References

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Медицинский алфавит

Medical alphabet

2078-56312949-2807

ООО «Альфмед»

medalphabet-284

Research Article

Статьи

Внезапная сердечная смерть в спорте: тенденции XXI века

Sudden cardiac death in sports: XXI century trends

Макаров

Л. М.

Makarov

L. M.

noemail@neicon.ru

Центр синкопальных состояний и сердечных аритмий у детей и подростков на базе ФГБУЗ «Центральная детская клиническая больница» Федерального медико-биологического агентства РоссииРоссияCentre for Syncope and Cardiac Arrhythmias in Children and Adolescents of Central Clinical Children HospitalRussian Federation

2017

07102017

231

Кардиология

5157

2017

Макаров Л.М.

Makarov L.M.

Данная работа распространяется под лицензией Creative Commons Attribution 4.0.

This work is licensed under a Creative Commons Attribution 4.0 License.

https://www.med-alphabet.com/jour/article/view/284

Внезапная сердечная смерть (ВСС) - наиболее грозное осложнение в спортивной кардиологии. В статье представлена эволюция взглядов за последние 30 лет на распространенность и причины ВСС при занятиях спортом. Частота регистрации ВСС в спорте варьирует в зависимости от возраста, вида спорта и других факторов и составляет от 1: 100000 до 1: 50000 случаев, более чем 90 % ВСС происходит у лиц мужского пола. Средний возраст погибших спортсменов - 23 года, 40 % спортсменов погибают в возрасте до 18 лет. Причинами смерти 53 % юных спортсменов до 18 лет становятся аритмии, когда на аутопсии не выявляется каких-либо изменений сердца, с возрастом нарастает роль ишемической болезни сердца (ИБС), миокардитов, аритмогенной дисплазии правого желудочка. Гипертрофическая и дилятационная кардиомиопатии, согласно данным последних лет (2011-2016), составляют примерно 2-3 %, хотя в 1980-х годах они регистрировались почти в 40 % случаев. Показана роль профилактики описаны методы выявления заболеваний сердца. Особенно подчеркнута роль использования автоматических наружных дефибрилляторов.

Sudden death is the most serious complication in sports cardiology. The article presents the evolution of views over the last 30 years rasprostranennosti and causes of SCD during sports. The frequency of registration of SCD in sport varies by age, sport, and other factors and ranges from 1: 100 000 to 1: 50 000 of the cases, more than 90 % of SCD occurs in males. The average age of the deceased athletes 23 years, 40 % of athletes die at the age of 18. Causes of death 53 % of young athletes up to 18 years is arrhythmia, when the autopsy do not reveal any changes, with age, the role of ischemic heart disease, myocarditis, arrhythmogenic right ventricular dysplasia. Hypertrophic and dilated cardio-myopathy according to the most recent years (2011-2016) is approximately 2-3 %, although the 80 s of the last century, they were recorded almost 40 % of cases. The role of prevention, methods of detection of heart disease. Emphasized the role of the use of automatic external defibrillators.

внезапная сердечная смерть в спортеавтоматические наружные дефибрилляторы

sudden cardiac death in sportautomated external defibrillators

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The authors declare that there are no conflicts of interest present.