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缩性心肌病和竞技运动:让他们玩吗?
Mats Steffi Jennifer Masilamani1, Bryan Cannon
1Division of Pediatric Cardiology, Department of Pediatrics and Adolescent Medicine, Mayo Clinic, Rochester, Minnesota, USA.
Current opinion in cardiology
|May 14, 2024
概括
由于更新的指导方针,患有缩性心肌病 (HCM) 的运动员现在可以参加竞技运动. 共享决策和医疗指导允许更安全的参与,修订以前的限制性建议.
科学领域:
- 心血管遗传学 心血管遗传学
- 运动心脏病学 运动心脏病学
背景情况:
- 超性心肌病变 (HCM) 是一种常见的遗传性心脏病.
- 心脏突然死亡是HCM患者罕见但显著的风险.
- 从历史上看,HCM诊断导致被排除在竞技运动之外.
研究的目的:
- 审查有关HCM运动员参与体育运动的当前文献.
- 评估指导方针和建议的发展情况.
- 要突出在管理HCM和体育方面转向共享决策的转变.
主要方法:
- 关于HCM和运动表现的最新科学出版物的审查.
- 分析最新的专家共识和临床数据.
- 强调共享决策模式.
主要成果:
- 越来越多患有HCM的运动员参与竞技运动,包括专业水平.
- 对一些患有HCM的运动员来说,接触式运动现在是可行的,特别是植入式心脏转换器-除器.
- 目前的数据表明,以前的指导方针可能过于严格.
结论:
- 对于HCM体育参与的修订方法正在出现.
- 共享决策赋予运动员和临床医生权力.
- 与运动参与的好处平衡突然死亡的风险是关键.
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