Bryde Robyn, Martinez Matthew W, Emery Michael S
Department of Cardiovascular Diseases, Mayo Clinic, Jacksonville, FL, USA.
Department of Cardiovascular Medicine, Atlantic Health, Morristown Medical Center, Morristown, NJ, USA; Sports Cardiology and Hypertrophic Cardiomyopathy, Morristown Medical Center, Morristown, NJ, USA.
Prog Cardiovasc Dis. 2023 Sep-Oct;80:53-59. doi: 10.1016/j.pcad.2023.05.004. Epub 2023 May 16.
Individuals with hypertrophic cardiomyopathy (HCM) have historically been advised to limit exercise and sports participation to mild-intensity activities due to concerns for sudden cardiac arrest (SCA). However, more contemporary data have shown SCA is rare in patients with HCM and emerging data is shifting towards support for the safety of exercise in this patient population. Recent guidelines endorse exercise in patients with HCM after a comprehensive evaluation and shared-decision making with an expert provider.
由于担心肥厚型心肌病(HCM)患者会发生心脏骤停(SCA),过去一直建议他们将运动和体育活动限制在轻度强度的活动范围内。然而,更多的当代数据表明,HCM患者发生SCA的情况很少见,新出现的数据也逐渐支持这一患者群体进行运动是安全的。最近的指南认可,在经过全面评估并与专业医生共同决策后,HCM患者可以进行运动。