Cardiovascular preparticipation screening of competitive athletes - A statement for health professionals from the Sudden Death Committee (clinical cardiology) and congenital cardiac defects committee (cardiovascular disease in the young), American Heart Association
Cardiovascular preparticipation screening of competitive athletes - A statement for health professionals from the Sudden Death Committee (clinical cardiology) and congenital cardiac defects committee (cardiovascular disease in the young), American Heart Association
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DOI：
10.1161/01.cir.94.4.850
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发表时间：
1996-08-15
期刊：
影响因子：
37.8
通讯作者：
Epstein, AE
中科院分区：
文献类型：
--
作者：
Maron, BJ;Thompson, PD;Epstein, AE
一个竞技运动员的突然死亡是一个个人悲剧，对外行和医学界有很大的影响。1运动员的猝死通常是由先前未被怀疑的心血管疾病引起的。2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20这样的活动往往具有很高的公众形象，因为人们普遍认为受过训练的运动员是我们社会中最健康的阶层。一个著名的精英运动员的死亡往往强调这种知名度。121运动场上的灾难打击了我们的核心情感，并经常激励我们。这份声明是对这些考虑的回应，代表了美国心脏协会科学咨询和协调委员会任命的一个小组的共识。该小组由心血管专家、对所有年龄段的运动员有丰富临床经验的其他医生和一名法律的专家组成。该小组（1）评估了早期发现竞技运动员心血管异常的再循环筛查的益处和局限性;（2）讨论了成本效益和可行性问题以及筛查的医学和法律的影响;和（3）制定了共识建议和指导方针，以及有效的甄别程序和战略（建议列于本说明末尾）。考虑到我国竞技运动员人数众多，最近关于体育活动和锻炼的公共卫生倡议，以及1996年奥运会在美国举行，这一奋进似乎特别相关和及时。
The sudden death of a competitive athlete is a personal tragedy with great impact on the lay and medical communities. 1 Sudden deaths in athletes are usually caused by previously unsuspected cardiovascular disease. 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 Such an event often assumes a high public profile because of the generally held perception that trained athletes constitute the healthiest segment of our society. The death of a well-known elite athlete often emphasizes this visibility. 1 21 Athletic field catastrophes strike to the core of our sensibilities and often galvanize us. They also inevitably raise a number of practical and ethical issues.This statement is a response to these considerations and represents the consensus of a panel appointed by the American Heart Association Science Advisory and Coordinating Committee. The panel comprised cardiovascular specialists, other physicians with extensive clinical experience with athletes of all ages, and a legal expert. The panel (1) assessed the benefits and limitations of preparticipation screening for early detection of cardiovascular abnormalities in competitive athletes;(2) addressed cost-efficiency and feasibility issues as well as the medical and legal implications of screening; and (3) developed consensus recommendations and guidelines for the most prudent, practical, and effective screening procedures and strategies (the recommendations are listed at the end of this statement). This endeavor seems particularly relevant and timely, given the large number of competitive athletes in this country, recent public health initiatives on physical activity and exercise, and the staging of the 1996 Olympic Games in the United States.