运动员中风与心房动:一个叙述审查
Joana Certo Pereira1, Maria Rita Lima1, Francisco Moscoso Costa1,2
1Hospital de Santa Cruz, 2790-134 Lisbon, Portugal.
Diagnostics (Basel, Switzerland)
|January 11, 2025
概括
心房动 (AF) 增加了运动员中风的风险,尽管整体风险很低. 管理需要个性化的护理,平衡中风预防与运动表现.
科学领域:
- 心脏病学 心脏病学
- 运动医学 运动医学
- 神经学 神经学
背景情况:
- 心房动 (AF) 是最常见的心律失常,显著增加中风风险.
- 适度的运动降低了AF风险,但高水平的耐力运动员矛盾地显示出更高的AF发病率.
- 患有AF的运动员中风风险是复杂的,原因是年龄较小和身体状况较好等因素.
研究的目的:
- 审查AF运动员中风的发病率,预测因素和管理.
- 综合有关运动群体中AF和中风的当前文献.
- 为了解决AF运动员中风风险的不确定性.
主要方法:
- 关于AF,中风和运动员的关键研究的文献综述.
- 分析影响AF运动员中风风险的因素.
- 关于运动人员的AF管理的证据综合.
主要成果:
- 在运动员中,尤其是65岁以上的运动员中,AF会增加中风风险,但整体风险仍然很低.
- 老年男性运动员的AF发病率较高,但中风风险低于非运动员.
- 运动员中风的复发性中风风险与非运动员相似,尽管AF率较高.
结论:
- 在运动员中管理AF是复杂的,对抗血栓形成策略的指导有限,特别是在高出血风险的运动中.
- 个性化,共享的决策对于平衡中风预防和运动表现至关重要.
- 节律控制,就像导管切除一样,对于那些避免长期药物治疗的运动员来说,可能是一个可行的第一线选择.
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