Tomas M
Service de Cardiologie, Hôpital Erasme, Bruxelles.
Rev Med Brux. 1996 Sep;17(4):176-80.
Sudden death happening to an athlete is a frightening tragedy. Epidemiological data are quite controversial but sudden death occurring during sporting activity is probably not a rare occurrence. Beside drug abuse and accidental causes, cardiovascular abnormalities represent the principal origin of sudden death. Cardiomyopathy in young athletes and coronary artery disease in older athletes are the underlying pathologic substrates for most incidences. A certain proportion of sudden death in apparently healthy athletes was preceded by symptoms of exercise intolerance; pre participation evaluation directed to detect the cardiovascular abnormalities is probably of more value to reduce sudden cardiac death in athletes than detailed and routine sophisticated investigations.
运动员猝死是一场可怕的悲剧。流行病学数据颇具争议，但体育活动期间发生的猝死可能并非罕见。除了药物滥用和意外原因外，心血管异常是猝死的主要根源。年轻运动员的心肌病和年长运动员的冠状动脉疾病是大多数此类事件的潜在病理基础。相当一部分看似健康的运动员猝死之前有运动不耐受症状；相较于详细且常规的复杂检查，旨在检测心血管异常的赛前评估对于减少运动员心源性猝死可能更有价值。
