Puffer James C
Department of Family Medicine, University of California, Los Angeles, CA, 90095-7087, USA.
Phys Sportsmed. 2002 Jul;30(7):41-7. doi: 10.3810/psm.2002.07.372.
Patients who participate in regular vigorous or strenuous physical activities undergo significant changes in cardiac structure and function. Occasionally, these changes may be confused with those of hypertrophic cardiomyopathy (HCM). Differentiating between athletic heart syndrome and HCM requires careful examination. ECG and echocardiograms may be helpful, but other techniques such as detraining can also be useful in resolving the issue. Detraining produces regression of cardiac features in patients with athletic heart syndrome, while enlarged cardiac features remain unchanged in those with HCM.
参与定期剧烈或高强度体育活动的患者，其心脏结构和功能会发生显著变化。偶尔，这些变化可能会与肥厚型心肌病（HCM）的变化相混淆。区分运动员心脏综合征和HCM需要仔细检查。心电图和超声心动图可能会有所帮助，但其他技术，如停训，在解决这个问题上也可能有用。停训会使运动员心脏综合征患者的心脏特征消退，而肥厚型心肌病患者扩大的心脏特征则保持不变。
