Heinrich Lothar, Schmid Andreas, Vogt Stephan, Schumacher York-Olaf, Berbalk Anneliese, Dickhuth Hans-Hermann
Abteilung Rehabilitative und Präventive Sportmedizin, Medizinische Universitätsklinik Freiburg, Freiburg.
Herz. 2006 Sep;31(6):514-8. doi: 10.1007/s00059-006-2863-1.
Cardiovascular deaths during or following sport activities repeatedly raise the question about a practicable preparticipation screening for athletes to prevent such adverse events. In Germany and most European countries, well-equipped sports medicine centers evaluate the health of the Olympic athletes through regular checkups, which include a detailed medical history and thorough physical examination as well as an ECG at rest, a stress ECG, and an echocardiography. In professional sports, guidelines for this screening differ according to the federations, however, most of them intend to follow the recommendations of the Olympic sports system. For nonprofessional competitive sports, there are no guidelines for preparticipation screening, although these athletes train at the same level of intensity as professional athletes. The main issue in this international debate is the question of cost-effectiveness and how to finance preventive measures.
体育活动期间或之后发生的心血管死亡事件屡屡引发关于对运动员进行可行的赛前筛查以预防此类不良事件的问题。在德国和大多数欧洲国家，设备精良的运动医学中心通过定期检查来评估奥运会运动员的健康状况，这些检查包括详细的病史、全面的体格检查以及静息心电图、运动心电图和超声心动图检查。在职业体育中，各联合会对此类筛查的指导方针各不相同，不过，大多数联合会都打算遵循奥运会体育系统的建议。对于非职业竞技体育，尽管这些运动员的训练强度与职业运动员相同，但却没有赛前筛查的指导方针。这场国际辩论中的主要问题是成本效益问题以及如何为预防措施提供资金。
