Mann Gideon, Dubnov-Raz Gal, Golan Ron, Tsur Atzmon
Orthopedic Department, Sapir Medical Center, Kfar Sava, Sackler Faculty of Medicine, Tei-Aviv University.
Harefuah. 2013 Apr;152(4):190-3, 249.
Every competitive athlete in Israel is required by law to undergo a periodical pre-participation physical examination (PPE), before the competitive season. The PPE is intended to discover medical problems which might affect the health of the athletes, and rarely, may even pose a risk to their lives. It includes a sports-oriented medical questionnaire, a thorough physical examination, and a resting electrocardiogram (ECG). From a certain age onwards, it also includes a graded exercise test (GXT). Numerous studies and standpoints of several professional committees and sports medicine organizations in Europe have emphasized the importance of the first 3 parts of the PPE, namely the questionnaire, physical examination, and resting ECG. Currently, the role of the GXT in the PPE remains debatable. In this review, we will discuss the latest available scientific information in favor of including a resting ECG and, sometimes, a GXT in the PPE of competitive athletes, as mandated by the Israeli Sports Law.
以色列法律规定，每位竞技运动员在赛季开始前都必须接受定期的赛前体检（PPE）。赛前体检旨在发现可能影响运动员健康的医学问题，极少数情况下甚至可能危及生命。它包括一份针对运动的医学问卷、全面的体格检查以及静息心电图（ECG）。从一定年龄起，还包括分级运动试验（GXT）。欧洲多个专业委员会和运动医学组织的大量研究及观点都强调了赛前体检前三部分的重要性，即问卷、体格检查和静息心电图。目前，分级运动试验在赛前体检中的作用仍存在争议。在本综述中，我们将讨论最新的科学信息，支持按照以色列体育法的规定，在竞技运动员的赛前体检中纳入静息心电图，有时还包括分级运动试验。
