Lyznicki J M, Nielsen N H, Schneider J F
American Medical Association Council on Scientific Affairs, Chicago, Illinois 60610, USA.
Am Fam Physician. 2000 Aug 15;62(4):765-74.
Each year, a number of children and adolescents die suddenly from cardiac problems that are associated with a small subgroup of disorders and high-risk behaviors. While sudden cardiac death in any child or adolescent is distressing, it can be particularly devastating when it occurs in a seemingly healthy young athlete. Although uncommon in competitive sports, sudden death is a catastrophe that physicians who care for athletes should attempt to prevent. To prevent the occurrence of sudden death or cardiovascular disease progression in young athletes, the American Academy of Family Physicians, American Academy of Pediatrics, American College of Cardiology, American College of Sports Medicine, American Heart Association, American Medical Society for Sports Medicine, American Orthopaedic Society for Sports Medicine and American Osteopathic Academy of Sports Medicine have developed or endorsed recommendations for cardiovascular screening of student athletes as part of a comprehensive sports preparticipation physical evaluation (PPE). Knowledge and understanding of these recommendations can help physicians make informed decisions about the eligibility of an athlete to participate in a particular sport and encourage development of a more uniform PPE screening process.
每年，都有一些儿童和青少年因与一小部分疾病及高风险行为相关的心脏问题而突然死亡。虽然任何儿童或青少年的心脏性猝死都令人痛心，但当它发生在看似健康的年轻运动员身上时，可能会造成特别严重的打击。尽管在竞技体育中并不常见，但猝死是一场灾难，负责照顾运动员的医生应努力预防。为了预防年轻运动员猝死的发生或心血管疾病的进展，美国家庭医生学会、美国儿科学会、美国心脏病学会、美国运动医学学院、美国心脏协会、美国运动医学医学会、美国运动医学骨科协会和美国整骨疗法运动医学学会已制定或认可了对学生运动员进行心血管筛查的建议，作为全面的运动参与前体格检查（PPE）的一部分。了解这些建议有助于医生就是否适合参加某项特定运动做出明智的决定，并推动建立更统一的PPE筛查流程。
