Simons S M, Moriarity J
University Health Service, University of Notre Dame, IN 46556.
Med Sci Sports Exerc. 1992 Dec;24(12):1321-4.
The greatest catastrophy in sports is an athlete's unexpected sudden death. Identifying those athletes at risk remains a great challenge to physicians performing preseason examinations. Hypertrophic cardiomyopathy is the most common cause of nontraumatic sudden death in athletes. Most cases of this diseased heart are diagnosed easily by echocardiography. The case presented exemplifies the attention to detail required to differentiate the borderline diseased heart from the conditioned athletic heart. Once a diagnosis of hypertrophic cardiomyopathy is made, further participation in intense physical exercise is discouraged. This recommendation is necessary despite the unknown relative sudden death risk for the minimal criteria cases.
体育界最大的灾难是运动员意外猝死。对于进行季前检查的医生来说，识别那些有风险的运动员仍然是一项巨大的挑战。肥厚型心肌病是运动员非创伤性猝死的最常见原因。这种患病心脏的大多数病例通过超声心动图很容易诊断出来。所呈现的病例例证了区分临界患病心脏与适应性运动心脏所需的细节关注。一旦诊断出肥厚型心肌病，就不鼓励进一步参加剧烈体育锻炼。尽管对于最低标准病例的相对猝死风险未知，但这一建议是必要的。
