一个预言死亡的编年史. 现在是时候对年轻运动员进行心声学查了
Gabriele Bronzetti1, Lorenzo Ridolfi1, Andrea Donti1
1Pediatric Cardiology and Adult Congenital Heart Disease Program, Department of Cardio - Thoracic and Vascular Medicine, IRCCS Azienda Ospedaliero, Universitaria di Bologna, Italy.
概括
年轻运动员的突然心脏死亡可以通过查异常冠状动脉起源 (AOCA) 来预防. 胸外心声扫描 (TTE) 可以检测突然死亡的主要原因AOCA,提高运动员的安全.
科学领域:
- 心脏病学 心脏病学
- 运动医学 运动医学
- 预防性心脏病学 预防性心脏病学
背景情况:
- 由于可以预防的原因,如高伤心肌病和马方综合征,运动员的突然死亡突显了更好的查的必要性.
- 冠状动脉异常起源 (AOCA) 是年轻运动员突然心脏死亡的重要原因,通常未被诊断出来.
- 尽管有意识,但意大利缺乏有关运动员死亡的全面数据,需要审查医疗和非医疗来源.
研究的目的:
- 报告一个13岁的病例,诊断出右冠状动脉来自Valsalva对面鼻的异常起源.
- 强调跨胸腔心声学 (TTE) 在诊断AOCA中的作用,这是运动员突然心脏死亡的关键原因.
- 倡导改进准备性查协议,以防止青少年突然死亡.
主要方法:
- 一个13岁的患者的临床病例介绍,患有双主动脉.
- 诊断评估包括重复的胸前心电回声学 (TTE) 和冠状动脉CT扫描.
- 关于运动员突然死亡的医学文献和非医学媒体的审查.
主要成果:
- 在一个13岁的病人身上诊断出AOCA,他的右冠状动脉起源于瓦尔萨尔瓦的相反鼻.
- 冠状动脉CT扫描证实了诊断,患者现在正在接受适当的治疗.
- 胸外心声学 (TTE) 证明在识别最初未被检测到的AOCA方面至关重要.
结论:
- 冠状动脉异常起源 (AOCA) 是年轻运动员突然死亡的第二大原因.
- 胸外心电回声学 (TTE) 显著提高了AOCA的准备性查的敏感性,而这通常是ECG错过的.
- 在查方案中实施TTE可以帮助预防运动中青少年突然死亡.
相关概念视频
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