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竞技运动员伴室性心律失常和疑似隐匿性心肌病的诊断流程。

Diagnostic Workflow in Competitive Athletes with Ventricular Arrhythmias and Suspected Concealed Cardiomyopathies.

机构信息

Dipartimento di Scienze Cardiovascolari, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, 00168 Rome, Italy.

Unità Operativa Complessa di Medicina dello Sport e Rieducazione Funzionale, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Università Cattolica del Sacro Cuore, 00168 Rome, Italy.

出版信息

Medicina (Kaunas). 2021 Feb 20;57(2):182. doi: 10.3390/medicina57020182.

Abstract

The diagnosis of structural heart disease in athletes with ventricular arrhythmias (VAs) and an apparently normal heart can be very challenging. Several pieces of evidence demonstrate the importance of an extensive diagnostic work-up in apparently healthy young patients for the characterization of concealed cardiomyopathies. This study shows the various diagnostic levels and tools to help identify which athletes need deeper investigation in order to unmask possible underlying heart disease.

摘要

运动员出现室性心律失常(VA)且心脏外观正常时,结构性心脏病的诊断极具挑战性。一些证据表明,对于看似健康的年轻患者,广泛的诊断性检查对于隐匿性心肌病的特征具有重要意义。本研究展示了各种诊断水平和工具,以帮助确定哪些运动员需要更深入的检查以揭示可能存在的潜在心脏病。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0bfd/7924041/12b6cf705624/medicina-57-00182-g001.jpg

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