Skip to main content
SpringerLink
Log in

Koronare Herzkrankheit, Koronarspasmen, Koronaranomalien und Myokardbrücken

  • Chapter
  • First Online:
Sportkardiologie

  • 1083 Accesses

Zusammenfassung

Ischämische Herzerkrankungen sind weltweit die häufigste Todesursache. Die koronare Herzerkrankung (KHK) ist für die Mehrzahl ischämischer Herzerkrankungen verantwortlich und körperliche Inaktivität ist ein wesentlicher Risikofaktor der KHK. Während zumindest 150 min körperliche Aktivität mit moderater Intensität allen stabilen Patienten mit KHK empfohlen werden sollte, kann v. a. ungewohnte intensive körperliche Aktivität bei KHK- sowie bei Patienten mit Koronaranomalien- kurzfristig das Risiko erhöhen, einen plötzlichen Herztod zu erleiden. Eine sorgsame individuelle Abwägung des Risikos für Belastungs-assoziierte kardiale Ereignisse auf Basis der Anamnese und der kardialen Diagnostik sowie dem von der körperlichen Aktivität unter langfristigen Gesichtspunkten ausgehendem Nutzen muss daher bei Bewegungs- und Trainingsempfehlungen und Entscheidungen zur Wettkampftauglichkeit bei Patienten mit ischämischen Herzerkrankungen erfolgen. Im Rahmen einer partizipativen Entscheidungsfindung sollten dabei auch Wünsche und Ziele der Patienten berücksichtigt werden.

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

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 59.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 74.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Literatur

  1. The Top 10 Causes of Death. Fact Sheet Number 310. Available from: http://www.who.int/mediacentre/factsheets/fs310/en/

  2. Marijon E, Tafflet M, Celermajer DS, Dumas F, Perier MC, Mustafic H et al (2011) Sports-related sudden death in the general population. Circulation 124(6):672–681

    PubMed  Google Scholar 

  3. Visseren FLJ, Mach F, Smulders YM, Carballo D, Koskinas KC, Bäck M et al (2021) 2021 ESC Guidelines on cardiovascular disease prevention in clinical practice. Eur Heart J 42(34):3227–3337

    PubMed  Google Scholar 

  4. Knuuti J, Wijns W, Saraste A, Capodanno D, Barbato E, Funck-Brentano C et al (2020) 2019 ESC Guidelines for the diagnosis and management of chronic coronary syndromes. Eur Heart J 41(3):407–477

    PubMed  Google Scholar 

  5. Bruning RS, Sturek M (2015) Benefits of exercise training on coronary blood flow in coronary artery disease patients. Prog Cardiovasc Dis 57(5):443–453

    PubMed  Google Scholar 

  6. Clausen JSR, Marott JL, Holtermann A, Gyntelberg F, Jensen MT (2018) Midlife cardiorespiratory fitness and the long-term risk of mortality: 46 years of follow-up. J Am Coll Cardiol 72(9):987–995

    PubMed  Google Scholar 

  7. Keteyian SJ, Brawner CA, Savage PD, Ehrman JK, Schairer J, Divine G et al (2008) Peak aerobic capacity predicts prognosis in patients with coronary heart disease. Am Heart J 156(2):292–300

    PubMed  Google Scholar 

  8. Wahid A, Manek N, Nichols M, Kelly P, Foster C, Webster P et al (2016) Quantifying the association between physical activity and cardiovascular disease and diabetes: a systematic review and meta-analysis. J Am Heart Assoc 5(9):e002495

    PubMed  PubMed Central  Google Scholar 

  9. Anderson L, Thompson DR, Oldridge N, Zwisler AD, Rees K, Martin N et al (2016) Exercise-based cardiac rehabilitation for coronary heart disease. Cochrane Database Syst Rev 1:CD001800

    Google Scholar 

  10. Pelliccia A, Sharma S, Gati S, Bäck M, Börjesson M, Caselli S et al (2020) 2020 ESC Guidelines on sports cardiology and exercise in patients with cardiovascular disease. Eur Heart J 42:17–96

    Google Scholar 

  11. Díaz-Buschmann I, Jaureguizar KV, Calero MJ, Aquino RS (2014) Programming exercise intensity in patients on beta-blocker treatment: the importance of choosing an appropriate method. Eur J Prev Cardiol 21(12):1474–1480

    PubMed  Google Scholar 

  12. Campbell WW, Kraus WE, Powell KE, Haskell WL, Janz KF, Jakicic JM et al (2019) High-intensity interval training for cardiometabolic disease prevention. Med Sci Sports Exerc 51(6):1220–1226

    PubMed  PubMed Central  Google Scholar 

  13. Jelleyman C, Yates T, O’Donovan G, Gray LJ, King JA, Khunti K et al (2015) The effects of high-intensity interval training on glucose regulation and insulin resistance: a meta-analysis. Obes Rev 16(11):942–961

    CAS  PubMed  Google Scholar 

  14. Piepoli MF, Hoes AW, Agewall S, Albus C, Brotons C, Catapano AL et al (2016) 2016 European guidelines on cardiovascular disease prevention in clinical practice: the Sixth Joint Task Force of the European Society of Cardiology and other societies on cardiovascular disease prevention in clinical practice (constituted by representatives of 10 societies and by invited experts) developed with the special contribution of the European Association for Cardiovascular Prevention & Rehabilitation (EACPR). Eur Heart J 37(29):2315–2381

    PubMed  PubMed Central  Google Scholar 

  15. Schwaab B, Bjarnason-Wehrens B, Meng K, Albus C, Salzwedel A, Schmid JP et al (2021) Cardiac rehabilitation in German speaking countries of Europe-evidence-based guidelines from Germany, Austria and Switzerland LLKardReha-DACH-Part 2. J Clin Med 10(14):3071

    PubMed  PubMed Central  Google Scholar 

  16. Mittleman MA, Maclure M, Tofler GH, Sherwood JB, Goldberg RJ, Muller JE (1993) Triggering of acute myocardial infarction by heavy physical exertion. Protection against triggering by regular exertion. Determinants of Myocardial Infarction Onset Study Investigators. N Engl J Med 329(23):1677–1683

    CAS  PubMed  Google Scholar 

  17. Thompson PD, Franklin BA, Balady GJ, Blair SN, Corrado D, Estes NA et al (2007) Exercise and acute cardiovascular events placing the risks into perspective: a scientific statement from the American Heart Association Council on Nutrition, Physical Activity, and Metabolism and the Council on Clinical Cardiology. Circulation 115(17):2358–2368

    PubMed  Google Scholar 

  18. Quillard T, Franck G, Mawson T, Folco E, Libby P (2017) Mechanisms of erosion of atherosclerotic plaques. Curr Opin Lipidol 28(5):434–441

    CAS  PubMed  PubMed Central  Google Scholar 

  19. Kim JH, Malhotra R, Chiampas G, d’Hemecourt P, Troyanos C, Cianca J et al (2012) Cardiac arrest during long-distance running races. N Engl J Med 366(2):130–140

    CAS  PubMed  Google Scholar 

  20. Aengevaeren VL, Mosterd A, Braber TL, Prakken NHJ, Doevendans PA, Grobbee DE et al (2017) Relationship between lifelong exercise volume and coronary atherosclerosis in athletes. Circulation 136(2):138–148

    CAS  PubMed  Google Scholar 

  21. Möhlenkamp S, Leineweber K, Lehmann N, Braun S, Roggenbuck U, Perrey M et al (2014) Coronary atherosclerosis burden, but not transient troponin elevation, predicts long-term outcome in recreational marathon runners. Basic Res Cardiol 109(1):391

    PubMed  Google Scholar 

  22. Donaldson JA, Wiles JD, Coleman DA, Papadakis M, Sharma R, O’Driscoll JM (2019) Left ventricular function and cardiac biomarker release-the influence of exercise intensity, duration and mode: a systematic review and meta-analysis. Sports Med 49(8):1275–1289

    CAS  PubMed  Google Scholar 

  23. Li F, Hopkins WG, Wang X, Baker JS, Nie J, Qiu J et al (2021) Kinetics, moderators and reference limits of exercise-induced elevation of cardiac troponin T in athletes: a systematic review and meta-analysis. Front Physiol 12:651851

    PubMed  PubMed Central  Google Scholar 

  24. Cirer-Sastre R, Corbi F, López-Laval I, Carranza-García LE, Reverter-Masià J (2021) Exercise-induced release of cardiac troponins in adolescent vs. adult swimmers. Int J Environ Res Public Health 18(3):1285

    PubMed  PubMed Central  Google Scholar 

  25. Bjørnstad H, Storstein L, Meen HD, Hals O (1994) Ambulatory electrocardiographic findings in top athletes, athletic students and control subjects. Cardiology 84(1):42–50

    PubMed  Google Scholar 

  26. Aakre KM, Omland T (2019) Physical activity, exercise and cardiac troponins: clinical implications. Prog Cardiovasc Dis 62(2):108–115

    PubMed  Google Scholar 

  27. Shave R, George KP, Atkinson G, Hart E, Middleton N, Whyte G et al (2007) Exercise-induced cardiac troponin T release: a meta-analysis. Med Sci Sports Exerc 39(12):2099–2106

    CAS  PubMed  Google Scholar 

  28. Aengevaeren VL, Hopman MTE, Thompson PD, Bakker EA, George KP, Thijssen DHJ et al (2019) Exercise-induced cardiac troponin I increase and incident mortality and cardiovascular events. Circulation 140(10):804–814

    PubMed  Google Scholar 

  29. Borjesson M, Dellborg M, Niebauer J, LaGerche A, Schmied C, Solberg EE et al (2019) Recommendations for participation in leisure time or competitive sports in athletes-patients with coronary artery disease: a position statement from the Sports Cardiology Section of the European Association of Preventive Cardiology (EAPC). Eur Heart J 40(1):13–18

    PubMed  Google Scholar 

  30. Sareban M, Perz T, Macholz F, Reich B, Schmidt P, Fried S et al (2018) Impairment of left atrial mechanics does not contribute to the reduction in stroke volume after active ascent to 4559 m. Scand J Med Sci Sports 29:223–231

    PubMed  PubMed Central  Google Scholar 

  31. Wyss CA, Koepfli P, Fretz G, Seebauer M, Schirlo C, Kaufmann PA (2003) Influence of altitude exposure on coronary flow reserve. Circulation 108(10):1202–1207

    PubMed  Google Scholar 

  32. Parati G, Agostoni P, Basnyat B, Bilo G, Brugger H, Coca A et al (2018) Clinical recommendations for high altitude exposure of individuals with pre-existing cardiovascular conditions: a joint statement by the European Society of Cardiology, the Council on Hypertension of the European Society of Cardiology, the European Society of Hypertension, the International Society of Mountain Medicine, the Italian Society of Hypertension and the Italian Society of Mountain Medicine. Eur Heart J 39(17):1546–1554

    PubMed  PubMed Central  Google Scholar 

  33. Dehnert C, Bärtsch P (2010) Can patients with coronary heart disease go to high altitude? High Alt Med Biol 11(3):183–188

    PubMed  Google Scholar 

  34. Bonadei I, Sciatti E, Vizzardi E, Berlendis M, Bozzola G, Metra M (2016) Coronary artery disease and high altitude: unresolved issues. Res Cardiovasc Med 5(3):e32645

    PubMed  PubMed Central  Google Scholar 

  35. Ibanez B, James S, Agewall S, Antunes MJ, Bucciarelli-Ducci C, Bueno H et al (2018) 2017 ESC guidelines for the management of acute myocardial infarction in patients presenting with ST-segment elevation: the task force for the management of acute myocardial infarction in patients presenting with ST-segment elevation of the European Society of Cardiology (ESC). Eur Heart J 39(2):119–177

    PubMed  Google Scholar 

  36. Ong P, Athanasiadis A, Hill S, Vogelsberg H, Voehringer M, Sechtem U (2008) Coronary artery spasm as a frequent cause of acute coronary syndrome: the CASPAR (Coronary Artery Spasm in Patients With Acute Coronary Syndrome) Study. J Am Coll Cardiol 52(7):523–527

    PubMed  Google Scholar 

  37. Gordon JB, Ganz P, Nabel EG, Fish RD, Zebede J, Mudge GH et al (1989) Atherosclerosis influences the vasomotor response of epicardial coronary arteries to exercise. J Clin Invest 83(6):1946–1952

    CAS  PubMed  PubMed Central  Google Scholar 

  38. Hung MJ, Hu P, Hung MY (2014) Coronary artery spasm: review and update. Int J Med Sci 11(11):1161–1171

    PubMed  PubMed Central  Google Scholar 

  39. Thompson PD, Myerburg RJ, Levine BD, Udelson JE, Kovacs RJ (2015) Eligibility and disqualification recommendations for competitive athletes with cardiovascular abnormalities: task force 8: coronary artery disease: a scientific statement from the American Heart Association and American College of Cardiology. J Am Coll Cardiol 66(21):2406–2411

    PubMed  Google Scholar 

  40. Graidis C, Dimitriadis D, Karasavvidis V, Dimitriadis G, Argyropoulou E, Economou F et al (2015) Prevalence and characteristics of coronary artery anomalies in an adult population undergoing multidetector-row computed tomography for the evaluation of coronary artery disease. BMC Cardiovasc Disord 15:112

    PubMed  PubMed Central  Google Scholar 

  41. Pérez-Pomares JM, de la Pompa JL, Franco D, Henderson D, Ho SY, Houyel L et al (2016) Congenital coronary artery anomalies: a bridge from embryology to anatomy and pathophysiology – a position statement of the development, anatomy, and pathology ESC Working Group. Cardiovasc Res 109(2):204–216

    PubMed  Google Scholar 

  42. Maron BJ, Doerer JJ, Haas TS, Tierney DM, Mueller FO (2009) Sudden deaths in young competitive athletes: analysis of 1866 deaths in the United States, 1980–2006. Circulation 119(8):1085–1092

    PubMed  Google Scholar 

  43. Molossi S, Agrawal H, Mery CM, Krishnamurthy R, Masand P, Sexson Tejtel SK et al (2020) Outcomes in anomalous aortic origin of a coronary artery following a prospective standardized approach. Circ Cardiovasc Interv 13(2):e008445

    PubMed  Google Scholar 

  44. Lee MS, Chen CH (2015) Myocardial bridging: an up-to-date review. J Invasive Cardiol 27(11):521–528

    PubMed  PubMed Central  Google Scholar 

  45. Konen E, Goitein O, Sternik L, Eshet Y, Shemesh J, Di Segni E (2007) The prevalence and anatomical patterns of intramuscular coronary arteries: a coronary computed tomography angiographic study. J Am Coll Cardiol 49(5):587–593

    PubMed  Google Scholar 

  46. Corban MT, Hung OY, Eshtehardi P, Rasoul-Arzrumly E, McDaniel M, Mekonnen G et al (2014) Myocardial bridging: contemporary understanding of pathophysiology with implications for diagnostic and therapeutic strategies. J Am Coll Cardiol 63(22):2346–2355

    PubMed  PubMed Central  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Universitätsinstitut für präventive und rehabilitative Sportmedizin, Uniklinikum Salzburg, Salzburg, Österreich

    Mahdi Sareban

  2. ias Prevent GmbH, Stuttgart, Deutschland

    Jochen Hansel

Authors
  1. Mahdi Sareban
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Jochen Hansel
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Mahdi Sareban .

Editor information

Editors and Affiliations

  1. Universitätsinstitut für präventive und rehabilitative Sportmedizin, Paracelsus Medizinische Privatuniversität Salzburg, Salzburg, Österreich

    Josef Niebauer

Rights and permissions

Reprints and permissions

Copyright information

© 2023 Springer-Verlag GmbH Deutschland, ein Teil von Springer Nature

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Sareban, M., Hansel, J. (2023). Koronare Herzkrankheit, Koronarspasmen, Koronaranomalien und Myokardbrücken. In: Niebauer, J. (eds) Sportkardiologie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-65165-0_19

Download citation

  • DOI: https://doi.org/10.1007/978-3-662-65165-0_19

  • Published:

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-65164-3

  • Online ISBN: 978-3-662-65165-0

  • eBook Packages: Medicine (German Language)

Publish with us

Policies and ethics

Search

Navigation