Anderson B R, Vetter V L
University of Pennsylvania School of Medicine, Pennsylvania, USA.
Br J Sports Med. 2009 Sep;43(9):690-5. doi: 10.1136/bjsm.2008.054775.
Sports activities are an important part of the daily life of young persons. For a small proportion of those with cardiac conditions, sports participation can result in sudden cardiac arrest. Children and adolescents often participate in both organised and spontaneous play, for which activity guidelines are needed when a condition known to cause sudden cardiac death is identified. This article examines the current guidelines that provide recommendations for sports participation by young persons with cardiovascular disease and reviews the current information on risks of physical activity for those with specific cardiac conditions. The goal of the practitioner is to balance the risks of restriction from physical activity with the benefits of participation. Some practical recommendations are offered for consideration, along with potential alternatives to absolute restriction.
体育活动是年轻人日常生活的重要组成部分。对于一小部分患有心脏疾病的人来说，参与体育活动可能会导致心脏骤停。儿童和青少年经常参加有组织的和自发的游戏活动，当发现某种已知会导致心源性猝死的疾病时，就需要针对这些活动制定指导方针。本文探讨了当前为患有心血管疾病的年轻人参与体育活动提供建议的指导方针，并回顾了有关特定心脏疾病患者体育活动风险的现有信息。从业者的目标是在限制体育活动的风险与参与活动的益处之间取得平衡。文中提供了一些实用建议供参考，以及绝对限制之外的潜在替代方案。
