Kovacs Richard, Baggish Aaron L
Krannert Institute of Cardiology, Indiana University School of Medicine, Indianapolis, IN.
Cardiovascular Performance Center, Massachusetts General Hospital, Boston, MA.
Trends Cardiovasc Med. 2016 Jan;26(1):46-52. doi: 10.1016/j.tcm.2015.04.003. Epub 2015 Apr 10.
Millions of athletes train for and participate in competitive athletics each year. Many of these athletes will present to a cardiovascular specialist with signs or symptoms that might indicate heart disease and these athletes/patients will ask for advice on their ability to continue to train and compete safely. By virtue of their training, athletes׳ hearts may undergo significant structural and electrical change, presenting a special challenge for the cardiovascular specialist. It is important to understand normal adaptive changes in order to separate normal physiology from pathology.
每年有数百万运动员为参加竞技体育项目而进行训练。这些运动员中有许多人会因可能提示心脏病的体征或症状而就诊于心血管专科医生，这些运动员/患者会就其能否安全地继续训练和参赛寻求建议。由于训练的缘故，运动员的心脏可能会发生显著的结构和电活动变化，这给心血管专科医生带来了特殊挑战。了解正常的适应性变化以便区分正常生理状态与病理状态很重要。
