| 运动前心血管筛查的国际经验与启示 |
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| 引用本文： | 温煦,王轶凡,董瑞庆.运动前心血管筛查的国际经验与启示[J].体育科学,2021(1):75-82. |
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| 作者姓名： | 温煦 王轶凡 董瑞庆 |
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| 作者单位： | 浙江大学教育学院体育系;苏州大学附属独墅湖医院 |
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| 基金项目： | 浙江省自然科学基金一般项目(LY18C110001)。 |
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| 摘 要： | 运用文献资料和逻辑分析的方法,系统梳理和总结运动前心血管筛查领域的国际经验,并结合本土研究和国情为我国运动前心血管筛查方案的设计和运动猝死预防体系的建立提供参考。运动前心血管筛查一般通过家族史、个人病史、体格检查和安静心电图对运动员或锻炼者的心源性猝死风险进行评估,从而筛查高风险个体,并采取相应措施降低风险,是运动猝死一级预防的国际主流方法。尽管对筛查方案的一些细节仍有争议,但2017年各国学者联合发布的运动员心电图解读国际标准专家共识大幅提升了安静心电图筛查的敏感性和特异性,纳入安静心电图的运动前心血管筛查方案逐渐被世界许多国家和各大国际体育组织所接受。建议通过制订运动猝死登记制度,建立系统的运动前心血管筛查体系和方法,加强新兴安全筛查方法和技术研究,从而改进我国的运动前心血管筛查工作。
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| 关 键 词： | 运动前心血管筛查 心源性运动猝死 心电图 |
International Experience and Inspiration of Preparticipation Cardiovascular Screening |
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| WEN Xu,WANG Yifan,DONG Ruiqing.International Experience and Inspiration of Preparticipation Cardiovascular Screening[J].China Sport Science,2021(1):75-82. |
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| Authors: | WEN Xu WANG Yifan DONG Ruiqing |
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| Institution: | (Department of Sports Science,College of Education,Zhejiang University,Hangzhou 310028,China;Dushuhu Public Hospital Affiliated to Soochow University,Suzhou 215124,China) |
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| Abstract: | This study reviewed and summarized the international experiences and local research in the field of preparticipation cardiovascular screening(PPCS),which can provide references for designing the PPCS program and preventing exercise-induced sudden cardiac death(SCD)in China.It was found that the family history,personal history,physical examination and resting ECG were usually used in PPCS to assess the risk of sudden cardiac death,and thus to screen high-risk individuals and take corresponding measures to reduce the risk.The consensus statement of international criteria for electrocardiographic interpretation in athletes was released in 2017,which greatly improved the sensitivity and specificity of ECG,although some details of the screening program were still controversial.The screening program in this statement is gradually accepted by many countries and major international sports organizations.In conclusion,it is suggested to formulating a registration system for exercise-induced SCD,establishing a systematic PPCS program and strengthen research on novel PPCS methods and technologies,so as to further improve the PPCS program in China. |
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| Keywords: | preparticipation cardiovascular screening exercise induced sudden cardiac death Electrocardiogram |
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