Department of Cardiovascular Sciences, St. George's University of London, London, UK.
Phys Sportsmed. 2011 Nov;39(4):22-36. doi: 10.3810/psm.2011.11.1936.
Sudden cardiac death is the leading cause of nontraumatic mortality in young athletes. The estimated incidence varies; however, recent studies have provided more accurate data. Most cases are attributed to silent hereditary or congenital cardiac disorders, many of which may be detected through preparticipation screening programs. This article provides a comprehensive review of the incidence and etiology of sudden cardiac death in young athletes, with practical advice regarding evaluation and management in light of a large number of recent advances. A brief outline of current perspectives on preparticipation screening programs and prevention is included.
心源性猝死是年轻运动员非外伤性死亡的主要原因。发病率估计有所不同;然而,最近的研究提供了更准确的数据。大多数病例归因于无症状的遗传性或先天性心脏疾病,其中许多疾病可以通过参赛前筛查项目来检测。本文全面回顾了年轻运动员心源性猝死的发病率和病因,并根据最近的大量进展,就评估和管理提供了实用建议。本文还简要概述了目前对参赛前筛查项目和预防的看法。