运动员获得性长QT间期

A. S. Yunisova, A. Smolensky
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引用次数: 0

摘要

长QT综合征(LQTS)是一种常见的疾病,可导致戏剧性的患者结局,其中主要是心源性猝死。本文综述了该病的诊断、流行、分类、病因等方面的详细资料。导致LQTS的各种原因给该病的鉴别诊断带来了困难,因此,监测运动员健康的医生往往不关注LQTS。特别注意的是获得形式的LQTS,特别是药物诱导形式。本文介绍了LQTS患病率及药物对QT间期影响的研究结果。非甾体类抗炎药对QT间期的影响被详细讨论,因为它们经常被运动员使用。本综述的目的是扩大对LQTS病因的理解,并证明对运动员进行仔细心电图筛查和药理学监测的必要性。
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Acquired long QT interval in athletes
Long QT syndrome (LQTS) is a common disorder that leads to dramatic patient outcomes, chief among which is sudden cardiac death. This review provides detailed data on the diagnosis, prevalence, classification, etiology. The variety of causes leading to LQTS creates difficulties in the differential diagnosis of this condition and, as a result, LQTS often remains outside the attention of physicians who monitor the health of athletes. Particular attention is paid to the acquired forms of LQTS, particularly, the drug-induced form. The results of studies aimed at studying the prevalence of LQTS and the effect of drugs on the QT interval are presented. The influence of non-steroidal anti-inflammatory drugs on the QT interval is discussed in detail because they are often used by athletes. The purpose of this review is to expand understanding of the etiology of LQTS and justify the need for careful ECG screening and pharmacological monitoring in athletes.
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