运动员发生预激综合征38例分析

Analysis about 38 Atheletes with Preexcitation Symdrome

目的了解预激综合征在专业运动员中的发生情况。方法回顾分析2000年1月～2007年12月我院诊断38例预激综合征运动员的年龄、性别、从事项目特点、家族史、临床表现等因素。结果预激综合征心电图检出率为3.2%,在各年龄组均可见,男女性别发病无差异,从事耐力项目者多见。无家族遗传病史。其中18.4%合并心律失常,以阵发性心动过速最多见,房颤次之。无症状预激综合征运动员约占80%。结论预激综合征在运动员中发生率高于普通人群,有症状的预激综合征反复发作,影响正常训练和运动能力的提高;无症状预激综合征发生率高,同样存在一定的心律失常发生率及猝死率,进行危险分层及合理的防治,以期减少不良事件的发生。

Objective To analyse the preexcitation symdrome effectention（WPW symdrome）in athletes. Methods Form January 2000 to December 2007, elated factors were analyzed in 38 athletes who WPW symdrome such as age, gender, clinical features, etc. Results The total incident rate of WPW symdrome was 3.2%.It is no distinction beteewn different age or different gender. WPW symdrome occured in people engaging endurance sports and in the family haven＇t familialy genetic disease histotry. 18.4% of them have combined arrhythmia. The most symptom was paroxysmal tachycardia and followed by atrial fibrillation. Four-fifths WPW symdrome was asymptomatic. Conclusion The accident rate of WPW symdrome in atheletes is higher than the rate in the general people. The combined incidence rate of arrhythmia and the type of arrhythmia is similar with the general people. Normal training suffered impacting. The dangerous of asymptomatic preexcitation symdrome was as WPW symdrome combined arrhythmia. Risk assessment and risk stratificationg were avaliable to reduce the incidence of adverse events.