Erickson Christopher C
Departments of Pediatrics and Internal Medicine,Division of Pediatric Cardiology,Children's Specialty Physicians,Children's Hospital & Medical Center,University of Nebraska Medical Center,Creighton University Medical Center,Omaha,Nebraska,United States of America.
Cardiol Young. 2017 Jan;27(S1):S80-S88. doi: 10.1017/S1047951116002286.
Chronic physical training has been shown to produce multiple changes in the heart, resulting in the athlete's heart phenotype. Some of the changes can make it difficult to discern athlete's heart from true cardiac disease, most notably hypertrophic cardiomyopathy. Other diseases such as dilated cardiomyopathy and arrhythmogenic right ventricular cardiomyopathy may be difficult to rule in or out. In this article, the physiological cardiac changes of chronic athletic training are reviewed. A methodological approach using electrocardiography and echocardiography to differentiate between athlete's heart and cardiac disease is proposed.
长期体育锻炼已被证明会使心脏产生多种变化，从而形成运动员心脏的表型。其中一些变化可能会使区分运动员心脏与真正的心脏病变得困难，最显著的是肥厚型心肌病。其他疾病，如扩张型心肌病和致心律失常性右室心肌病，可能难以确诊或排除。本文回顾了长期体育锻炼引起的生理性心脏变化。提出了一种使用心电图和超声心动图来区分运动员心脏和心脏病的方法。
