Luckstead E F
Children's Hospital of the King's Daughters, Norfolk, VA 23507, USA.
Adolesc Med. 1998 Oct;9(3):441-55, v.
Young athletes with possible cardiac problems may require medical advice, sports medicine information, and treatment before a clinician can sanction sports participation. In addition, the potential medical liability of cardiac abnormalities makes the preparticipation cardiac evaluation a top priority. The author emphasizes the importance of obtaining a thorough cardiac history and performing a cardiac-specific physical examination, which may include diagnostic tests such as the treadmill and color flow Doppler echocardiography. Common cardiac referral complaints such as chest pain, murmurs, and syncope are also reviewed.
可能存在心脏问题的年轻运动员在临床医生批准其参加体育运动之前,可能需要医疗建议、运动医学信息及治疗。此外,心脏异常带来的潜在医疗责任使得运动前心脏评估成为首要任务。作者强调了获取详尽心脏病史及进行心脏专项体格检查的重要性,这可能包括如跑步机测试和彩色多普勒超声心动图等诊断测试。文中还对胸痛、杂音和晕厥等常见的心脏转诊主诉进行了回顾。