肥厚型心肌病与竞技体育:让他们玩吗?

IF 2 4区 医学 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS
Current Opinion in Cardiology Pub Date : 2024-07-01 Epub Date: 2024-05-10 DOI:10.1097/HCO.0000000000001148
Mats Steffi Jennifer Masilamani, Bryan Cannon
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引用次数: 0

摘要

综述目的:肥厚型心肌病(HCM)是最常见的心血管遗传病之一。虽然大多数 HCM 患者的临床表现通常良好,但心脏性猝死的发生率虽小,却真实存在。然而,这些建议中的许多建议都是基于专家共识,过去十年中发表的许多数据进一步丰富了这一领域的科学知识,使以前可能被排除在外的运动员有可能参加剧烈活动和竞技运动:最近的研究结果:随着最近有关 HCM 运动员参与体育运动的出版物以及对共同决策的重视,越来越多的 HCM 运动员开始参与竞技体育,甚至是职业体育。总结:以前的指南可能对 HCM 患者限制过多。虽然猝死的风险不容忽视,但在医学的各个方面,尤其是在运动参与方面,共同决策和医疗指导的潜力正在进入一个新时代。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Hypertrophic cardiomyopathy and competitive sports: let 'em play?

Purpose of review: Hypertrophic cardiomyopathy (HCM) is one of the most common cardiovascular genetic conditions. Although most patients with HCM typically do well clinically, there is a small but real incidence of sudden cardiac death. A diagnosis of HCM was previously a reason for complete exclusion in sports, particularly competitive sports.However, many of these recommendations are based on expert consensus, and much data has been published in the last decade furthering the scientific knowledge in this area, and allowing athletes who may have been previously excluded the potential to participate in strenuous activities and competitive sports.

Recent findings: With recent publications on participation in sports with HCM, as well as an emphasis on shared decision-making, more athletes with HCM are participating in competitive sports, even at a professional level. Even contact sports in the presence of an implantable cardioverter-defibrillator are no longer mutually exclusive in the current era.

Summary: Previous guidelines were likely overly restrictive for patients with HCM. Although there is a risk of sudden death that cannot be ignored, the potential for shared decision making as well as medical guidance are entering a new era in all aspects of medicine, particularly in sports participation.

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来源期刊
Current Opinion in Cardiology
Current Opinion in Cardiology 医学-心血管系统
CiteScore
4.20
自引率
4.30%
发文量
78
审稿时长
6-12 weeks
期刊介绍: ​​​​​​Current Opinion in Cardiology is a bimonthly publication offering a unique and wide ranging perspective on the key developments in the field. Each issue features hand-picked review articles from our team of expert editors. With fourteen disciplines published across the year – including arrhythmias, molecular genetics, HDL cholesterol and clinical trials – every issue also contains annotated reference detailing the merits of the most important papers.
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