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medicalmeds.eu Cardiology "Sports" heart

"Sports" heart


Description:


Sports heart (English — heart-strain) — the symptom complex of characteristic changes of adaptation and adaptive character in heart connected and resulting from performance of considerable exercise stresses. It is considered that the term "sports heart" was introduced for the first time in literature in 1899 by the German scientist of Henschen.


Symptoms of "Sports" heart:


Among important components and, often defining expressiveness of "sports heart" the hypertrophic cardiomyopathy (hyperplasia) of a myocardium is. It becomes a cause of death at 36% of young athletes. In the European sports cardiology understand such condition of a cardiac muscle at which there is an increase in thickness of walls of a left ventricle over 13 mm to simultaneous reduction of the final diastolic size of a left ventricle and increase in mass of a myocardium as a myocardium hypertrophy. In the conducted researches it is established that the frequency of occurrence of a true hypertrophic cardiopathy is small, and myocardium hypertrophy assessment degree by diagnostic criteria of an ECG is not authentically correlating with these EhoKG. Therefore it is considered that expressiveness of truly hypertrophic changes of dezadaptivny character should be considered as risk factor of sudden death. However it is connected not only and not just with influence of load of heart how many with influence of load of the konstituatsionno-determined mechanisms in heart at the persons playing sports, but having genetic predposilka to disadaptation development. This statement is based, including on the analysis of Lozansky recommendations (Sudden cardiac death in athletes: the Lausanne Recommendations). It is necessary to notice that lack of rigid criteria (The recommendation about a genetic research and testing in sports and sports science (BASES)) to selection of the persons aiming at professional sports is a negative factor of monitoring of the state of health of athletes.


Reasons of "Sports" heart:


Great number of specialists belong to a problem of "sports heart" indifferently, considering that by G. F. Lang's definition "the term "Sports Heart" can be understood doubly: 1) as heart more efficient (in sense of ability to satisfy, as a result of a systematic training, with higher requirements, shown it at the strengthened and long physical activity), or 2) as the heart patholologically changed with the lowered working capacity as a result of the excessive tension of sports character.". However G. F. Lang as the founder of this direction considered that excessive muscular tension, both acute single, and systematically repeated, causes sooner or later pathological changes in a myocardium owing to which heart failure can develop and even to come death. Sotoyaniye of cardiovascular system, the main system, which function limitiravilny assessment of a functional state, development of methods of early diagnosis, rational methods of treatment and that is especially important, prevention measures. "Sports heart" is a factor of development of sudden death of athletes.


Treatment of "Sports" heart:


Treatment of a basic disease is carried out.




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