运动参与与心肌炎：运动类型对疾病严重程度的影响。

Sports participation and myocarditis: Influence of sport types on disease severity.

作者信息

Bouchau Robin, Cariou Eve, Deney Antoine, Belaid Slimane, Itier Romain, Blanchard Virginie, Fournier Pauline, Duparc Alexandre, Galinier Michel, Carrié Didier, Lairez Olivier, Lavie-Badie Yoan

机构信息

Department of Cardiology, Rangueil University Hospital, Toulouse, France.

Department of Cardiovascular Rehabilitation, Rangueil University Hospital, Toulouse, France.

出版信息

Int J Cardiol Heart Vasc. 2021 Oct 26;37:100895. doi: 10.1016/j.ijcha.2021.100895. eCollection 2021 Dec.

OBJECTIVE

To study, in the context of acute myocarditis (AM) in sportsmen, the association between the category of sport practiced and the severity of AM.

DESIGN

Retrospective study.

SETTING

Single tertiary center.

PATIENTS

82 sportspeople (≥2.5 h of sport per week) who presented an AM.

ASSESSMENT OF RISK FACTORS

The type of sport activity before AM were collected.

MAIN OUTCOME MEASURES

Complicated AM was defined by a left ventricular ejection fraction <50% or the use of inotropic drugs or ventricular assist device.

RESULTS

Mean age was 29 ± 9 year-old, 77 (94%) were men. Sixteen (20%) had a complicated AM. Practicing sport over 6 h a week or a Mitchell's Class IIIA sport were associated with complicated AM (44 vs. 17%, p = 0.019 and 38 vs. 11%, p = 0.008, respectively). Practicing a Mitchell's Class IC sport was associated with uncomplicated AM (6 vs. 38%, p = 0.008).

CONCLUSION

In sportspeople's AM, the pattern of sport activity (static or dynamic component, practice intensity) is associated with the disease's severity.

目的

在运动员急性心肌炎（AM）的背景下，研究所从事运动项目类别与AM严重程度之间的关联。

设计

回顾性研究。

地点

单一三级中心。

患者

82名出现AM的运动员（每周运动≥2.5小时）。

风险因素评估

收集AM发作前的体育活动类型。

主要观察指标

复杂型AM定义为左心室射血分数<50%或使用正性肌力药物或心室辅助装置。

结果

平均年龄为29±9岁，77名（94%）为男性。16名（20%）患有复杂型AM。每周运动超过6小时或从事米切尔氏IIIA类运动与复杂型AM相关（分别为44%对17%，p = 0.019；38%对11%；p = 0.008）。从事米切尔氏IC类运动与非复杂型AM相关（6%对38%，p = 0.008）。

结论

在运动员的AM中，体育活动模式（静态或动态成分、练习强度）与疾病严重程度相关。