通过静脉和皮下植入式心脏除器的运动员的恢复:一个元分析
Rifqi Rizkani Eri1,2, Sania Zahrani3, Prasetyo Andriono1
1Abdi Waluyo Hospital Jakarta Indonesia.
Journal of arrhythmia
|July 4, 2025
概括
植入式心脏转换器-除器 (ICD) 允许运动员安全地恢复运动,副作用率低,停止比赛的必要性最小. 对于患有ICD的运动员来说,个性化决策是关键.
科学领域:
- 心脏病学 心脏病学
- 运动医学 运动医学
- 电力生理学 电力生理学
背景情况:
- 患有心律失常的运动员面临着终结职业生涯的风险和挑战,他们需要使用可植入式心脏转换器-除器 (ICD) 回归比赛.
- 对安全性,疗效和心律失常风险的担忧影响了ICD运动员的回归决策.
- 更新的数据表明,通过静脉和皮下注射的ICD (S-ICDs) 可能可以通过个性化决策来安全地恢复运动.
研究的目的:
- 重新评估ICD在恢复运动的运动员中的安全性和有效性.
- 分析最近对运动员体内的ICD队列研究的综合数据.
- 为患有ICD的运动员提供支持个性化回归决策的证据.
主要方法:
- 按照PRISMA指南进行系统审查和元分析.
- 对六项队列研究的分析,涉及1183名患有ICD的运动员 (5个静脉输血,1个S-ICD).
- 主要结局包括适当/不适当的冲击,与冲击相关的损伤,心脏事件和运动中止.
主要成果:
- 聚合适当的冲击率:13%;不适当的冲击率:4%.
- 在运动期间或运动后不久,零人报告了与冲击相关的身体伤害或心脏不良事件.
- 体育休息率为2%,在敏感度分析后增加到4%; 静脉输入的ICD的不适当冲击率低于S-ICD.
结论:
- 在恢复运动的运动员中,ICD的使用是安全的,不良事件率低,运动中止最小.
- 研究结果支持根据心律失常类型,ICD编程和心理支持量身定制的回归游戏决策.
- 结果与2024年HRS Class IIa对运动员ICD管理的建议一致.
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