athlete. Futura Publishing, Armonk, NY

    Google Scholar 

  27. Leitch JW, Klein GJ, Yee R, Murdock C (1990) Prognostic value of electrophysiologic testing in asymptomatic patients with Wolff-Parkinson-White pattern. Circulation 82: 1718–1723

    Article  PubMed  CAS  Google Scholar 

  28. Liberthson RR (1996) Sudden death from cardiac causes in children and young adults. N Eng J Med 334: 1039–1044

    Article  CAS  Google Scholar 

  29. Link MS, Estes III NAM (1998) Ventricular arrhythmias. In: Estes III NAM, Salem DN, Wang PJ (eds) Sudden death in the athlete. Futura Publishing Co, Armonk, NY

    Google Scholar 

  30. Link MS, Homoud MK,Wang PJ, Estes NA (2001) Cardiac arrhythmias in the athlete. Cardiol Rev 9: 21–30

    CAS  Google Scholar 

  31. Link MS, Wang PJ, Estes III NAM (2002) Cardiac arrhythmias and electrophysiologic observations in the athlete. In: Williams R (ed) The athlete and heart disease. Lippincott Williams & Wilkins, Philadelphia

    Google Scholar 

  32. Meinertz T, Zehender M (1996) Belastbarkeit bei Herzrhythmusstörungen ohne strukturelle Herzkrankheit. Dtsch Z Sportmed 47: 167–171

    Google Scholar 

  33. Mickley H, Petersen J (1989) Leisure activities and sports in younger pacemaker patients. Ugeskr Laeger 151: 2713–2715

    PubMed  CAS  Google Scholar 

  34. Munger TM, Packer DL, Hammill SC, Feldman BJ, Bailey J, Holmes DR, Gersh BJ (1993) A population study of the natural history of Wolff-Parkinson-White syndrome in Olmsted County 1953–1989. Circulation 87: 866–873

    Article  PubMed  CAS  Google Scholar 

  35. Niess A, Mewis C, Dickhuth HH (2001) Wolff-Parkinson-White-Syndrom und Sport. Dtsch Z Sportmed 52: 325–326

    Google Scholar 

  36. Reindell H, Klepzig H, Steim H, Musshoff K, Roskamm H, Schildge E (1960) Herz, Kreislaufkrankheiten und Sport. Barth, München

    Google Scholar 

  37. Venerando A, Rulli V (1994) Frequency, morphology and meaning of the elctrocardiographic anomalies found in olympic marathon runners and walkers. J Sports Med 3: 135–141

    Google Scholar 

  38. Wellens HJ, Rodrigues LM, Timmermanns C, Smeets JP (1997) The asymptomatic patient with Wolff-Parkinson-White electrocardiogram. PACE 20: 20822086

    Google Scholar 

  39. Zehender M, Meinertz T, Keul J, Just H (1990) ECG variants and cardiac arrhythmias in athletes: clinical relevance and prognostic importance. Am Heart J 119: 1378–1391

    Article  PubMed  CAS  Google Scholar 

  40. Zipes DP, Garson R (1994) Task force 6 (1994): Arrythmias. Med Sci Sports Exerc 26:S 276–283

    Article  Google Scholar 

  41. Zipes DP, DiMarco JP, Gillette PC, Jackman WM, Myerburg RJ, Rahimtoola SH (1995) ACC/AHA Task force report: Guidelines for clinical intracardiac electrophysiological and catheter ablation procedures. J Am Coll Cardiol 26: 555–573

    Google Scholar 

Download references

Authors

Rights and permissions

Reprints and permissions

Copyright information

© 2003 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Dickhuth, HH., Mewis, C. (2003). Herzrhythmusstörungen. In: Sportkardiologie. Steinkopff, Heidelberg. https://doi.org/10.1007/978-3-662-13020-9_11

Download citation

  • DOI: https://doi.org/10.1007/978-3-662-13020-9_11

  • Publisher Name: Steinkopff, Heidelberg

  • Print ISBN: 978-3-662-13021-6

  • Online ISBN: 978-3-662-13020-9

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics