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复杂先天性心脏病运动员的评估

Evaluation of athletes with complex congenital heart disease.

作者信息

Bates Benjamin A, Richards Camille, Hall Michael, Kerut Edmund K, Campbell William, McMullan Michael R

机构信息

School of Medicine, University of Mississippi Medical Center, Jackson, MS, USA.

Division of Cardiovascular Disease, Department of Internal Medicine, University of Mississippi Medical Center, Jackson, MS, USA.

出版信息

Echocardiography. 2017 Jun;34(6):934-936. doi: 10.1111/echo.13562. Epub 2017 May 12.

DOI:10.1111/echo.13562
PMID:28497583
Abstract

As a result of improvements in congenital heart surgery, there are more adults alive today with congenital heart disease (CHD) than children. Individuals with cardiac birth defects may be able to participate in physical activities but require proper cardiovascular evaluation. The American Heart Association and American College of Cardiology released guidelines in 2015 for athletes with cardiovascular abnormalities. The guidelines express that although restriction from competitive athletics may be indicated for some, the majority of individuals with CHD can and should engage in some form of physical activity. This case study demonstrates the importance of combining all aspects of history, physical examination, ECG, and imaging modalities to evaluate cardiac anatomy and function in young athletes with complex CHD.

摘要

由于先天性心脏手术的改进,如今患有先天性心脏病(CHD)的成年存活者比儿童更多。患有心脏先天性缺陷的个体可能能够参与体育活动,但需要进行适当的心血管评估。美国心脏协会和美国心脏病学会于2015年发布了针对有心血管异常的运动员的指南。这些指南表明,虽然对某些人可能需要限制其参加竞技体育活动,但大多数先天性心脏病患者能够且应该参与某种形式的体育活动。本案例研究证明了结合病史、体格检查、心电图和成像方式等所有方面来评估患有复杂先天性心脏病的年轻运动员的心脏解剖结构和功能的重要性。

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