两次心肌梗塞和五次8000米高峰
Stefano Savonitto1, Luigi Piatti2, Gianluca Tiberti2
1Cardiology Service, Clinica San Martino, Malgrate, Italy.
The American journal of cardiology
|October 19, 2023
概括
本案例研究显示,一名患有冠状动脉疾病的男性患者在心肌梗塞后成功登上了高海拔山峰. 它表明,对于一些心脏病患者来说,高海拔登可能是可行的.
科学领域:
- 心脏病学 心脏病学
- 运动医学 运动医学
- 高海拔地区的生理学
背景情况:
- 一名44岁的男性吸烟者,体重过重和久坐不动的生活方式经历了急性下侧心肌梗塞.
- 该患者在左侧环动脉成功进行了冠状动脉支架,排放后射出分数为0.45.
- 他被建议戒烟,并开始定期进行有氧体力活动.
研究的目的:
- 评估患有心肌梗塞和冠状动脉疾病病史的患者高海拔登山的可行性和安全性.
- 评估治疗冠状动脉疾病的患者极端体力劳动的长期结果.
主要方法:
- 患者定期登山,并在阿尔卑斯山,安第斯山脉,喜马拉雅山脉和卡拉科鲁姆山脉进行高海拔探险.
- 他成功登上了8000米以上的五座山峰,这些登都是单独的,没有补充氧气.
- 由于远端支架边缘封闭导致的复发性心肌梗塞得到了管理,患者继续进行高空活动.
主要成果:
- 该患者取得了极端高海拔登山的成功,包括登五座超过8000米的山峰,尽管有心肌梗塞和支架干预的病史.
- 他表现出了弹性,并在初始心脏病发作后的20多年里继续进行高水平的体育活动.
- 一次复发的心肌梗塞并没有阻止进一步的高空成就.
结论:
- 患有良好补偿的冠状动脉疾病的患者,即使在急性心肌梗塞之后,高海拔登山也可能不适合.
- 这一案例突出了治疗冠状动脉疾病的个体参与极端身体挑战的潜力.
- 仔细的患者选择和监测对于这样的努力至关重要.
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