Grégoire J M, Caminiti G, Messin R
Service de Cardiologie, Hôpital Universitaire St-Pierre, Bruxelles.
Rev Med Brux. 1990 Sep;11(7):272-7.
In France, about one of ten thousand athletes die suddenly each year. Although this is a small proportion of the number of total deaths, it is a striking one because of the subjects it concern e.g: healthy and physically trained. Age is the major determinant cause of sudden death: coronary heart disease in victims over 35 years, hypertrophic cardiomyopathy, congenital disease and aortic rupture before. Positive predictive value of usual tests is given; high value of echocardiography is to be noted, in comparison with low value of the traditional stress test for detection of subjects at risk.
在法国,每年约有万分之一的运动员突然死亡。尽管这在总死亡人数中占比很小,但由于涉及的对象(如健康且受过体育训练的人),这一比例令人震惊。年龄是猝死的主要决定性因素:35岁以上受害者的冠心病、肥厚型心肌病、先天性疾病以及此前的主动脉破裂。文中给出了常规检查的阳性预测值;值得注意的是,与传统负荷试验检测高危对象的低价值相比,超声心动图的价值较高。