Department of Clinical Sciences, Lund University, Center for Primary Health Care Research, Malmö, Sweden
University Clinic Primary Care Skåne, Malmö, Region Skåne, Sweden.
BMJ Case Rep. 2024 Sep 25;17(9):e261255. doi: 10.1136/bcr-2024-261255.
The risk of sports participation in elite athletes with cardiac disease with an indication for implantable cardioverter-defibrillator (ICD) therapy is largely unknown. Currently, international guidelines provide restrictive sports advice for such athletes. This case report presents a professional football player who after an episode of syncope and diagnosis of apical hypertrophic cardiomyopathy expressed a strong wish to explore the feasibility of returning to elite-level sports. After a shared decision-making and monitored stepwise graduated rehabilitation, the athlete made a full return to professional football. Our case indicates that individualised sports advice in elite athletes with cardiac disease and an ICD may be warranted.
患有心脏病且需要植入式心脏复律除颤器（ICD）治疗的精英运动员参加运动的风险在很大程度上是未知的。目前，国际指南为这类运动员提供了限制运动的建议。本病例报告介绍了一位职业足球运动员，他在晕厥发作和诊断为心尖肥厚型心肌病后，强烈希望探索重返精英运动的可行性。经过共同决策和监测的逐步康复，运动员完全恢复了职业足球生涯。我们的病例表明，对于患有心脏病和 ICD 的精英运动员，个性化的运动建议可能是必要的。
