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基于心电图欧美运动员预防心源性猝死的筛查经验及启示

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预防运动员心脏骤停(SCA)/心源性猝死(SCD)是全球心脏病学界亟须攻克的难题.运用文献资料法、逻辑推理法等方法,论证和探析欧美运动员应用心电图(ECG)筛查在预防SCA/SCD识别心肌疾病病因类型提供疾病迹象信息.研究认为,ECG筛查作为常规诊断工具不仅诊断结果的敏感性和特异性明显高于仅凭病史和体格检查,而且ECG诊断标准为终极筛查选择适宜诊断工具提供病理特征信息;建立以疾病症状风险分层的"量化指标"不仅可以识别其心肌损伤与心脏重塑(EICR),而且能为运动员康复治疗和重返赛场(RTP)提供参考依据.基于此,建议从群体诊断标准、全球交流合作、临床实践技能和智能医疗技术等4个方面制定与完善中国运动员应用ECG筛查以预防SCA/SCD的健康管理指南建议,进而构建预防心肌疾病与竞技训练的相关体系.
Screening Experience and Implications for Prevention of Sudden Cardiac Death in European and American Athletes Based on Electrocardiogram
Preventing Sudden Cardiac Arrest(SCA)/Sudden Cardiac Death(SCD)in athletes is an urgent challenge for the global cardiology community.This study used the methods of literature and logical reasoning to demonstrate and explore the application of electrocardiogram(ECG)screening in European and American athletes to prevent SCA/SCD and identify the causes and types of myocardial diseases to provide disease signs.As a routine diagnostic tool,the sensitivity and specificity of ECG screening are obviously higher than that of medical history and physical examination only,and the diagnostic criteria of ECG provide pathological information for the final screening.Establishing a"quantitative index"stratified by risk of disease symptoms can not only identify myocardial injury and Exercise-Induced Cardiac Remodeling(EICR),but also provide reference for rehabilitation and return to play(RTP).Based on this,it is suggested to formulate and improve the health management guidelines for Chinese athletes applying ECG screening to prevent SCA/SCD from four aspects,such as group diagnostic criteria,global communication and cooperation,clinical practice skills and intelligent medical technology,and And then construct the related system of prevention of myocardial disease and competitive training.

athleteelectrocardiogramsudden cardiac deathmyocardial diseasediagnostic criteria

陈浩、梁哲、艾安丽、杨玲

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韶关学院体育学院,广东韶关 521005

佛山大学人文学院,广东佛山 528225

运动员 心电图 心源性猝死 心肌疾病 诊断标准

2024

广州体育学院学报
广州体育学院

广州体育学院学报

CHSSCD北大核心
影响因子:0.813
ISSN:1007-323X
年,卷(期):2024.44(3)