پنجشنبه هشتم مرداد ۱۳۹۴ - ۶:۵۰ ق.ظ - دکتر لیلا (مهستی) جویباری -
Can I exercise if I have mitral valve regurgitation
توسط: ...
سلام ...... من سی و یک سالمه و به طور مادرزادی گشادی دریچه میترال دارم. من اصلا این موصوع رو نمی دونستم و نه قرص مصرف می کنم الان ... یه ساله فهمیدم و کلا مشکلی ندارم ... میخواستم ببینم من می تونم با این اوصاف ورزش بدنسازی انجام بدم؟ ممنون از شما ...

پاسخ:
سلام.
اگر مشکل متوسط تا خفیف است و علامتی ندارید معمولا نیازی به محدود کردن فعالیت های جسمی نیست.
اگر علامت دارید یا ضربان قلب تان نامنظم است یا عملکرد قلب و اندازه آن تغییر کرده است باید در خصوص انجام فعالیت های جسمی محتاط باشید. اما داشتن فعالیت ورزشی منظم مانند پیاده روی به سلامت قلب شما کمک می کند.
ورزش هایی مانند شنا کردن یا راه رفتن که ورزش های هوازی خفیف یا متوسط محسوب می شوند حتی در شرایطی که شخص رگورژیتاسیون میترال خفیف تا متوسط داشته باشد اشکالی ایجاد نمی کند.
If you have mild to moderate mitral valve regurgitation (MR) and do not have symptoms, you likely do not have to limit your physical activity
If you do have symptoms or if you have irregular heart rhythms or changes in your heart size or function, you may need to be cautious about physical activity. But regular activity, even low-level activity such as walking, will help keep your heart healthy. If you want to start being more active, talk to your doctor first. Your doctor will help you create a safe exercise plan.
If you have questions or concerns about what physical activities are appropriate for you, talk to your doctor. Even with MR, you may be able to develop an exercise plan that suits your lifestyle
If you have severe MR, you may need to limit your physical activity
If you have no symptoms and your left ventricle functions normally, you can likely participate in normal physical activity and exercise without limitation
If you have mild to moderate regurgitation and normal heart function, you can participate in normal physical activity
If you have mild to moderate regurgitation and reduced heart function, ask your doctor what level and type of activity is safe for you. You might be able to exercise at low or moderate aerobic levels such as walking or swimming
You may need to avoid isometric exercise, which is exercise that uses muscle contraction to strengthen and tone your muscles
Isometric exercise usually involves pushing against resistance, as in weight lifting. These types of exercises can elevate your blood pressure, thereby increasing the force against which your heart must pump blood
As a rule, avoid activities that involve sudden physical exertion at a level that is significantly greater than that required for your normal activities
http://www.uofmhealth.org/health-library/aa143442