Department of Neurology, Loyola University Chicago, Stritch School of Medicine, Maywood, IL, United States.
Heart Care Centers of Illinois, Mokena, IL, United States.
Handb Clin Neurol. 2021;177:269-274. doi: 10.1016/B978-0-12-819814-8.00031-7.
Athletic participation at all levels of proficiency is an encouraged activity. Physicians evaluating athletes are tasked with assessing the benefits and risks of participating in vigorous physical activity and should engage in shared decision making with the athlete. Identifying the neurologic sequelae is an essential part of the assessment that is often not covered. This chapter will review the association of a wide range of cardiac disorders that can be related to or associated with subsequent neurologic sequelae, along with a brief overview of recommendations for management. Prevalent neurological complications of cardiac disease in athletes include stroke and seizures. There are also certain channelopathies that result in concurrent cardiac dysrhythmias and epilepsy. In addition, physiologic cardiac rhythm changes and the athlete's heart are discussed in the context of the differential diagnoses of subsequent cardiac and neurologic disease. The primary objective of this chapter is to prepare the physician for accurate recognition of cardiac disease in athletes that could result in neurologic complications if not diagnosed and managed early on.
鼓励各级水平的运动员参与体育活动。评估运动员的医生的任务是评估参与剧烈体育活动的益处和风险，并与运动员共同做出决策。确定神经后遗症是评估的重要组成部分，但往往未被涵盖。本章将回顾与随后的神经后遗症相关或相关的一系列广泛的心脏疾病的关联，以及管理建议的简要概述。运动员中常见的心脏疾病相关的神经并发症包括中风和癫痫发作。还有一些特定的通道疾病导致同时出现心律失常和癫痫。此外，生理性心脏节律变化和运动员心脏在随后的心脏和神经疾病的鉴别诊断中进行了讨论。本章的主要目的是使医生能够准确识别运动员的心脏疾病，如果不早期诊断和治疗，可能会导致神经并发症。
