Farrar Michael W, Bogart Douglas B, Chapman Scott S, Rigden L Brick
Mo Med. 2006 May-Jun;103(3):297-301.
A 60-year old male physician on staff at North Kansas City Hospital was admitted with paroxysmal atrial fibrillation. The physician is an avid long-distance runner. Ultimately, three other male physicians on staff, all long-distance runners, were identified as having lone atrial fibrillation. This prompted a literature search which initially indicated a higher than normal incidence of atrial fibrillation in endurance and elite athletes. However, recent data has questioned the validity of this observation. The management of the athlete with atrial fibrillation poses special concerns and can be problematic. The incidence, causes, implications, and management of atrial fibrillation in athletes is the subject of this review.
一名在北堪萨斯城医院工作的60岁男性医生因阵发性心房颤动入院。这位医生是一名狂热的长跑运动员。最终,另外三名在职男性医生,都是长跑运动员,也被确诊为患有孤立性心房颤动。这促使进行了一次文献检索,最初的结果表明耐力运动员和精英运动员中心房颤动的发病率高于正常水平。然而,最近的数据对这一观察结果的有效性提出了质疑。患有心房颤动的运动员的管理存在特殊问题,可能会带来麻烦。本文将对运动员心房颤动的发病率、病因、影响及管理进行综述。