Section of Cardiovascular Medicine, Yale School of Medicine, 789 Howard Avenue, Dana 319, New Haven, CT 06520, USA.
Section of Cardiovascular Medicine, Yale School of Medicine, 789 Howard Avenue, Dana 319, New Haven, CT 06520, USA.
Card Electrophysiol Clin. 2024 Mar;16(1):81-92. doi: 10.1016/j.ccep.2023.09.009.
Until recently, implantable cardioverter defibrillators (ICDs) were considered a contraindication to competitive athletics. Recent prospective observational registry data in athletes with ICDs who participated in sports against the societal recommendations at the time have demonstrated the safety of sports participation. While athletes did receive both appropriate and inappropriate shocks, these were not more frequent during sports participation than other activity, and there were no sports-related deaths or need for external resuscitation in the 440 athlete cohort (median followup 44 months). Optimization of medical therapies, device settings and having an emergency action plan allow many athletes to safely continue athletic activity.
直到最近，植入式心脏复律除颤器 (ICD) 被认为是竞技体育的禁忌症。最近，针对当时社会建议参加运动的 ICD 运动员进行前瞻性观察登记数据表明，参加运动是安全的。虽然运动员确实经历了适当和不适当的电击，但在运动期间，电击的频率并不高于其他活动，而且在 440 名运动员队列中（中位随访 44 个月）没有与运动相关的死亡或需要外部复苏。优化医疗治疗、设备设置和制定应急行动计划可以使许多运动员安全地继续进行体育活动。
