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在青少年男性运动员中确定突然心脏骤停风险
Alexis G Sattler1, Susan Rozzi1
1Department of Health and Human Performance, College of Charleston, Charleston, SC, USA.
高中运动员中突然心脏骤停 (SCA) 的危险因素很普遍. 电心电图 (ECG) 对于识别风险至关重要,特别是在COVID-19之后,它应该补充当前的查方法.
科学领域:
- 心脏病学 心脏病学
- 运动医学 运动医学
- 公共卫生 公共卫生
背景情况:
- 突然心脏骤停 (SCA) 对年轻运动员构成重大风险.
- 当前的准备性查 (PPS) 方法可能无法充分识别所有处于风险的个体.
- COVID-19对运动员心脏健康的影响需要进一步调查.
研究的目的:
- 为了确定高中 (HS) 运动员中SCA风险因素的患病率.
- 评估COVID-19病史与心脏健康指标之间的关联.
- 评估心电图 (ECG) 在识别运动员SCA风险方面的有用性.
主要方法:
- 关于人口统计,生活方式,心脏健康和COVID-19史的调查数据从33名男性HS足球运动员 (年龄14-17岁) 收集.
- 电心电图 (ECG) 用于评估心率 (HR),节律和电活动.
- 休息HR和血压 (BP) 测量;独立的t测试用于组对比.
主要成果:
- 超过50%的人报告呼吸短促,30%的人报告胸痛.
- 胸痛史与异常心电图相关 (p<0.04).
- 11名参与者 (33.3%) 的心电图异常;其中8人 (72.7%) 之前有COVID-19病史 (p<0.01).
结论:
- 目前的查方法有限.
- 对于有COVID-19病史的运动员,应将ECG纳入准备参加查 (PPS) 和恢复参与 (RTP) 决策中.
- 家庭心脏病史,运动引起的胸痛和异常的QRS间隔是SCA风险的关键指标.
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