Effort Physique et Survenu d` accidents Cardiaques

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MISE AU POINT
Keywords
Physical effort,
sudden death
Mots-clés
Effort physique,
mort subite
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* Faculté de médecine Bichat Lariboisière Paris VII
** Faculté de médecine Avicenne Paris XIII
*** Université Jules Vernes UFR médecine Centre de prévention et de réadaptation cardiaque Léopold Bellan
Unité de cardiologie interventionnelle Hôpital de Gonesse
Su mmary
Clinical experiments have suggesting for a long time that, on the one hand physical effort presented acute
risk of accident in patients with atheroma or unfit patients, and that on the other hand the regular practice
of physical efforts had a protective effect in the evolution of coronary disease. How can we explain this
visible contradiction?
While epidemiological works supported this clinical observation, numerous studies have given a physio-
pathological cause for these facts and thus allowing us to advise our patients better.
Ré sumé
L’expérience clinique nous a suggéré de longue date que, d’une part l’effort physique présentait un risque
d’accident aigu chez les patients athéromateux ou non entraînés, et que d’autre part la pratique régulière
d’efforts physiques avait un effet protecteur vis-à-vis de l’évolution de la maladie coronaire. Comment
peut-on expliquer cette apparente contradiction ?
Alors que les travaux épidémiologiques ont étayé cette observation clinique, de nombreuses études ont
donné à ces faits une base physiopathologique nous permettant ainsi de mieux conseiller nos patients.
Physical effort and arisen cardiac accidents
Effort physique et survenue d’accidents cardiaques
Correspondance
Mohamed Ghannem
Service de cardiologie .
Centre Hospitalier de Gonesse 25 rue Bernard
Février 95500 Gonesse . France
[email protected]
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1er Trimestre 2013
Cardiologie Tunisienne 6
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COMMENT L’ACTIVITE PHYSIQUE
REGULIERE PEUT AINSI DIMINUER LE
RISQUE DE MORT SUBITE ?
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Les auteurs déclarent de ne pas avoir de conflits
d’intérêts
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REFERENCES
1er Trimestre 2013
Cardiologie Tunisienne 7