一名优秀运动员的心房颤动：连续心电图监测指导治疗及恢复比赛
Atrial Fibrillation in an Elite Athlete: Continuous ECG Monitoring Guiding Therapy and Return to Play.
作者信息
Muir Sean M, Badin Auroa, Albers Anne R, Grewal Kanny
机构信息
OhioHealth-Riverside Methodist Hospital Internal Medicine Residency, Columbus, Ohio, USA; MuirMed LLC, Columbus, Ohio, USA.
OhioHealth-Riverside Methodist Hospital Internal Medicine Residency, Columbus, Ohio, USA; OhioHealth Heart and Vascular Physicians, OhioHealth Vascular Institute, Columbus, Ohio, USA.
出版信息
JACC Case Rep. 2025 Jun 4;30(13):103507. doi: 10.1016/j.jaccas.2025.103507.
BACKGROUND
The diagnosis of atrial fibrillation (AF) is increasing among elite athletes. This case highlights the novel use of an implantable loop recorder to guide treatment decisions for AF in an elite soccer player.
CASE SUMMARY
A 25-year-old professional soccer player who had received a diagnosis of asymptomatic AF during routine screening underwent cardioversion and continuous monitoring with an implantable loop recorder. A rising AF burden prompted ablation.
DISCUSSION
This case demonstrates the potential utility of advanced monitoring technologies for managing AF in athletes, particularly when symptoms are absent or minimal. Additional studies are needed to confirm whether continuous monitoring improves individualized treatment decisions and optimizes outcomes.
背景
精英运动员中房颤（AF）的诊断率正在上升。本病例突出了可植入式环路记录器在指导一名精英足球运动员房颤治疗决策方面的新用途。
病例摘要
一名25岁的职业足球运动员在常规筛查中被诊断为无症状房颤，接受了心脏复律并使用可植入式环路记录器进行持续监测。房颤负担的增加促使进行消融治疗。
讨论
本病例证明了先进监测技术在管理运动员房颤方面的潜在效用，尤其是在症状不存在或很轻微时。需要更多研究来证实持续监测是否能改善个体化治疗决策并优化治疗结果。
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