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Arhiv za farmaciju
2018, vol. 68, br. 4, str. 900-910
jezik rada: engleski
vrsta rada: stručni članak
objavljeno: 15/11/2018
doi: 10.5937/ArhFarm1804900C
Creative Commons License 4.0
Sportsko srce - savremeni dijagnostički pristup
aUniverzitet u Beogradu, Farmaceutski fakultet, Institut za fiziologiju
bUniverzitet u Beogradu, Fakultet sporta i fizičkog vaspitanja
cKlinički centar Srbije, Klinika za kardiologiju, Beograd
dUniversity of Illinois at Chicago, College of Applied Health Science, Department of Physical Therapy, Chicago, IL, USA
eUniverzitet u Beogradu, Farmaceutski fakultet, Institut za fiziologiju + Klinički centar Srbije, Klinika za kardiologiju, Beograd

e-adresa: jelenacuk108@gmail.com

Sažetak

Atletsko srce je fenomen remodelovanja srčanog mišića, koje je nastalo usled fizičke aktivnosti, a čiji stepen zavisi od intenziteta, trajanja, učestalosti treniranja, individualnih osobina i genetskih faktora. Aktuelne američke preporuke za skrining kardiovaskularnih abnormalnosti među sportistima srednjoškolcima i studentima svih nivoa utreniranosti, inicijalno su bile postavljene od strane Američkog udruženja kardiologa 2007. godine. Ove preporuke čini 12 tačaka i podrazumevaju podatke iz lične i porodične istorije bolesti, kao i fizičkog pregleda. S druge strane, evropske preporuke sugerišu na značaj neinvazivnih dijagnostičkih metoda, kao što je 12-kanalni EKG, čiji rezultati bi trebali biti razmatrani udruženo sa istorijom bolesti i fizičkim pregledom. Prema Evropskom udruženju za kardiovakularni imidžing, standardna ehokardiografija je prva dijagnostička metoda diferencijacije sportskog srca od patološke hipertrofije leve komore. Godine 2012, Američko udruženje za sportsku medicine je definisalo kriterijume, koji su osveženi 2017. godine, za utvrđivanje abnormalnosti u elektrokardiogramu sportista i njihovu diferencijaciju od adaptivnih elektrofizoloških promena, koje ne zahtevaju dalju evaluaciju. S obzirom na to da iznenadna srčana smrt u sportu zahteva veliku pažnju, neophodno je da lekari budu edukovani da dijagnostikuju neprepoznata patološka stanja kod sportista. Praćenje aktuelnih preporuka koje se bave ovim problemom doprinosi prevenciji neželjenih događaja u sportu i kod osoba koje su iz drugih razloga izložene velikim fizičkim naporima.

Ključne reči

atletsko srce; skrining; hipetrofija leve komore

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