Titcomb Clifton P
ING RE, 901 Chestnut Hills Parkway, Fort Wayne, IN 46814 USA.
J Insur Med. 2003;35(3-4):179-82.
Frequently an underwriter or medical director will question whether an increase in left ventricular mass represents pathologic left ventricular hypertrophy (LVH) or physiologic changes related to exercise. The LVH condition reflects end-organ damage related to abnormal hemodynamic stresses and confers an increased morbidity and mortality risk. When left ventricular mass is increased because of exercise, measured changes represent a normal, healthy cardiovascular system responding to the demands of that exercise. This article summarizes medical findings that distinguish pathologic LVH from an "athletic heart."
保险商或医学总监常常会质疑左心室质量的增加是代表病理性左心室肥厚（LVH）还是与运动相关的生理性变化。LVH状况反映了与异常血流动力学应激相关的终末器官损伤，并带来更高的发病和死亡风险。当左心室质量因运动而增加时，所测得的变化代表正常、健康的心血管系统对该运动需求的反应。本文总结了区分病理性LVH与“运动员心脏”的医学发现。
