Sport Science Institute, National Collegiate Athletic Association, Indianapolis, Indiana.
Department of Family Medicine, University of Washington, Seattle, Washington.
J Am Coll Cardiol. 2016 Jun 28;67(25):2981-95. doi: 10.1016/j.jacc.2016.03.527. Epub 2016 Apr 15.
Cardiovascular evaluation and care of college student-athletes is gaining increasing attention from both the public and medical communities. Emerging strategies include screening of the general athlete population, recommendations of permissible levels of participation by athletes with identified cardiovascular conditions, and preparation for responding to unanticipated cardiac events in athletic venues. The primary focus has been sudden cardiac death and the utility of screening with or without advanced cardiac screening. The National Collegiate Athletic Association convened a multidisciplinary task force to address cardiovascular concerns in collegiate student-athletes and to develop consensus for an interassociation statement. This document summarizes the task force deliberations and follow-up discussions, and includes available evidence on cardiovascular risk, pre-participation evaluation, and the recognition of and response to cardiac arrest. Future recommendations for cardiac research initiatives, education, and collaboration are also provided.
对大学生运动员的心血管评估和护理越来越受到公众和医学界的关注。新兴策略包括对普通运动员人群进行筛查,对有明确心血管疾病的运动员提出可接受的参与水平建议,以及为在体育场馆应对意外心脏事件做好准备。主要关注点一直是心源性猝死以及是否进行高级心脏筛查的筛查效果。美国国家大学生体育协会召集了一个多学科工作组,以解决大学生运动员的心血管问题,并为一个协会间声明制定共识。本文件总结了工作组的审议和后续讨论,包括心血管风险、赛前评估以及对心脏骤停的识别和反应方面的现有证据。还为心脏研究计划、教育和合作提供了未来的建议。