抄録
Preventing the serious event during the exercise, adequate screening and evaluation are important to identify and counsel persons with underlying cardiovascular disease before they begin exercising, especially in the Elderly. The purpose of preparticipation screenig is to identify both those not known to be at risk and those known to be at risk for cardiovscular event during exercise. We tried to identify the participant based on the history and physical examination. We here present four cases who should not participate the exercise program.
case 1: male 65 years old
He had diabetes mellitus more than 10 years and had established triopathy. Physical examination shows equilibrim disturbance and he could not read a newspaper, he was not allowed to begin the exercise program.
case 2: male 86 years old
13 years before he sufferd acute myocardial infarction and there after there was no accident without regular examination. Just after extensive cardiac examination, he had pneumonia and admitted other hospital.
case 3: male 71 years old
He had diabetes mellitus more than 30 years, but without any management. Laboratory data shows his blood glucose was 315mg/dl. He was advised to control diabetes before beginning exercising.
case 4: male 75 years old
10 years before he had angina pectoris and said no any angina attack during daily life. But careful history shows he had several mild angina attack. Nuclear myocardial imaging revealed large reversible defect, but coronary angiography was rejected. After change of medication, he became asymptomatic and visited outpatient office regulary. 3 years after his first visiet he had frequent angina attack, emergent coronary angiography shows severe coronary artery disease. Percutaneous coronary angioplasty was performed and thereafter he had no any attack.
