Kaşıkçıoğlu Erdem
Department of Sports Medicine, İstanbul Faculty of Medicine, İstanbul University, İstanbul, Turkey.
Anadolu Kardiyol Derg. 2011 Jun;11(4):351-9. doi: 10.5152/akd.2011.101. Epub 2011 May 18.
Long-term athletic activity causes morphological and functional changes in the heart characterized as left ventricle cavity dimension changes, wall thickness and mass increase and rhythm conduction changes. This condition is identified as "athlete's heart syndrome". The changes that are seen clinically occur as a result of physiological adaptation to exercise. Cardiovascular adaptation depends on the exercise's type as well as its frequency, duration and intensity. In the athlete's physical examination, various changes can be seen that are mistaken with pathological conditions. In addition, there are changes present due to cardiac hypertrophy, increased vagal tone and repolarization. The knowledge and recognition of the organic and functional changes developing in the athlete's heart is being helpful to differentiate physiological changes from cardiac pathologies that can cause sudden death in athletes.
长期的体育活动会导致心脏发生形态和功能变化，其特征为左心室腔尺寸改变、壁厚和质量增加以及节律传导变化。这种情况被认定为“运动员心脏综合征”。临床上所见的这些变化是对运动进行生理适应的结果。心血管适应取决于运动的类型及其频率、持续时间和强度。在运动员的体格检查中，可以看到各种被误诊为病理状况的变化。此外，还存在因心肌肥厚、迷走神经张力增加和复极化而出现的变化。了解和认识运动员心脏中发生的器质性和功能性变化，有助于区分生理变化与可能导致运动员猝死的心脏病变。
