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JAMA Cardiology:NBA球员的心脏有啥不一样?

2016-02-25 yinghao 译 MedSci原创

从字面的定义来看,职业篮球运动员指的是一群比我们更高、更壮、也更加体能充沛的人。实际上,他们的心脏和我们相比,也有着不为人知的区别。与其他运动员相比,美国的篮球运动员突发心脏病造成的死亡率远高于其他类型的疾病。但是,众所周知,随着长期的体育运动锻炼,心脏会发生一定的变化,变得更大、更重、也会更厚。因此对于这群更加高大的运动员群体,其心脏已经与常人相比出现了一定的改变,我们对其突发心脏病风险的认识还

从字面的定义来看,职业篮球运动员指的是一群比我们更高、更壮、体能更加充沛的人。实际上,他们的心脏和我们相比,也有着不为人知的区别。与其他运动员相比,美国篮球运动员因突发心脏病造成的死亡率远高于其他类型的疾病。但是,众所周知,随着长期的体育运动锻炼,心脏会发生一定的变化,变得更大、更重、也会更厚。因此对于这群更加高大的运动员群体,其心脏与常人相比已经出现了一定的改变,我们对其突发心脏病风险的认识还远远不够。

最近,一项囊括了超过500位现役NBA运动员的心脏测试分析结果让我们对这群“特殊”的群体的心脏有了第一手的清晰认识。

NBA联盟从2006年开始,即要求每个球队在球员的体检中加入负荷超声心动图的检查,而这项在线发表于2016年2月24日的JAMA Cardiology杂志上的研究报道能够帮助球队充分认识和利用到这种检查的结果。

正如本文通讯作者,哥伦比亚大学医学院与纽约长老会医院David Engel医生所说:“虽然我们知道运动员的心脏会出现一定的变化,但是我们仍不了解这些变化的界限在哪。在我们能观察到的运动带来的心脏显著变化与可能会导致风险的状况之间存在着一个灰色地带”。

心脏:

最直观的例子就是这名叫做Channing Frye的大前锋。在上周NBA的交易截止日前,克利夫兰骑士队从奥兰多魔术队交易得来了这名前锋,以充实他们的替补阵容,并向冠军发起冲击。但是,Frye于2012年就被诊断为心脏肥大,并因此错过了一整个赛季。每名运动员在被交易时都应通过一系列的体检,而Frye的此次被交易至克利夫兰则多花了很多天以通过对他心脏状况的多种检查。

本研究提供的数据能够帮助医生在将来更容易判断一名NBA运动员的心脏大小是否符合他们这个群体的正常范围,或者像Frye一样,仍然属于疾病的范畴。

主动脉:

另一个例子是近期从孟菲斯灰熊队被交易至洛杉矶快船队的前锋Jeff Green。在2012年,他被诊断患有主动脉瘤,并因此进行手术,而且缺席了整个赛季。

Engel等人均认为,对主动脉的观察是十分有必要的。科学家早已认识到,作为将血液泵送至身体其他部分的主动脉,会在运动员体内拥有更宽的直径。他们目前已经推出了一个公式,以推断在更高大的运动员体内,主动脉应有多宽更合适。但是Engel及其研究组发现,在身高达到一定程度以后,主动脉的直径增长会到达一个平台期,那这个公式就不能适用了。因此医生们应该重点关注那些尤其粗的主动脉,并且重视这个问题,不能认为在特别高的运动员体内有特别粗直径的主动脉是理所当然的。

马方综合征:

当然,这项新研究也能够辅助诊断运动员是否患有马方综合征(Marfan syndrome)——一种影响结缔组织并且在高个子人群中较常见的遗传病。这种状况并不耸人听闻。在2014年的NBA新秀体检中,Baylor大学的中锋Isaiah Austin就被诊断患有马方综合征。出于对他健康的考虑,他最终并没有获得一份NBA球员的合同。

本研究同时还发现了,在非裔美国运动员与白人运动员之间,心肌的厚度有着显著的差异。Engel在文中强调:“这是一个全新的信息,因为既往的研究中很少包括了这种身材的人群。”总之,这项研究较以往对运动员的研究提供了关于心脏状况的更明晰的数据,未来有望被应用于临床评估,和对篮球甚至其他运动的运动员的心脏疾病的初级预防。

原始出处:

David J. Engel, MD; Allan Schwartz, MD; Shunichi Homma, MD, Athletic cardiac remodeling in US professional basketball players. JAMA Cardiology, 2016.2.24.

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    2016-03-09 段段

    好几个熟悉的名字

    0

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    2016-03-09 chenwinkm

    非常好的研究

    0

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    2016-03-01 破风4392

    有点意思

    0

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    2016-02-29 lixh1719

    有意思

    0

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    2016-02-29 lixh1719

    当然

    0

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    2016-02-27 wei834766788

    有道理

    0

  9. [GetPortalCommentsPageByObjectIdResponse(id=2069271, encodeId=733520692e1b8, content=<a href='/topic/show?id=125e40988d' target=_blank style='color:#2F92EE;'>#Cardiology#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=76, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=4098, encryptionId=125e40988d, topicName=Cardiology)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=316c73, createdName=caoliehu, createdTime=Fri Mar 18 05:50:00 CST 2016, time=2016-03-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1781698, encodeId=57541e8169812, content=<a href='/topic/show?id=5db8409ed8' target=_blank style='color:#2F92EE;'>#Cardiol#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=64, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=4097, encryptionId=5db8409ed8, topicName=Cardiol)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=8e886, createdName=仁者大医, createdTime=Tue Nov 22 08:50:00 CST 2016, time=2016-11-22, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=68458, encodeId=e8f968458f7, content=好几个熟悉的名字, beContent=null, objectType=article, channel=null, level=null, likeNumber=142, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=d2ae1637749, createdName=段段, createdTime=Wed Mar 09 22:55:00 CST 2016, time=2016-03-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=68251, encodeId=9cfc682512c, content=非常好的研究, beContent=null, objectType=article, channel=null, level=null, likeNumber=182, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/oLAjfB7s1ib2cQVB0w6wKXX0Is41ibaCQMjYq2OzJ6eB77uBkmialnKoGJHsZBibAwUnBz3N10BDAUlUjyYnmz1ibV97icBAv7icEmb/0, createdBy=2e181304525, createdName=chenwinkm, createdTime=Wed Mar 09 09:07:00 CST 2016, time=2016-03-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=66628, encodeId=dea76662878, content=有点意思, beContent=null, objectType=article, channel=null, level=null, likeNumber=168, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160301/IMG56D53216887587291.jpg, createdBy=3c131694128, createdName=破风4392, createdTime=Tue Mar 01 17:50:00 CST 2016, time=2016-03-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=66338, encodeId=a780663385c, content=有意思, beContent=null, objectType=article, channel=null, level=null, likeNumber=172, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTJXCR8W80NNgQuicJU3aIm3JtiaNAFLYSMlBuVfGkSlw5Z5VpmZK4PyiaDURLAorhvwhWVnaM1gQdJXA/132, createdBy=a01444383, createdName=lixh1719, createdTime=Mon Feb 29 18:33:00 CST 2016, time=2016-02-29, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=66337, encodeId=9ff86633e52, content=当然, beContent=null, objectType=article, channel=null, level=null, likeNumber=156, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTJXCR8W80NNgQuicJU3aIm3JtiaNAFLYSMlBuVfGkSlw5Z5VpmZK4PyiaDURLAorhvwhWVnaM1gQdJXA/132, createdBy=a01444383, createdName=lixh1719, createdTime=Mon Feb 29 18:32:00 CST 2016, time=2016-02-29, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=66065, encodeId=db156606563, content=有道理, beContent=null, objectType=article, channel=null, level=null, likeNumber=132, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=078f1661649, createdName=wei834766788, createdTime=Sat Feb 27 23:15:00 CST 2016, time=2016-02-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=66066, encodeId=7400660665b, content=有道理, beContent=null, objectType=article, channel=null, level=null, likeNumber=170, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=078f1661649, createdName=wei834766788, createdTime=Sat Feb 27 23:15:00 CST 2016, time=2016-02-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=65715, encodeId=a48665e1525, content=适可运动是好, beContent=null, objectType=article, channel=null, level=null, likeNumber=180, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=387d1660055, createdName=dhzzm, createdTime=Fri Feb 26 08:37:00 CST 2016, time=2016-02-26, status=1, ipAttribution=)]
    2016-02-27 wei834766788

    有道理

    0

  10. [GetPortalCommentsPageByObjectIdResponse(id=2069271, encodeId=733520692e1b8, content=<a href='/topic/show?id=125e40988d' target=_blank style='color:#2F92EE;'>#Cardiology#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=76, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=4098, encryptionId=125e40988d, topicName=Cardiology)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=316c73, createdName=caoliehu, createdTime=Fri Mar 18 05:50:00 CST 2016, time=2016-03-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1781698, encodeId=57541e8169812, content=<a href='/topic/show?id=5db8409ed8' target=_blank style='color:#2F92EE;'>#Cardiol#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=64, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=4097, encryptionId=5db8409ed8, topicName=Cardiol)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=8e886, createdName=仁者大医, createdTime=Tue Nov 22 08:50:00 CST 2016, time=2016-11-22, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=68458, encodeId=e8f968458f7, content=好几个熟悉的名字, beContent=null, objectType=article, channel=null, level=null, likeNumber=142, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=d2ae1637749, createdName=段段, createdTime=Wed Mar 09 22:55:00 CST 2016, time=2016-03-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=68251, encodeId=9cfc682512c, content=非常好的研究, beContent=null, objectType=article, channel=null, level=null, likeNumber=182, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/oLAjfB7s1ib2cQVB0w6wKXX0Is41ibaCQMjYq2OzJ6eB77uBkmialnKoGJHsZBibAwUnBz3N10BDAUlUjyYnmz1ibV97icBAv7icEmb/0, createdBy=2e181304525, createdName=chenwinkm, createdTime=Wed Mar 09 09:07:00 CST 2016, time=2016-03-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=66628, encodeId=dea76662878, content=有点意思, beContent=null, objectType=article, channel=null, level=null, likeNumber=168, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160301/IMG56D53216887587291.jpg, createdBy=3c131694128, createdName=破风4392, createdTime=Tue Mar 01 17:50:00 CST 2016, time=2016-03-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=66338, encodeId=a780663385c, content=有意思, beContent=null, objectType=article, channel=null, level=null, likeNumber=172, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTJXCR8W80NNgQuicJU3aIm3JtiaNAFLYSMlBuVfGkSlw5Z5VpmZK4PyiaDURLAorhvwhWVnaM1gQdJXA/132, createdBy=a01444383, createdName=lixh1719, createdTime=Mon Feb 29 18:33:00 CST 2016, time=2016-02-29, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=66337, encodeId=9ff86633e52, content=当然, beContent=null, objectType=article, channel=null, level=null, likeNumber=156, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTJXCR8W80NNgQuicJU3aIm3JtiaNAFLYSMlBuVfGkSlw5Z5VpmZK4PyiaDURLAorhvwhWVnaM1gQdJXA/132, createdBy=a01444383, createdName=lixh1719, createdTime=Mon Feb 29 18:32:00 CST 2016, time=2016-02-29, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=66065, encodeId=db156606563, content=有道理, beContent=null, objectType=article, channel=null, level=null, likeNumber=132, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=078f1661649, createdName=wei834766788, createdTime=Sat Feb 27 23:15:00 CST 2016, time=2016-02-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=66066, encodeId=7400660665b, content=有道理, beContent=null, objectType=article, channel=null, level=null, likeNumber=170, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=078f1661649, createdName=wei834766788, createdTime=Sat Feb 27 23:15:00 CST 2016, time=2016-02-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=65715, encodeId=a48665e1525, content=适可运动是好, beContent=null, objectType=article, channel=null, level=null, likeNumber=180, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=387d1660055, createdName=dhzzm, createdTime=Fri Feb 26 08:37:00 CST 2016, time=2016-02-26, status=1, ipAttribution=)]
    2016-02-26 dhzzm

    适可运动是好

    0

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