Cardiovascular Magnetic Resonance Unit, Royal Brompton and Harefield National Health Service Foundation Trust, London, United Kingdom. Electronic address: sgati@
Cardiology Clinical and Academic Group, St. George's Hospital, University of London, London, United Kingdom.
JACC Cardiovasc Imaging. 2018 Feb;11(2 Pt 1):247-259. doi: 10.1016/j.jcmg.2017.11.016.
Exercise-associated benefits on the cardiovascular systems are well established. Although exercise-associated sudden cardiac death is rare, most deaths in young athletes are due to hereditary or congenital cardiac diseases. Athletic adaptation itself is associated with several structural changes that overlap those observed in individuals with cardiomyopathies, often leading to dilemmas for the clinician regarding life-changing decisions including advice against competitive sports participation. Cardiac magnetic resonance plays an increasingly important role in helping to establish an accurate diagnosis in these individuals. This review highlights the role of cardiac magnetic resonance in differentiating physiological adaptation in athletes from pathology.
运动与心血管系统益处的相关性已得到充分证实。尽管与运动相关的心脏性猝死较为罕见，但大多数年轻运动员的死亡都是由于遗传性或先天性心脏病所致。运动适应性本身与多种结构变化相关，这些变化与心肌病患者中观察到的变化重叠，这常常使临床医生在做出改变生活的决策时陷入困境，包括反对其参加竞技体育活动的建议。心脏磁共振在帮助这些患者做出准确诊断方面发挥着越来越重要的作用。本综述重点介绍了心脏磁共振在区分运动员的生理性适应与病理性改变中的作用。
