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Medicinski pregled
2009, vol. 62, br. 1-2, str. 37-41
jezik rada: srpski
vrsta rada: pregledni članak
objavljeno: 07/07/2009
doi: 10.2298/MPNS0902037M
Iznenadna srčana smrt sportista
Vojnomedicinska akademija, Klinika za kardiologiju, Beograd

e-adresa: mdzdravko@yahoo.com

Sažetak

Od 490. godine pre nove ere kada je grčki vojnik Fidipides pretrčavši distancu maratona pao i iznenada umro, poznat je entitet iznenadne srčane smrti mladih sportista. Poslednjih dvadesetak godina iznenadne smrti poznatih sportista privukle su veliku pažnju medicinske i opšte javnosti, nakon čega su Evropsko i američka kardiološka udruženja počela da periodično objavljuju preporuke za preparticipacioni skrining sportista kako bi se sportisti sa potencijalnim rizikom prepoznali i diskvalifikovali iz takmičarskih sportova. Na osnovu obdukcijskih nalaza umrlih mladih sportista utvrđeni su strukturni i funkcionalni poremećaji kardio-vaskularnog sistema odgovorni za nastanak iznenadne smrti kod sportista. Nedijagnostikovani kongenitalni poremećaji kardiovaskularnog sistema udruženi sa ekcesivnim fizičkim naporom kod sportista stvaraju uslove za elektrofiziološke poremećaje i nastanak malignih ventrikularnih tahiaritmija koje su uzrok iznenadne srčane smrti. Hipertrofična kardiomiopatija, anomalije koronarnih arterija i idiopatska hipertrofija leve komore najčešći su uzroci iznenadne srčane smrti sportista.

Ključne reči

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