肥厚性心肌病和运动

Hypertrophic Cardiomyopathy and Exercise

肥厚性心肌病是年轻运动员中发生急死的主要原因之一,早期诊断存在一定困难,需与运动性心肌肥厚鉴别。本文报告肥厚性心肌病4例,其中3例急死,1例健在,并就本病的临床诊断、鉴别诊断、预后及与运动训练关系进行讨论。本病有些预后良好,患者运动能力差异较大,适当系统体育活动对患者可能有益。

Hypertrophic cardiomyopathy (HGM) is one of the main causes of sudden death in young athletes. It is rather difficult to make an early diagnosis of this disease, which needs to be distinguished from physiological myocardial hypertrophy. Four cases of HCM, three died suddenly and the other still alive, were studied The clinical features, differential diagnosis, prognosis and exercise prescriPtion of the patients with HCM were discussed. The prognosis of some patients with HCM appears relatively favorable. The physical ability of the patients is quite different and regular recreational sports might be beneficial to the patients with HGM.