Institute of Sports Medicine, Prevention and Rehabilitation, Paracelsus Medical University, Salzburg, Austria.
Trends Cardiovasc Med. 2010 Aug;20(6):195-9. doi: 10.1016/j.tcm.2011.06.001.
Sudden cardiac death in athletes is rare but has a wide social impact because it confronts the general population with the paradox that athletes perceived and admired as the fittest and healthiest suddenly drop dead during their sport. Mass media coverage is guaranteed in the case of sudden cardiac death of a top athlete, while other competitive and noncompetitive athletes of all ages, team members, sponsors, as well as huge parts of society remain puzzled and frightened. Therefore, debate is ongoing regarding how to minimize the number of fatalities, and the search continues for a cost-effective preparticipation screening for competitive athletes. Despite the fact that routine ECG screening would be widely available and rather inexpensive, debate continues regarding whether this should be part of initial screening for every athlete before starting to train at high intensity as well as during annual checkups. The role of ECGs in preparticipation examinations of competitive athletes is intensively discussed because there is a lack of strict criteria for which ECG findings should generate further workup. In this article, we analyze the main publications on sudden cardiac death, focusing on the benefit of ECG screening in preparticipation examination as it has been shown to be feasible and effective in identifying athletes at risk of sudden cardiac death.
运动员心源性猝死较为罕见，但社会影响广泛，因为它使大众面临一个悖论，即那些被认为是最健康、最适合运动的运动员，突然在运动中猝死。顶级运动员心源性猝死的情况会得到大众媒体的广泛报道，而其他各年龄段的竞技和非竞技运动员、团队成员、赞助商以及社会的很大一部分人仍然感到困惑和恐惧。因此，人们一直在讨论如何最大限度地减少死亡人数，并一直在寻找一种经济有效的竞技运动员参赛前筛查方法。尽管常规心电图筛查将广泛可用且相对便宜，但仍在争论是否应该将其作为每个运动员在开始高强度训练以及每年体检前初始筛查的一部分。心电图在竞技运动员参赛前检查中的作用受到了广泛讨论，因为对于哪些心电图发现应该进行进一步检查，缺乏严格的标准。在本文中，我们分析了关于心源性猝死的主要出版物，重点关注心电图筛查在参赛前检查中的作用，因为它已被证明在识别心源性猝死风险运动员方面是可行且有效的。
