摘要
青年人猝死,尤其是发生在运动中的猝死,通常在社会引起极大的震撼。随着大规模解剖研究累积的证据,目前青年人猝死的原因已渐渐为人所知,这些青年人并非如表面呈现的完全健康,猝死的青年人通常有潜藏的遗传性心脏结构疾病。肥厚性心肌病和致心律失常性右心室发育不全可以解释大部分的青年人猝死案例。这些发现应该促使社会重视对年轻运动员进行先天性心脏病筛查。
Sudden death in the youth, especially when occurred during sport activities, usually causes great societal concerns. Recently, accumulated evidence from autopsy studies has gradually unraveled the underlying the causes of sudden death in the young. These young people actually have hidden congenital structural heart anomaly. Hypertrophic cardiomyopathy and arrhythmogenic right ventricle dysplasia were responsible for the majority of the cases, calling the need for mass screening of hidden congenital heart disease among young athletes.
作者
李建璋
Li Jianzhang(Emergency Medicine Department,National Taiwan University Hospital,Taipei,China)