运动诱导的心房动:一个病例报告
Pallav Deka1,2, Caitlin Mathison2, George Abela3
1College of Nursing Michigan State University East Lansing Michigan USA.
Clinical case reports
|November 29, 2023
概括
中年男性运动员有运动引起的血压变化和糖尿病,面临着更高的心房动风险. 在运动测试期间超过目标心率可以在有症状的运动员中检测运动诱导的AF.
科学领域:
- 心脏病学 心脏病学
- 运动医学 运动医学
- 电子生理学 电子生理学
背景情况:
- 中年男性运动员患有冠状动脉疾病,糖尿病和血压变化有增加心房动 (AF) 的风险.
- 运动诱导的AF可能很难用标准测试协议来诊断.
- 耐力运动员的静止心率往往较低,这可能会使标准的心率控制药物在AF管理中变得不那么有效.
研究的目的:
- 为了突出中年男性运动员运动引起的心房动 (AF) 的风险.
- 强调先进的诊断策略的重要性,以检测运动诱导的AF.
- 讨论在运动员中AF的适当管理选项,考虑运动耐受性.
主要方法:
- 一个54岁的男性运动员的病例报告,症状暗示着运动诱导的AF.
- 使用运动压力测试,超过计算最大心率 (HRmax) 以引起心律失常.
- 包括诊断测试,如心脏导管,霍尔特监测和巴迪补丁.
主要成果:
- 在本案中,标准诊断试验未能检测到AF.
- 在重复炼压力测试中,在计算HRmax的117%以上的患者进行炼成功诱导了AF.
- 该患者因运动诱导的AF而成功进行了切除.
结论:
- 患有心和胸痛等症状的运动员,特别是患有血压变化或糖尿病的运动员,需要彻底监测心律不整.
- 运动压力测试应考虑将患者推到超出计算HRmax以诊断运动引起的AF.
- 可能需要将其转移到电生理学除,特别是如果β-阻断剂限制了运动耐受性. 口服抗凝药需要对运动员进行仔细的出血风险评估.
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