Compagnucci Paolo, Volpato Giovanni, Falanga Umberto, Cipolletta Laura, Conti Manuel Antonio, Grifoni Gino, Ciliberti Giuseppe, Stronati Giulia, Fogante Marco, Bergonti Marco, Sommariva Elena, Guerra Federico, Giovagnoni Andrea, Dello Russo Antonio, Casella Michela
Cardiology and Arrhythmology Clinic, University Hospital "Ospedali Riuniti Umberto I-Lancisi-Salesi", 60126 Ancona, Italy.
Department of Biomedical Science and Public Health, Marche Polytechnic University, 60121 Ancona, Italy.
Medicina (Kaunas). 2021 Mar 17;57(3):277. doi: 10.3390/medicina57030277.
Myocardial inflammation is an important cause of cardiovascular morbidity and sudden cardiac death in athletes. The relationship between sports practice and myocardial inflammation is complex, and recent data from studies concerning cardiac magnetic resonance imaging and endomyocardial biopsy have substantially added to our understanding of the challenges encountered in the comprehensive care of athletes with myocarditis or inflammatory cardiomyopathy (ICM). In this review, we provide an overview of the current knowledge on the epidemiology, pathophysiology, diagnosis, and treatment of myocarditis, ICM, and myopericarditis/perimyocarditis in athletes, with a special emphasis on arrhythmias, patient-tailored therapies, and sports eligibility issues.
心肌炎症是运动员心血管疾病发病和心源性猝死的重要原因。运动与心肌炎症之间的关系很复杂，最近有关心脏磁共振成像和心内膜心肌活检的研究数据极大地增进了我们对心肌炎或炎症性心肌病（ICM）运动员综合护理中所面临挑战的理解。在本综述中，我们概述了目前关于运动员心肌炎、ICM和心肌心包炎/心包心肌炎的流行病学、病理生理学、诊断和治疗的知识，特别强调心律失常、个体化治疗以及运动参赛资格问题。
