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在运动员中对病态T波逆转的认识和意义
Frédéric Schnell1, Nathan Riding1, Rory O'Hanlon1
1From the Department of Physiology, Rennes1 University, Rennes France (F.S., F.C.); the Department of Sport Medicine, Pontchaillou Hospital, Rennes, France (F.S., F.C.); INSERM UMR 1099, Rennes France (F.S., E.D., G.K., D.M., F.C.); the Department of Sports Medicine, ASPETAR, Qatar Orthopaedic and Sports Medicine Hospital, Doha, Qatar (N.R., M.G.W.); the Centre for Cardiovascular Magnetic Resonance, Blackrock Clinic, Dublin, Ireland (R.O.); the Department of Radiology, Pontchaillou Hospital, Rennes France (P.A.L.); the Department of Cardiology, Pontchaillou Hospital, Rennes France (E.D., G.L.); the Department of Physiology, Nouvel Hopital Civil, Strasbourg, France (S.D.); Clinique du Sport Bordeaux-Mérignac, France (L.C.); and the Department of Cardiology, Desgenettes Hospital, Lyon, France (S.G.).
电脑心电图上的病态T波逆转 (PTWI) 与近一半运动员的心脏病有关. 心脏磁共振对于诊断诸如PTWI运动员心肌缩症等疾病至关重要.
科学领域:
- 心脏病学 心脏病学
- 运动医学 运动医学
- 诊断成像 诊断成像 诊断成像
背景情况:
- 病态T波逆转 (PTWI) 在健康运动员中不常见,但在心脏病患者中很常见.
- 电图解释指南通常不认为PTWI是运动员的正常适应,只有少数例外.
- 这项研究旨在评估PTWI运动员心脏病理的患病率,并评估心脏磁共振 (CMR) 疗效.
研究的目的:
- 为了确定患有PTWI的运动员心脏病理的患病率.
- 评估心脏磁共振 (CMR) 在诊断这些运动员心脏病的有效性.
主要方法:
- 155名患有PTWI的运动员接受了临床检查,心电图,心声图,运动测试,24小时霍尔特心电图和CMR.
- 统计分析确定了心脏病的预测因素.
主要成果:
- 44.5%的运动员被诊断患有心脏病,其中心肌缩性心肌病是最常见的 (81%的病例).
- 心声扫描检测到53.6%的受影响运动员有异常;CMR检测到另外24例.
- 在随访期间,五名运动员 (7.2%) 患上了病理. 突发心脏病死亡和ST段抑郁的家族史与PTWI预测心脏病.
结论:
- 在运动员中,PTWI应该被认为是病理性的,因为它与心脏病理有很强的关联 (45%的患病率).
- 对于患有PTWI和正常心声回声图的运动员来说,推使用CMR.
- 对于患有PTWI的运动员来说,即使进行正常的二次检查,也必须每年进行随访,以监测疾病的表现.
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