Rationale and Design of the ORCCA (Outcomes Registry for Cardiac Conditions in Athletes) Study.
Rationale and Design of the ORCCA (Outcomes Registry for Cardiac Conditions in Athletes) Study.
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DOI：
10.1161/jaha.122.029052
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发表时间：
2023-06-06
影响因子：
5.4
通讯作者：
中科院分区：
文献类型：
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作者：
有猝死风险的心血管疾病的年轻竞技运动员参加体育锻炼的临床实践建议主要基于专家共识，缺乏前瞻性结果数据。最近的指导方针采取了更宽松的方法，使用共享决策模型。然而，这一战略的影响和结果仍然未知。ORCCA（运动员心脏状况结果登记）研究是一项前瞻性、多中心、纵向、观察性队列研究，旨在监测具有潜在危及生命的心血管疾病的运动员的临床结果。该研究将评估患有心血管疾病的年轻竞技运动员的运动资格、运动习惯、社会心理健康和长期心血管结果。年龄在18岁至35岁以下的竞技运动员被诊断为确诊的心血管疾病或具有潜在的主要心血管不良事件风险增加的边缘性发现，符合条件。在最初的5年随访期间或直到35岁期间，将监测结果，并比较继续和停止竞技体育的运动员的社会心理健康指标和复合心血管不良事件，包括心律失常、心脏骤停/心源性猝死，以及疾病进展的证据。ORCCA研究旨在评估恢复运动决策的过程和结果，并监测被确诊为心血管疾病或主要心血管不良事件潜在风险增加的边缘性发现的年轻竞技运动员的主要不良心血管事件、运动习惯和心理社会健康。这项工作的结果将产生一个证据基础，为未来的指导方针提供信息。
Clinical practice recommendations for participation in sports and exercise among young competitive athletes with cardiovascular conditions at risk for sudden death are based largely on expert consensus with a paucity of prospective outcomes data. Recent guidelines have taken a more permissive approach, using a shared decision‐making model. However, the impact and outcomes of this strategy remain unknown. The ORCCA (Outcomes Registry for Cardiac Conditions in Athletes) study is a prospective, multicenter, longitudinal, observational cohort study designed to monitor clinical outcomes in athletes with potentially life‐threatening cardiovascular conditions. The study will assess sports eligibility decision‐making, exercise habits, psychosocial well‐being, and long‐term cardiovascular outcomes among young competitive athletes with cardiovascular conditions. Competitive athletes aged 18 to <35 years diagnosed with a confirmed cardiovascular condition or borderline finding with potential increased risk of major adverse cardiovascular events are eligible. Outcomes will be monitored for an initial 5‐year follow‐up period or until age 35, and metrics of psychosocial well‐being and composite adverse cardiovascular events including arrhythmias, sudden cardiac arrest/sudden cardiac death, and evidence of disease progression will be compared among athletes who continue versus discontinue competitive sports participation. The ORCCA study aims to assess the process and results of return to sport decision‐making and to monitor major adverse cardiovascular events, exercise habits, and the psychosocial well‐being among young competitive athletes diagnosed with confirmed cardiovascular conditions or borderline findings with potential increased risk of major adverse cardiovascular events. The results of this work will generate an evidence base to inform future guidelines.
影响因子：
1.3
作者：
Petek BJ;Moulson N;Baggish AL;Drezner JA;Harmon KG;Klein CF;Kliethermes SA;Patel MR;Churchill TW
通讯作者：
Churchill TW