Se ha celebrado en Castellón el XL Congreso de las Enfermedades Cardiovasculares organizado por la Sociedad Valenciana de Cardiología, y he tenido el placer de ser ponente en una mesa científica muy interesante sobre un tema que me apasiona, DEPORTE Y ARRITMIAS, con el título de «ENTRENANDO CON RITMO».
Con la moderación de la Dra. Izquierdo (Hospital Universitario y Politécnico La Fe de Valencia) y el Dr. Bertomeu (Hospital HCB Benidorm), expuse mi sesión sobre: «Deporte y fibrilación auricular. ¿cómo, cuándo y a quién?».
A modo de resumen, a lo largo de mi exposicion remarqué los grandes beneficios que tiene la actividad física sobre la salud, con reducciones del 35% en el riesgo de muerte cardiovascular (CV) y del 33% en mortalidad por cualquier causa. Y estos beneficios no sólo son sobre la esfera CV, si no también, sobre problemas neurológicos, endocrinos, osteomusculares y oncológicos. La prescripción de actividad física debería ser una norma habitual desde la consulta de atención primaria y especializada, pocas medicinas aportan resultados tan espectaculares y tan globales.
Y por otra parte está la fibrilación auricular (FA), verdadera pandemia CV de este siglo XXI. Así se comprueba que el grupo de personas con más de 55 años con numerosos factores de riesgo CV (HTA, Diabetes, Tabaquismo, hipercolesterolemia, Enf. Renal Crónica…) el riesgo de FA aumenta considerablemente (1 de cada 2-3 personas tendrán esta arritmia).
¿Qué papel juega el ejercicio físico sobre la FA?:
1/ Existe una relación compleja entre la actividad física y la FA. El ejercicio de intensidad moderada se considera factor protector de esta arritmia. Mientras que el ejercicio de intensidad muy elevada y la inactividad pueden favorecer el desarrollo de FA, apreciándose el patrón en forma de U.
2/ Hay unos mecanismos fisiopatológicos de FA en el deportista de resistencia con alta evidencia, como son: mayor fibrosis auricular, inflamación incrementada, dilatación auricular, incremento del tono vagal.
3/ En deportistas jóvenes de competición, la prevalencia de FA es muy baja (0.3%).
4/ Se remarca un concepto emergente: el corazón del atleta puede ser proarrítmico. Y aquí podemos hablar del Síndrome PAFIYAMA: FA paroxística, varones, ≤60 años, práctica prolongada de ejercicio de resistencia vigoroso, fracción de eyección (FEVI) preservada.
5/ Los ciclistas de resistencia y los nadadores: mayor riesgo de desarrollar FA.
6/ Es esencial realizar intervenciones dirigidas al estilo de vida y modificación de los diferentes factores de riesgo en el seguimiento de estos sujetos.
A modo de conclusión: Hay que moverse, poco es mejor que nada, ya no valen excusas.
Aquí os dejo el enlace al video con mi exposición, espero que os guste:
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{Tôi háo hức khám phá trang này. Tôi muốn cảm ơn bạn {vì đã|dành thời gian cho|chỉ vì điều này|vì điều này|cho bài đọc tuyệt vời này!! Tôi chắc chắn thực sự thích từng một phần nó và tôi đã lưu làm mục ưa thích để xem thông tin mới trong blog của bạn.|Tôi có thể chỉ nói rằng thật nhẹ nhõm để khám phá một cá nhân mà thực sự biết họ là gì thảo luận trên internet. Bạn chắc chắn nhận ra cách đưa một rắc rối ra ánh sáng và làm cho nó trở nên quan trọng. Nhiều người hơn nữa nên kiểm tra điều này và hiểu khía cạnh này câu chuyện của bạn. Thật ngạc nhiên bạn không nổi tiếng hơn vì bạn chắc chắn có món quà.|Tốt bài viết trên blog. Tôi chắc chắn yêu thích trang web này. Tiếp tục với nó!|Thật gần như không thể tìm thấy những người có kinh nghiệm về điều này, nhưng bạn có vẻ bạn biết mình đang nói gì! Cảm ơn|Bạn nên là một phần của một cuộc thi dành cho một trang web trên web tốt nhất. Tôi sẽ Rất khuyến nghị trang web này!|Một hấp dẫn đáng giá bình luận. Tôi nghĩ rằng bạn nên xuất bản thêm về chủ đề này, nó có thể không là một điều cấm kỵ vấn đề nhưng thường xuyên mọi người không nói về chủ đề như vậy. Đến phần tiếp theo! Chúc mọi điều tốt đẹp nhất!|Xin chào! Tôi chỉ muốn cho bạn một rất cho thông tin tuyệt vời bạn có ngay tại đây trên bài đăng này. Tôi đang trở lại blog của bạn để biết thêm thông tin sớm nhất.|Sau khi tôi ban đầu để lại bình luận tôi có vẻ như đã nhấp vào hộp kiểm -Thông báo cho tôi khi có bình luận mới- và từ bây giờ mỗi lần được thêm vào tôi nhận được bốn email cùng chính xác một bình luận. Phải có một phương tiện bạn có thể xóa tôi khỏi dịch vụ đó không? Kudos.|Lần sau Tôi đọc một blog, Tôi hy vọng rằng nó không thất bại nhiều như bài này. Rốt cuộc, Tôi biết điều đó là sự lựa chọn của tôi để đọc, tuy nhiên tôi thực sự tin bạn sẽ có điều gì đó hữu ích để nói về. Tất cả những gì tôi nghe được là một loạt khóc lóc về điều gì đó mà bạn có thể sửa nếu bạn không quá bận tìm kiếm sự chú ý.|Đúng với bài viết này, tôi hoàn toàn nghĩ trang web tuyệt vời này cần nhiều hơn nữa sự chú ý.
{Tôi đã rất hài lòng để tìm thấy trang web này. Tôi muốn cảm ơn bạn {vì đã|dành thời gian cho|chỉ vì điều này|vì điều này|cho bài đọc tuyệt vời này!! Tôi chắc chắn đánh giá cao từng một chút nó và tôi đã đã lưu vào mục ưa thích để xem điều mới trên blog của bạn.|Tôi có thể chỉ nói rằng thật thoải mái để khám phá một người thực sự biết họ là gì đang nói về trên web. Bạn chắc chắn biết cách đưa một rắc rối ra ánh sáng và làm cho nó trở nên quan trọng. Nhiều người hơn nữa cần phải kiểm tra điều này và hiểu khía cạnh này câu chuyện của bạn. Tôi không thể tin bạn không nổi tiếng hơn vì bạn chắc chắn nhất có món quà.|Rất tốt bài đăng. Tôi chắc chắn đánh giá cao trang web này. Tiếp tục với nó!|Thật khó tìm những người hiểu biết về điều này, tuy nhiên, bạn nghe có vẻ bạn biết mình đang nói gì! Cảm ơn|Bạn cần là một phần của một cuộc thi dành cho một trang web trên mạng tốt nhất. Tôi sẽ Rất khuyến nghị trang web này!|Một động lực đáng giá bình luận. Tôi nghĩ rằng bạn nên viết thêm về chủ đề này, nó có thể không là một điều cấm kỵ vấn đề nhưng thường xuyên mọi người không nói về những chủ đề như vậy. Đến phần tiếp theo! Chúc mọi điều tốt đẹp nhất.|Xin chào! Tôi chỉ muốn đề nghị rất cho thông tin xuất sắc bạn có ở đây trên bài đăng này. Tôi đang quay lại trang web của bạn để biết thêm thông tin sớm nhất.|Khi tôi ban đầu bình luận tôi có vẻ như đã nhấp vào hộp kiểm -Thông báo cho tôi khi có bình luận mới- và bây giờ mỗi lần được thêm vào tôi nhận được bốn email cùng chính xác một bình luận. Phải có một phương pháp dễ dàng bạn có thể xóa tôi khỏi dịch vụ đó không? Chúc mừng.|Lần sau Tôi đọc một blog, Hy vọng rằng nó sẽ không thất bại nhiều như bài này. Ý tôi là, Vâng, đó là sự lựa chọn của tôi để đọc hết, nhưng tôi thực sự tin bạn sẽ có điều gì đó thú vị để nói về. Tất cả những gì tôi nghe được là một loạt rên rỉ về điều gì đó mà bạn có thể sửa nếu bạn không quá bận tìm kiếm sự chú ý.|Đúng với bài viết này, tôi thực sự tin rằng trang web này cần nhiều hơn nữa sự chú ý.
{Tôi đã khá hài lòng khám phá trang web tuyệt vời này. Tôi muốn cảm ơn bạn {vì đã|dành thời gian cho|chỉ vì điều này|vì điều này|cho bài đọc tuyệt vời này!! Tôi chắc chắn thích thú từng một phần nó và tôi cũng đã đánh dấu để xem thông tin mới trên blog của bạn.|Tôi có thể chỉ nói rằng thật nhẹ nhõm để tìm thấy một cá nhân mà thực sự hiểu họ là gì đang nói về trên internet. Bạn chắc chắn hiểu cách đưa một vấn đề ra ánh sáng và làm cho nó trở nên quan trọng. Nhiều người hơn nữa cần phải xem điều này và hiểu khía cạnh này của. Tôi không thể tin bạn không nổi tiếng hơn vì bạn chắc chắn sở hữu món quà.|Rất tốt bài viết trên blog. Tôi chắc chắn đánh giá cao trang web này. Tiếp tục làm tốt!|Thật khó đến những người có học thức về điều này, nhưng bạn nghe có vẻ bạn biết mình đang nói gì! Cảm ơn|Bạn cần tham gia một cuộc thi dành cho một blog trực tuyến tốt nhất. Tôi sẽ khuyến nghị trang web này!|Một động lực đáng giá bình luận. Tôi nghĩ rằng bạn nên xuất bản thêm về chủ đề này, nó có thể không là một điều cấm kỵ chủ đề nhưng nói chung mọi người không nói về chủ đề những điều này. Đến phần tiếp theo! Chúc mọi điều tốt đẹp nhất!|Xin chào! Tôi chỉ muốn cho bạn một rất cho thông tin xuất sắc bạn có ngay tại đây trên bài đăng này. Tôi sẽ là quay lại trang web của bạn để biết thêm thông tin sớm nhất.|Sau khi tôi ban đầu để lại bình luận tôi có vẻ như đã nhấp vào hộp kiểm -Thông báo cho tôi khi có bình luận mới- và bây giờ mỗi lần được thêm vào tôi nhận được 4 email cùng chính xác một bình luận. Có một phương pháp dễ dàng bạn có thể xóa tôi khỏi dịch vụ đó không? Kudos.|Lần sau nữa Tôi đọc một blog, Hy vọng rằng nó không làm tôi thất vọng nhiều như bài này. Rốt cuộc, Tôi biết điều đó là sự lựa chọn của tôi để đọc hết, tuy nhiên tôi thực sự nghĩ bạn sẽ có điều gì đó hữu ích để nói. Tất cả những gì tôi nghe được là một loạt khóc lóc về điều gì đó mà bạn có thể sửa nếu bạn không quá bận tìm kiếm sự chú ý.|Đúng với bài viết này, tôi thực sự tin rằng trang web này cần nhiều hơn nữa sự chú ý.
{Tôi khá hài lòng khám phá trang web này. Tôi muốn cảm ơn bạn {vì đã|dành thời gian cho|chỉ vì điều này|vì điều này|cho bài đọc tuyệt vời này!! Tôi chắc chắn yêu thích từng của nó và tôi đã đánh dấu để xem thông tin mới trên trang web của bạn.|Tôi có thể chỉ nói rằng thật thoải mái để tìm thấy một người mà thực sự biết họ là gì thảo luận trên web. Bạn chắc chắn hiểu cách đưa một rắc rối ra ánh sáng và làm cho nó trở nên quan trọng. Nhiều người hơn nữa phải đọc điều này và hiểu khía cạnh này câu chuyện của bạn. Tôi không thể tin bạn không nổi tiếng hơn vì bạn chắc chắn sở hữu món quà.|Xuất sắc bài viết. Tôi hoàn toàn đánh giá cao trang web này. Tiếp tục với nó!|Thật khó tìm những người có kinh nghiệm cho điều này, nhưng bạn nghe có vẻ bạn biết mình đang nói gì! Cảm ơn|Bạn nên tham gia một cuộc thi dành cho một trang web trên mạng tốt nhất. Tôi sẽ khuyến nghị blog này!|Một hấp dẫn đáng giá bình luận. Không còn nghi ngờ gì nữa rằng bạn nên xuất bản thêm về chủ đề này, nó có thể không là một điều cấm kỵ vấn đề nhưng nói chung mọi người không nói về chủ đề những điều này. Đến phần tiếp theo! Chúc mừng!|Xin chào! Tôi chỉ muốn cho bạn một rất cho thông tin xuất sắc bạn có ngay tại đây trên bài đăng này. Tôi sẽ là trở lại blog của bạn để biết thêm thông tin sớm nhất.|Sau khi tôi ban đầu bình luận tôi có vẻ như đã nhấp vào hộp kiểm -Thông báo cho tôi khi có bình luận mới- và bây giờ mỗi lần được thêm vào tôi nhận được bốn email cùng chính xác một bình luận. Có một cách bạn có thể xóa tôi khỏi dịch vụ đó không? Chúc mừng.|Lần sau Tôi đọc một blog, Hy vọng rằng nó sẽ không thất bại nhiều như bài này. Rốt cuộc, Vâng, đó là sự lựa chọn của tôi để đọc hết, dù sao thì tôi thực sự tin có lẽ có điều gì đó hữu ích để nói về. Tất cả những gì tôi nghe được là một loạt tiếng rên rỉ về điều gì đó mà bạn có thể sửa nếu bạn không quá bận tìm kiếm sự chú ý.|Đúng với bài viết này, tôi hoàn toàn cảm thấy trang web này cần nhiều hơn nữa sự chú ý.
{Tôi cực kỳ hài lòng khám phá trang web tuyệt vời này. Tôi muốn cảm ơn bạn {vì đã|dành thời gian cho|chỉ vì điều này|vì điều này|cho bài đọc tuyệt vời này!! Tôi chắc chắn đánh giá cao từng của nó và tôi cũng đã đã lưu vào mục ưa thích để xem điều mới trong trang web của bạn.|Tôi có thể chỉ nói rằng thật nhẹ nhõm để khám phá một người thực sự hiểu họ là gì đang nói về trên internet. Bạn thực sự biết cách đưa một rắc rối ra ánh sáng và làm cho nó trở nên quan trọng. Nhiều người hơn cần kiểm tra điều này và hiểu khía cạnh này của. Tôi đã ngạc nhiên bạn không nổi tiếng hơn cho rằng bạn chắc chắn sở hữu món quà.|Tốt bài viết. Tôi chắc chắn yêu thích trang web này. Tiếp tục làm tốt!|Thật khó đến những người hiểu biết cho điều này, tuy nhiên, bạn nghe có vẻ bạn biết mình đang nói gì! Cảm ơn|Bạn cần tham gia một cuộc thi dành cho một trang web trên internet tốt nhất. Tôi chắc chắn sẽ Rất khuyến nghị blog này!|Một hấp dẫn chắc chắn đáng giá bình luận. Tôi nghĩ rằng bạn nên viết thêm về chủ đề này, nó có thể không là một điều cấm kỵ vấn đề nhưng thường xuyên mọi người không thảo luận vấn đề những điều này. Đến phần tiếp theo! Chúc mừng!|Chào bạn! Tôi chỉ muốn cho bạn một rất cho thông tin xuất sắc bạn có ngay tại đây trên bài đăng này. Tôi sẽ là trở lại blog của bạn để biết thêm thông tin sớm nhất.|Khi tôi ban đầu để lại bình luận tôi có vẻ như đã nhấp hộp kiểm -Thông báo cho tôi khi có bình luận mới- và bây giờ mỗi lần được thêm vào tôi nhận được 4 email cùng chính xác một bình luận. Có lẽ có một cách bạn có thể xóa tôi khỏi dịch vụ đó không? Cảm ơn.|Lần sau Tôi đọc một blog, Hy vọng rằng nó không thất bại nhiều như bài này. Ý tôi là, Tôi biết điều đó là sự lựa chọn của tôi để đọc, nhưng tôi thực sự nghĩ có lẽ có điều gì đó hữu ích để nói. Tất cả những gì tôi nghe được là một loạt tiếng rên rỉ về điều gì đó mà bạn có thể sửa nếu bạn không quá bận tìm kiếm sự chú ý.|Đúng với bài viết này, tôi thành thật tin trang web này cần nhiều hơn nữa sự chú ý.
{Tôi khá hài lòng khám phá trang web này. Tôi cần cảm ơn bạn {vì đã|dành thời gian cho|chỉ vì điều này|vì điều này|cho bài đọc tuyệt vời này!! Tôi chắc chắn thích từng một chút nó và tôi cũng đã đánh dấu để xem điều mới trong blog của bạn.|Tôi có thể chỉ nói rằng thật thoải mái để tìm thấy một người mà thực sự biết họ là gì đang nói về trên web. Bạn chắc chắn biết cách đưa một rắc rối ra ánh sáng và làm cho nó trở nên quan trọng. Nhiều người hơn phải kiểm tra điều này và hiểu khía cạnh này của. Tôi đã ngạc nhiên bạn không nổi tiếng hơn cho rằng bạn chắc chắn có món quà.|Xuất sắc bài viết. Tôi chắc chắn đánh giá cao trang web này. Tiếp tục làm tốt!|Thật gần như không thể tìm thấy những người có học thức cho điều này, tuy nhiên, bạn có vẻ bạn biết mình đang nói gì! Cảm ơn|Bạn nên là một phần của một cuộc thi dành cho một blog trên internet hữu ích nhất. Tôi sẽ Rất khuyến nghị trang web này!|Một cuộc thảo luận thú vị đáng giá bình luận. Tôi nghĩ rằng bạn nên viết thêm về chủ đề này, nó có thể không là một điều cấm kỵ vấn đề nhưng nói chung mọi người không nói về những chủ đề như vậy. Đến phần tiếp theo! Chúc mọi điều tốt đẹp nhất!|Xin chào! Tôi chỉ muốn cho bạn một rất cho thông tin tuyệt vời bạn có ở đây trên bài đăng này. Tôi đang trở lại blog của bạn để biết thêm thông tin sớm nhất.|Sau khi tôi ban đầu để lại bình luận tôi có vẻ như đã nhấp vào hộp kiểm -Thông báo cho tôi khi có bình luận mới- và từ bây giờ mỗi lần được thêm vào tôi nhận được 4 email cùng chính xác một bình luận. Có lẽ có một cách bạn có thể xóa tôi khỏi dịch vụ đó không? Chúc mừng.|Lần sau Tôi đọc một blog, Tôi hy vọng rằng nó không làm tôi thất vọng nhiều như bài này. Ý tôi là, Vâng, đó là sự lựa chọn của tôi để đọc hết, nhưng tôi thực sự tin có lẽ có điều gì đó hữu ích để nói. Tất cả những gì tôi nghe được là một loạt rên rỉ về điều gì đó mà bạn có thể sửa nếu bạn không quá bận tìm kiếm sự chú ý.|Đúng với bài viết này, tôi nghiêm túc cảm thấy trang web tuyệt vời này cần nhiều hơn nữa sự chú ý.
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