Beware of the risk of sudden death when exercising too hard

Many studies have shown that strenuous exercise can easily lead to sudden cardiac arrest or sudden cardiac death in people with underlying heart disease. In addition, strenuous exercise also increases the risk of arrhythmia, especially for patients with hypertrophic cardiomyopathy or coronary artery disease.

Emergency doctors treat a patient with acute myocardial infarction.

According to Master, Doctor, CKII Huynh Thanh Kieu, Head of Cardiology Department 1, Cardiovascular Center, Tam Anh General Hospital, Ho Chi Minh City, a sedentary lifestyle increases the risk of heart disease by 50%.

Regular exercise helps reduce risk factors for stroke and heart attack, including diabetes, dyslipidemia, hypertension, obesity, etc.

In addition, regular exercise also increases good cholesterol (HDL-C), contributes to improving coronary artery endothelial function, and limits atherosclerosis.

The American Heart Association recommends that everyone should spend 150 minutes doing moderate-intensity exercise, such as brisk walking, cycling, swimming, etc., or 75 minutes of vigorous-intensity exercise such as jogging, weight lifting, tennis, etc. each week.

However, many people are too impatient to lose weight, want to quickly have a toned body or prepare to participate in a tournament. nutrition should not rush into high-intensity exercise without advice and guidance from a specialist. This can cause cardiovascular events including heart attack, arrhythmia, sudden death.

Research shows that sports-related deaths are mainly due to coronary heart disease in adults and cardiomyopathy or arrhythmia in adolescents.

Other heart conditions, such as myocarditis, valvular heart disease, congenital heart disease, or pulmonary hypertension, can also contribute to death during exercise.

According to Associate Professor, Dr. Pham Nguyen Vinh, Director of the Cardiovascular Center, when exercising at high intensity, the heart beats faster and pumps blood more strongly, requiring more oxygen than normal.

In people with coronary artery disease due to atherosclerosis, stress (pressure) on the vessel wall can cause plaque to break off. Plaque floats in the vessel lumen, if it stops in the heart or brain, it will block these blood vessels, causing stroke or myocardial infarction.

For people with underlying heart disease (previously undetected cardiovascular disease), overexertion will affect the heart muscle, activating the heart's electrical system at the wrong time and causing sudden cardiac arrest, leading to death on the gym floor.

Additionally, many gym-goers use steroids and performance-enhancing drugs to promote muscle gain. These substances often have side effects on the heart, including high blood pressure, high cholesterol, and enlarged heart muscle, all of which increase the risk of heart attack.

Doctor Kieu cited the case of a 20-year-old male patient who was brought to the emergency room in a state of shortness of breath, fatigue, and dizziness.

He said he spent most of his time in the gym for the past 3 days because he was about to participate in a weightlifting competition in the district. This afternoon he increased the intensity of his workout, and after 30 minutes he suddenly fainted.

After examination, the doctor diagnosed him with a genetic condition called hypertrophic cardiomyopathy. Overtraining causes an irregular heartbeat and the heart's electrical system becomes out of control.

Fortunately, he received proper first aid and arrived at the hospital in time, so no dangerous complications occurred. Before being discharged, he was advised on how to exercise appropriately for his physical condition, and was instructed to return for follow-up examinations and follow-up to detect any abnormalities early.

“If heart disease is well controlled and exercised properly, the risk of cardiovascular complications is very low, only 0,31 – 2,1 times/100.000 people per year,” Associate Professor Vinh affirmed, adding that in people who exercise regularly, this risk is even lower than in people who are sedentary.

The expert also cited the case of swimmer Dana Vollmer, who won an Olympic gold medal and set a record. world in 2012 despite having long QT syndrome – a genetic heart condition.

This is a disorder of the heart's electrical activity, leading to an irregular heartbeat and can cause the patient to stop at any time. Thanks to good disease control and a reasonable training regimen, Dana not only plays sports like a normal athlete but also overcomes the disease to win a world gold medal.

Given the above facts, to ensure safety when exercising, it is necessary to note the following issues: Perform a basic cardiovascular test, especially for people over 40 years old and people with a history of heart disease.

The basic cardiovascular check-up package includes an ECG (reading the electrical activity in the heart at rest, helping to diagnose abnormalities in the structure and rhythm of the heart), a stress test (monitoring the heart's response to physical exertion), an echocardiogram (to assess the blood flow, structure and function of the heart), and a family history check (to see if anyone has died from heart disease or had a heart attack).

Consult your doctor about appropriate exercise. If you have a history of heart disease, heart attack, or chronic conditions such as musculoskeletal problems, kidney failure, diabetes, etc., ask your doctor what type and intensity of exercise is right for you.

When exercising, remember to take 1-2 days off each week to give your body time to recover. Avoid overtraining as this can lead to burnout, injury, and poor performance.

Warm up properly. This helps to warm up the body, prepare the muscles for the main workout, and promote circulation, pumping oxygen-rich blood throughout the body.

After your workout, spend 10-15 minutes doing yoga or stretching to speed up recovery and mobility. These exercises help increase range of motion, prevent muscle stiffness, and reduce injury.

Do not exercise when you are too hungry or too full. Exercising when you are hungry can easily cause hypoglycemia, while being too full can cause blood to concentrate on the digestive system. The increased volume of the stomach compresses the diaphragm, limiting the supply of enough oxygen to the heart and brain, leading to fainting.

Listen to your body during exercise. If you experience any unusual symptoms such as chest pain, shortness of breath, dizziness, sweating, etc., stop immediately. If the symptoms do not improve after resting for 15-30 minutes, you should go to the hospital for a check-up.

Backup equipment medical necessary. Carrying a blood pressure monitor, heart rate monitor, automated external defibrillator (AED), nitrate tablets... not only helps the practitioner monitor cardiovascular health throughout the exercise but also increases the chance of survival if an unfortunate incident occurs.

Along with exercise, each person needs to build a healthy diet, not smoke, limit alcohol, get enough sleep, stay away from stress... to improve overall health. A healthy body does not only come from exercise but is achieved through a combination of many factors.