参与心血管疾病的精英运动员的共同决策. 我们现在在哪里?
Katherine M Edenfield1, James R Clugston1, Matthew W Martinez2,3
1Department of Community Health and Family Medicine, University of Florida, Gainesville, FL, USA.
概括
共享决策 (SDM) 对于确定心血管事件后的运动资格至关重要. 这种协作方法涉及运动员,家庭和医疗专业人员,远离专制方法.
科学领域:
- 运动心脏病学 运动心脏病学
- 运动员心血管健康问题
- 运动中的医疗道德.
背景情况:
- 突然心脏死亡 (SCD) 是运动员死亡的一个重要原因.
- 在运动员的心血管资格方面,正在发生从专制到共享决策 (SDM) 的范式转变.
- 可持续发展需要一个多学科的方法,涉及各种利益相关者.
研究的目的:
- 探索在精英运动员资格中实施共享决策 (SDM) 的复杂性和关键组成部分.
- 突出运动员,家庭,医生,运动教练和机构之间的合作的重要性.
主要方法:
- 这项研究是对心血管疾病运动员SDM当前实践和伦理考虑的概念性审查和综合.
- 它强调了体育心脏病学家和团队医生的专业知识的协作整合.
主要成果:
- SDM需要医疗专业知识,运动员价值观和机构因素之间的复杂相互作用.
- 有效的SDM需要体育心脏病专家和团队医生之间的无协作.
- 将疾病特异性知识与体育特异性需求相结合是关键.
结论:
- 共享决策 (SDM) 是解决运动员心血管资格问题的重要合作模式.
- 成功实施SDM取决于所有参与方的协同努力,平衡医疗,个人和机构方面的考虑.
- 这种方法增强了面临心血管挑战的运动员的决策过程.
相关概念视频
01:20Exercise and Cardiovascular Response
787
Exercise significantly impacts cardiovascular response, which is crucial for understanding patient health and designing effective treatment plans.
Light to moderate physical activity initiates a series of interconnected responses in the body. The heart rate modestly increases in anticipation of the workout, followed by widespread vasodilation as oxygen consumption by skeletal muscles increases. This results in decreased peripheral resistance, increased capillary blood flow, and accelerated...
Light to moderate physical activity initiates a series of interconnected responses in the body. The heart rate modestly increases in anticipation of the workout, followed by widespread vasodilation as oxygen consumption by skeletal muscles increases. This results in decreased peripheral resistance, increased capillary blood flow, and accelerated...
787
01:17Exercise and Cardiac Output
991
Regular physical activity is essential for maintaining cardiovascular health, with aerobic exercises being particularly effective. According to the American Heart Association, 150 minutes of moderate to intense aerobic exercise per week is recommended for a healthy heart. Aerobic activities may include brisk walking, running, bicycling, cross-country skiing, and swimming, ideally performed three to five times per week.
Sustained exercise increases the muscles' oxygen demand, which can be...
Sustained exercise increases the muscles' oxygen demand, which can be...
991
01:23Assessment of the Cardiovascular System I: Subjective Data
318
A thorough health history and physical assessment are essential for identifying cardiovascular disease (CVD) symptoms and distinguishing them from other health issues.
Initial Enquiry
Ask the patient about their primary concern and thoroughly explore all reported symptoms.
Medical History
Investigate past illnesses affecting the cardiovascular system, such as angina, anemia, rheumatic fever, congenital heart disease, stroke, thrombophlebitis, dysrhythmias, varicosities
Inquire about symptoms...
Initial Enquiry
Ask the patient about their primary concern and thoroughly explore all reported symptoms.
Medical History
Investigate past illnesses affecting the cardiovascular system, such as angina, anemia, rheumatic fever, congenital heart disease, stroke, thrombophlebitis, dysrhythmias, varicosities
Inquire about symptoms...
318
01:30Ethical Dilemmas II
997
Resolving an ethical dilemma in healthcare involves a systematic approach that considers every aspect of the issue, respecting both the patient's needs and values and the healthcare professional's ethical obligations. Here are potential steps to resolve an ethical dilemma:
997
01:26Exercise Stress Test
197
Introduction
Exercise stress testing, commonly known as a treadmill test, is a noninvasive procedure used to evaluate cardiovascular function and diagnose heart conditions.
Definition
An exercise stress test measures the heart's response to exertion using a treadmill or stationary bicycle. Chest electrodes record the heart's electrical activity through an ECG, and blood pressure is monitored regularly.
Purposes
Exercise stress testing, commonly known as a treadmill test, is a noninvasive procedure used to evaluate cardiovascular function and diagnose heart conditions.
Definition
An exercise stress test measures the heart's response to exertion using a treadmill or stationary bicycle. Chest electrodes record the heart's electrical activity through an ECG, and blood pressure is monitored regularly.
Purposes
197