Edenfield Katherine M, Clugston James R, Martinez Matthew W
Department of Community Health and Family Medicine, University of Florida, Gainesville, FL, USA.
Department of Cardiovascular Medicine, Atlantic Health, Morristown Medical Center, Morristown, NJ, USA.
Am Heart J Plus. 2024 May 13;43:100401. doi: 10.1016/j.ahjo.2024.100401. eCollection 2024 Jul.
Sudden Cardiac Death is a leading medical cause of death in athletes of all ages. Recently there has been a shift from an authoritarian approach to that of using a Shared Decision Making (SDM) model in eligibility decisions of athletes with cardiovascular decisions. SDM in elite athletics can be complex and collaboration amongst the athlete, family, physicians, athletic trainers, and institutional stakeholders is critical. SDM acknowledges the complexities of a collaboration between sports cardiologists bringing disease and sport-specific expertise, and team physicians, in complementary fashion to integrate medical knowledge, clinical uncertainty, athlete and family values, and institutional philosophies and risk tolerance.
心源性猝死是各年龄段运动员死亡的主要医学原因。最近，在有心血管问题的运动员参赛资格决策方面，已从专制方法转向采用共同决策（SDM）模式。精英体育中的共同决策可能很复杂，运动员、家庭、医生、运动训练师和机构利益相关者之间的合作至关重要。共同决策认识到运动心脏病专家带来疾病和特定运动专业知识，与团队医生以互补方式合作，整合医学知识、临床不确定性、运动员和家庭价值观以及机构理念和风险承受能力的复杂性。
