Mascia G, Di Biase L, Galanti G, Natale A, Padeletti L
Department of Medical and Surgical Critical Care, University of Florence, Florence, Italy.
St. David's Medical Center, Texas Cardiac Arrhythmia Institute, Austin, United States.
Int J Sports Med. 2014 Aug;35(9):800-6. doi: 10.1055/s-0033-1361185. Epub 2014 Apr 15.
Although athletic participation lowers cardiovascular risk and improves quality of life, it may represent a hazard in high-risk group athletes such as those with cardiac abnormalities receiving an implantable cardioverter defibrillator (ICD). ICD sports participants are exposed to the potential risk of inappropriate shocks due to sinus tachycardia and other supraventricular arrhythmias during exertion as well as device injury. The safety of athletic participation of ICD-patients is not completely defined and ICD efficacy in interrupting malignant arrhythmias during intense exercise is partly unknown. This explains difficulties in current recommendations made by physicians, given the associated potentially ischemic, autonomic and metabolic conditions. The scope of this review is to underline specific considerations including potential risks and recommendations for athletic participation in this patient-group.
尽管参与体育运动可降低心血管疾病风险并改善生活质量，但对于高危群体运动员，如植入了植入式心脏复律除颤器（ICD）的心脏异常患者而言，这可能存在风险。植入ICD的运动参与者在运动过程中会因窦性心动过速和其他室上性心律失常而面临不适当电击的潜在风险，以及设备损伤风险。ICD患者参与运动的安全性尚未完全明确，且ICD在剧烈运动期间中断恶性心律失常的疗效也部分未知。鉴于相关的潜在缺血、自主神经和代谢状况，这就解释了医生当前给出的建议存在困难的原因。本综述的范围是强调特定的注意事项，包括该患者群体参与运动的潜在风险和建议。
