How should the gym prevent sudden death?American Sports Medical Expert Consensus

Recently, the American College of Sports Medicine published a consensus statement that there is no history of an adult, even for people who have cardiovascular disease, exercise-induced cardiovascular events is rare.

The vigorous exercise-induced acute cardiovascular episodes, usually a warning symptom or manifestation, this time to immediately stop training, seek medical attention immediately.

Consensus points out, for health club and gym, a screening before exercise can improve security. But screening before exercise is not complicated, it does not require the presence of medical professionals, but need to have staff trained and properly supervised. This screening strategy is feasible and recreation

Comprising: (1) whether there are regular exercise; (2) if there is a cardiovascular, metabolic, kidney disease history; (3) identification of potential signs and symptoms of cardiovascular disease recessive.

All fitness areas must have a written emergency measures and contingency plans, but also to regular revision, at least twice a year.

To ensure that employees can properly perform basic first aid and respond to other emergencies in a timely manner, at the same time to be able to cope with the possible foreseeable emergencies, including trauma, sudden cardiac death, stroke, hypotension, heat stroke and so on.

Must also provide special instructions on how to deal with emergency situations, told the location of all emergency equipment is located, including external defibrillators, telephone, entrance location.

Regular exercise can reduce cardiovascular risk

The consensus that the current evidence accumulating that even low levels of exercise are also good for health.

Regular exercise helps to reduce cardiovascular risk, but it should be noted that violent games lead to sudden cardiac death, increased risk of acute myocardial infarction, stroke and other events.

Possible mechanisms include inducing plaque rupture, coronary thrombosis, acute, life-threatening ventricular arrhythmias.

The agreement stated that the situation with sports-related cardiac events include the following four categories:

1, cardiovascular disease: myocardial infarction, left ventricular dysfunction, resting or unstable angina, severe arrhythmias at rest, a serious disease and LAD (or) significantly more vessel atherosclerosis ( occlusion ≥75%), hypokalemia

2, participate in sports training misconduct: ignore proper warm-up and cool-down; heart always exceed a limit (such as violation of the provisions of the exercise intensity) during exercise; no regular exercise

3, an abnormal exercise test data: high or low exercise tolerance (≤4 METs or ≥10 METs); impaired (heart rate <120 beats / min) cardiac variant; impaired cardiac contractility (with increasing exercise load , hypotension occurred labor); myocardial ischemia [angina pectoris, and (or) ST segment depression ≥0.2mV]; malignant arrhythmia (especially in patients with impaired left ventricular function)

4. Other

Smoking; male; obesity; hyperlipidemia

Some special types of exercise can increase the risk of sudden cardiac death, such as basketball, soccer and other team sports.

Consensus also stressed that once someone discomfort, immediately to help non-medical persons, such as make emergency calls, begin cardiopulmonary resuscitation, automated external defibrillators can reduce morbidity and mortality risk of acute cardiac events. In the course of the campaign

The agreement noted that the recommendations and guidance for the establishment of first-aid policies and programs proposed by the Group of Experts for a variety of sports, including professional gym, community entertainment, gym, sports venues (such as school sports).

Tip: The content of this article is for reference only, please refer to the consultation results of regular hospitals!