肥厚型心肌病和其他遗传性心血管疾病患者的运动活动：美国心脏病学会焦点研讨会 3/4 。

Athletic Activity for Patients With Hypertrophic Cardiomyopathy and Other Inherited Cardiovascular Diseases: JACC Focus Seminar 3/4.

机构信息

Agnes Ginges Centre for Molecular Cardiology at Centenary Institute, The University of Sydney, Sydney, New South Wales, Australia; Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia; Department of Cardiology, Royal Prince Alfred Hospital, Sydney, New South Wales, Australia.

Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia; Department of Cardiology, Royal Prince Alfred Hospital, Sydney, New South Wales, Australia.

出版信息

J Am Coll Cardiol. 2022 Sep 27;80(13):1268-1283. doi: 10.1016/j.jacc.2022.07.013. Epub 2022 Sep 5.

DOI:10.1016/j.jacc.2022.07.013

PMID:36075839

Abstract

As explored throughout this JACC Focus Seminar series, participation in regular exercise offers significant positive benefits for cardiovascular health. However, patients with underlying inherited cardiovascular diseases, such as hypertrophic cardiomyopathy, have historically been restricted from sports participation because of the risk of sudden cardiac death. Over the last decade, new data has challenged this restrictive approach. Today, the notion of individualized, patient-centered shared decision-making is being progressively adopted to guide patients with an inherited cardiovascular disease to decide if they can undertake regular exercise, or even if they can participate in competitive sports. Here in this part 3 of a 4-part seminar series, we focus on these concepts and recent data with respect to exercise and the heart in patients with hypertrophic cardiomyopathy and other inherited cardiovascular diseases, with particular emphasis on participation in recreational and competitive sports for these individuals.

摘要

正如本 JACC 焦点研讨会系列所探讨的，定期运动对心血管健康有显著的积极益处。然而，患有肥厚型心肌病等潜在遗传性心血管疾病的患者，由于存在心源性猝死的风险，历来被限制参加体育运动。在过去的十年中，新的数据挑战了这种限制的方法。如今，个体化、以患者为中心的共同决策的理念正在逐步被采用，以指导遗传性心血管疾病患者决定他们是否可以进行常规运动，甚至是否可以参加竞技运动。在本研讨会系列的第 4 部分中的第 3 部分中，我们重点讨论了这些概念以及与肥厚型心肌病和其他遗传性心血管疾病患者的心脏运动相关的最新数据，特别强调了这些人参与娱乐和竞技运动的情况。