Asif Irfan M, Yim Eugene S, Hoffman Jacob M, Froelicher Vic
Department of Family Medicine, Greenville Health System-University of South Carolina Greenville , Greenville, SC , USA.
Phys Sportsmed. 2015 Feb;43(1):44-53. doi: 10.1080/00913847.2015.1001306. Epub 2015 Feb 6.
Abstract Sudden cardiac death (SCD) is the leading cause of death during exercise. While initial reports suggested that the most common cause of SCD in young athletes was due to hypertrophic cardiomyopathy (HCM), a critical review of investigations in several populations (athletes, non-athletes, military, national, and international) supports that the most common finding at autopsy of young individuals with SCD is actually a structurally normal heart (SNH). This information is vital for sports medicine clinicians, especially with regard to the pre-participation evaluation (PPE) since cardiac death associated with a SNH is likely attributed to disorders such as arrhythmia or ion channel diseases. This comprehensive review explores the causes of SCD, along with the symptoms preceding death, which ultimately may help refine the PPE and maximize the ability to detect potentially lethal disease prior to competition.
摘要 心源性猝死（SCD）是运动期间的主要死因。虽然最初的报告表明，年轻运动员心源性猝死的最常见原因是肥厚型心肌病（HCM），但对多个群体（运动员、非运动员、军人、国内和国际群体）调查的严格审查表明，年轻心源性猝死个体尸检时最常见的发现实际上是心脏结构正常（SNH）。这一信息对运动医学临床医生至关重要，尤其是在参与前评估（PPE）方面，因为与心脏结构正常相关的心源性死亡可能归因于心律失常或离子通道疾病等病症。这篇综述探讨了心源性猝死的原因以及死亡前的症状，这最终可能有助于完善参与前评估，并最大限度地提高在比赛前检测潜在致命疾病的能力。
