Professor Zheng Yin, Hainan Chengmei Hospital
September 29th is World Heart Day. The theme of this years campaign is "Use Heart, Know Heart", which aims to call on the public to pay attention to heart health and cardiovascular health indicators through mutual understanding and care between doctors and patients to work together.
The human heart is like a sophisticated “water pump”. It pumps blood carrying oxygen and nutrients throughout the body by constantly beating.
It is like the engine of the human body, working all year round, day and night. In real life, due to the lack of “knowledge and care” of the heart of some people, accidents occur from time to time.
Work photo of Professor Zheng Yin
Exercise Starts from the “Heart”
Exercise is a good doctor, Exercise is a good medicine. Numerous studies have confirmed that exercise is good for the heart even a damaged heart by slowing down the development of atherosclerosis, slowing down the aging of blood vessels, promoting the establishment of collateral circulation in blood vessels, and reinforcing the vitality of the heart. But the gains from exercise stop when you stop exercising. Thus, regular exercise is very important.
However, inappropriate and unscientific exercise is of great risks, aggravating the burden on the heart and lungs, inducing heart disease, and even leading to sudden death. Examples of this are commonplace.
In particular, some patients with heart disease have many misconceptions about exercise: first, they attach the importance of rehabilitation of heart disease to medication and surgical treatment, and belittles exercise rehabilitation, believing that exercise is unimportant; second, they dont dare to exercise and be afraid of exercise. In fact, without exercising, it will easily lead to high blood pressure, blood lipids, blood sugar, accelerate the aging of blood vessels, resulting in weakening of the heart function; thirdly, their exercise is not scientific without inefficiency. In fact, too little exercise does little to heart rehabilitation, i.e., it is ineffective.
Use Heart,Know Heart. Only with a full understanding of ones own "heart" and a good cardiopulmonary assessment, can one formulate a reasonable exercise program and carry out scientific and effective exercise, so as to not only control the risk of exercise, but also improve cardiopulmonary tolerance, myocardial ischemia and cardiac function, activate the bodys self-repairing ability, and reduce the occurrence of cardiovascular disease and the risk of sudden death.
Especially for sub-healthy people, high-risk groups with underlying cardiopulmonary diseases or people recovering from cardiopulmonary surgery, it is more important to understand their cardiopulmonary endurance, which is a prerequisite for scientific exercise, which can achieve the goal of healthy exercise without adding any burden to the heart.
How can you determine your cardiorespiratory endurance and the potential risks your heart may have?
Gold standard
Cardiopulmonary exercise testing (CPET)
Some patients with sudden onset of heart disease after exercise are often puzzled: why is it that the previous ECG examination was fine, and why is there suddenly a problem?
This is because routine tests such as electrocardiograms and cardiac ultrasounds are usually performed at rest, making it difficult to detect potential risks to the heart. Many early heart disease require monitoring during exercise with some load to detect.
Cardiopulmonary Exercise Test (CPET), which is internationally recognized as the "gold standard" for evaluating cardiopulmonary function, can make up for the shortcomings of conventional tests, and can objectively and scientifically assess cardiopulmonary reserve function and exercise endurance.
Our hospital has introduced a full set of advanced cardiopulmonary exercise test equipment. Through real-time respiratory monitoring and computerized big data modeling, we monitor a series of indicators such as oxygen uptake, carbon dioxide excretion, heart rate, blood pressure, electrocardiogram and other indicators of the exam examinee in real time during the exercise, and comprehensively assess the overall function and reserve function of the heart, lungs, blood, skeletal muscles and nerves, so as to accurately evaluate the examinee’s exercise endurance.
Cardiopulmonary Exercise Test (CPET) is an objective, quantitative, non-invasive, non-radiation, and non-contrast-agent test that comprehensively and objectively evaluates a patients exercise response, cardiopulmonary reserve, and degree of impaired function under varying states of patient loading. The specialist will prescribe the appropriate exercise according to the examinees examination.
Who needs a cardiopulmonary exercise test?
1. Athletes, people with exercising habits or hobbies. It is important to understand your cardiorespiratory tolerance before exercising, and only with sufficient cardiorespiratory endurance can you engage in high-intensity exercise. Cardiorespiratory exercise testing assesses cardiorespiratory endurance and also identifies potential cardiovascular disease, detects myocardial ischemia and arrhythmia during exercise, and assesses risk during exercise, thereby reducing the risk of injury and sudden death from exercise.
2. Patients with cardiovascular diseases and pulmonary diseases. For patients with cardiovascular diseases such as coronary heart disease, myocardial infarction, post-stenting, post-cardiac surgery, congenital heart disease, heart failure, etc., as well as for patients with pulmonary diseases such as chronic obstructive pulmonary disease (COPD), interstitial lung disease (ILD), pulmonary hypertension, etc., the cardiopulmonary exercise test can not only assess the severity of the disease and its prognosis, but also help to formulate a safe and effective prescription for exercise rehabilitation to improve symptoms of shortness of breath and lung function, while at the same time minimizing exercise injuries and improving quality of life.
3. People at high risk of cardiovascular disease. People at high risk of cardiovascular disease, such as those with hypertension, diabetes, high blood cholesterol, obesity, sedentary lifestyle, smoking, and family history of cardiovascular disease, also need to undergo cardiopulmonary exercise testing. Doctors can formulate exercise prescriptions based on the test results and achieve safe and effective antihypertensive, hypoglycemic, hypolipidemic, and weight loss effects through exercise therapy for primary prevention of cardiovascular diseases, delaying or avoiding the occurrence of cardiovascular diseases.
4. Pre-surgical evaluation for major surgery. Cardiopulmonary exercise testing can help assess the risk of a patients surgery and avoid serious adverse outcomes.
Introduction of the expert
