如何通过大师运动员的参与前查揭露隐藏的心血管疾病?
1Department of Cardiology, Medical University of Bialystok, 15-276 Bialystok, Poland.
Reviews in cardiovascular medicine
|July 30, 2024
概括
35岁以上的运动大师面临隐性高血压的风险,这种情况被运动掩盖. 早期检测和治疗对于预防运动期间心脏突然死亡至关重要.
科学领域:
- 运动医学 运动医学
- 心脏病学 心脏病学
- 预防性心脏病学 预防性心脏病学
背景情况:
- 心血管疾病 (CVD) 是全球主要的死亡原因.
- 定期参加体育运动的数量正在增加,提供了健康益处,但也带来了风险.
- 主体运动员 (35岁以上) 容易发生心脏突然死亡 (SCD),通常与冠状动脉疾病 (CAD) 相关.
研究的目的:
- 突出运动大师隐性高血压的患病率和风险.
- 为大师运动员提出一个增强的查协议,包括检测隐藏的高血压.
- 在这个人群中预防心血管并发症和SCD.
主要方法:
- 审查关于心血管疾病,体育和运动员高血压的现有文献.
- 对口罩高血压对心血管健康的影响分析.
- 建议一种查策略,包括门诊血压监测 (ABPM).
主要成果:
- 高血压在资深运动员中很常见,可以通过运动诱导的适应来掩盖.
- 隐性高血压显著增加了动脉样硬化,心力衰竭,心律失常和大动脉病理的风险.
- 这些并发症增加了体力活动期间SCD的风险.
结论:
- 目前对大师运动员的查指南主要关注CAD,忽视隐藏的高血压.
- 需要采用综合查方法来识别和管理隐性高血压.
- 早期发现和治疗隐性高血压对于安全的运动参与和预防SCD至关重要.
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