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Updated Recommendations for Athletes with Heart Disease
Annual Review of Medicine ( IF 10.5 ) Pub Date : 2018-01-29 00:00:00
Rachel Lampert, Douglas P. Zipes

Professional society recommendations to decrease sudden cardiac death in athletes, including eligibility requirements with disqualification for athletes with diagnosed disease as well as preparticipation screening and emergency preparedness, were updated in 2015. The update includes new sections on aortic disease, channelopathies, and sickle cell trait, as well as a change in format from the previous binary yes/no format to the more nuanced and contemporary “class and level of evidence” format. Eighty-four of the 246 recommendations now carry Class II designation—“reasonable,” or “may be considered.” New language in the document emphasizes counseling as part of the decision process. New data on athletes with implantable cardioverter-defibrillators, and on those with long QT syndrome, have led to a change from blanket restriction of competitive sports participation to a Class IIB “may be considered” recommendation.

中文翻译:

针对心脏病运动员的最新建议

2015年更新了专业协会的建议,以减少运动员的心源性猝死,包括对诊断出疾病的运动员不符合资格的资格要求以及参与前筛查和紧急情况的准备。该更新包括有关主动脉疾病,通道病变和镰状细胞性状的新内容,以及格式从以前的二进制“是/否”格式更改为更细微和现代的“证据类别和水平”格式。现在,在246条建议中,有84条带有II级标识-“合理”或“可以考虑”。文档中的新语言强调咨询是决策过程的一部分。具有植入式心脏复律除颤器的运动员和具有QT长综合征的运动员的新数据,
更新日期:2018-01-30
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