Taking Care of Your Aorta 10/15/18 (Virtual Medical Symposium Series)
52:36-53:59
Q:
So, do people with Marfan syndrome have a lower recommended maximum heart rate than somebody who does not have Marfan?
マルファン患者さんの脈拍についてですが、一般の方よりも低めに考えた場合、上限はどのくらいにすればいいですか？
A:
So in general, when the, so the heart rate will be blunted if one's on a beta blocker, so that'll, that'll be slower than somebody who's not on a beta blocker, but in general what I like to try to think about is, is when you do physical activity, do it at a pace where you can still carry on a conversation or it's a light perceived exercise level. So on a scale of 0 to 10, you might be exercising at a 5 to 6 as opposed to an 8, 9, or 10 where you're panting and because generally when you're doing those sort of activities that are higher on that scale, your heart rate is faster. If you have a method to check your heart rate during physical activity, you might guide someone to try to keep your heart rate.
一般にβブロッカーを飲んでいる場合には心拍数は下がりますので、βブロッカーを飲んでいない方よりも脈は遅くなります。運動をする場合には、会話を続けられるくらいの軽めの運動がいいと考えています。運動の負荷を0～10とした場合、8以上ではなく、5～6くらいがいいということです。10というのはハアハアと肩で息をするような運動です。何らかの方法で運動中に脈拍を測ることができるのであれば、誰かに運動中の脈を測ってもらってください。
Again this just depends on the condition; what the aortic condition is; if there's been dissection or not; how big is the aorta, etc. But in general keeping the heart rate during physical activity under 100 to 110 beats per minute is very safe for the vast majority of individuals, and in some people, that's not fast enough because it starts out fast and they're intolerant to a beta blocker, so really it's a, it's a level of what's your perceived level of stress and strain during the activity.
大動脈の状態、解離の既往、大動脈のサイズなどによって変わりますが、一分間に100～110ぐらいの心拍数に押さえればほとんどの方では問題ないと思います。βブロッカー不耐性の方もいますので脈が速すぎるということにはなりません。
The Marfan Foundation did not participate in the translation of these materials and does not in any way endorse them. If you are interested in this topic, please refer to our website, Marfan.org, for materials approved by our Professional Advisory Board.
The Marfan Foundation は、当翻訳には関与しておらず、翻訳内容に関してはいかなる承認も行っておりません。このトピックに興味をお持ちの方は、Marfan.orgにアクセスし、当協会の専門家から成る諮問委員会が承認した内容をご参照ください。
