Acute cardiovasculaire complicaties van zware lichamelijke inspanning door ongetrainden

- Physical exertion has paradoxical effects: regular physical activity offers protection against cardiovascular diseases, but, on the other hand, it has been shown that strenuous exercise can provoke coronary heart disease and sudden death.

- The risks of vigorous exertion apply particularly to untrained individuals and persons with a sedentary lifestyle.

- Physical exertion can cause a myocardial infarction or sudden death in people who were considered perfectly healthy before this event.

- In most cases, the mechanism of this is probably a rupture at the site of a vulnerable atherosclerotic plaque, with local activation of coagulation.

- Disturbances in cardiac rhythm may also be a cause of these complications.