Division of Cardiology, Department of Pediatrics, University of Iowa Stead Family Children's Hospital, Iowa City, Iowa, USA; University of California-San Diego, Rady Children's Hospital, Department of Pediatrics, San Diego, California, USA.
Department of Pediatrics, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
J Am Coll Cardiol. 2024 Feb 20;83(7):772-782. doi: 10.1016/j.jacc.2023.10.037.
Sports participation in patients with congenital heart disease is an evolving subject. The American Heart Association/American College of Cardiology released a set of guidelines that advise the type and level of sports participation based primarily on anatomical defects with secondary consideration given to hemodynamic effects. Recently, the European Association of Preventive Cardiology/European Society of Cardiology/Association for European Paediatric and Congenital Cardiology offered a contrasting approach to sports participation that is based on hemodynamic and electrophysiological profiles of each patient, regardless of anatomical consideration. These guidelines are drastically different in their approaches but do have some similarities. In this review, we compare both documents, focusing on the aim, population, classification of sports, and the methodology of making recommendations. This review aims to assist practicing cardiologists in integrating the available published data and recommendations when counseling patients for sports participation.
运动参与是先天性心脏病患者的一个不断发展的研究课题。美国心脏协会/美国心脏病学会发布了一套指南，主要根据解剖缺陷，结合对血液动力学影响的次要考虑因素，为患者提供运动参与的类型和水平建议。最近，欧洲预防心脏病学协会/欧洲心脏病学会/欧洲儿科和先天性心脏病学会协会提出了一种截然不同的运动参与方法，这种方法基于每个患者的血液动力学和电生理特征，而不考虑解剖因素。这些指南在方法上有很大的不同，但也有一些相似之处。在这篇综述中，我们比较了这两份文件，重点关注它们的目标、人群、运动分类以及提出建议的方法。本文旨在帮助临床医生在为患者提供运动参与咨询时，整合现有的相关数据和建议。
