Sport for pacemaker patients.
Summary of "Sport for pacemaker patients."
Sport activity is an important issue in many patients with a pacemaker either because they performed sport activities before pacemaker implantation to reduce the cardiovascular risk or to improve the course of an underlying cardiovascular disease (e.g. coronary artery disease, heart failure) by sports. Compared to patients with an implantable cardioverter defibrillator (ICD) the risks from underlying cardiovascular disease (e.g. ischemia, heart failure), arrhythmia, lead dysfunction or inappropriate therapy are less important or absent. Sport is contraindicated in dyspnea at rest, acute heart failure, new complex arrhythmia, acute myocarditis and acute myocardial infarction, valvular disease with indications for intervention and surgery and comorbidities which prevent physical activity.Patients with underlying cardiovascular disease (including hypertension) should preferably perform types and levels of physical activity that are aerobic (with dynamic exercise) such as running, swimming, cycling instead of sport with high anaerobic demands and high muscular workload. In heart failure, studies demonstrated advantages of isometric sport that increases the amount of muscle, thereby preventing cardiac cachexia. Sport with a risk of blows to the chest or physical contact (e.g. boxing, rugby, martial arts) should be avoided. Implantation, programming and follow-up should respect specific precautions to allow optimal physical activity with a pacemaker including implantation of bipolar leads on the side contralateral to the dominant hand, individual programming of the upper sensor and tracking rate and regular exercise testing.
Affiliation
Klinik für Innere Medizin - Kardiologie, Diabetologie & Nephrologie, Evangelisches Krankenhaus Bielefeld, Burgsteig 13, 33617, Bielefeld, Deutschland, Carsten.Israel@evkb.de.
Journal Details
This article was published in the following journal.
Name: Herzschrittmachertherapie & Elektrophysiologie
ISSN: 1435-1544
Pages:
Links
- PubMed Source: http://www.ncbi.nlm.nih.gov/pubmed/22854824
- DOI: http://dx.doi.org/10.1007/s00399-012-0183-0
Medical and Biotech [MESH] Definitions
Cardiac Pacing, Artificial
Regulation of the rate of contraction of the heart muscles by an artificial pacemaker.
Mountaineering
A sport involving mountain climbing techniques.
Baseball
A competitive nine-member team sport including softball.
Weight Lifting
A sport in which weights are lifted competitively or as an exercise.
Boxing
A two-person sport in which the fists are skillfully used to attack and defend.
PubMed Articles
Pacemaker ECG Quiz No. 23 : Pacemaker malfunction or arrhythmia?
In a 69-year-old patient, a DDDR pacemaker was implanted for sinus node disease with syncope due to sinus arrest with pauses > 4 s. Programming was performed carefully including measures to prevent un...
Laparoscopic-Assisted Retrieval of Migrated Intra-Abdominal Pacemaker Generator.
A 5-year-old boy born with a congenital heart defect had insertion of an epicardial pacemaker that was found on routine evaluation to have been displaced into the rectovesical pouch. He underwent tran...
OBJECTIVE: To determine the opinions of medical professionals, legal professionals, and patients regarding the withdrawal of implantable cardioverter-defibrillator (ICD) and pacemaker therapy at the e...
Optogenetic control of cardiac function.
The cardiac pacemaker controls the rhythmicity of heart contractions and can be substituted by a battery-operated device as a last resort. We created a genetically encoded, optically controlled pacema...
Return to sport following anterior cruciate ligament reconstruction.
Rates of return to pre-injury sport following anterior cruciate ligament (ACL) reconstruction are less than might be expected from standard outcome measures and there appears to be a rapid decline in...
Clinical Trials
Effect of Closed Loop Pacemaker Treatment on Recurrent Vasovagal Syncope
The main purpose is to prevent syncope in patients with recurrent syncopal episodes caused by malignant vasovagal faints and bradycardia. Patients are treated by a special pacemaker (close...
Master Study for the Investigation of Safety and Efficacy of the EVIA Pacemaker
The objective of this study is to prove the safety and efficacy of the EVIA pacemaker. Primarily, the newly implemented Atrial Capture Control algorithm is evaluated, which automatically m...
A Pilot Study on Pacemaker Interference From Peripheral Nerve Stimulator for Regional Anesthesia
In this prospective pilot study, we proposed to evaluate the effects of left interscalene stimulation on cardiac pacemaker function.
Master Study for the Investigation of Safety and Efficacy of the SIELLO Pacemaker Leads
The objective of this study is to prove the safety and efficacy of the SIELLO pacemaker leads.
VIBRANT Registry: Value of Information Based From Pacemaker Recordings and New Technologies
The purpose of this study is to collect data from pacemakers and determine how this information is used by physicians to care for their patients with pacemakers.
