运动相关心血管事件风险的评估与监测中国专家共识  

Chinese Expert Consensus on Evaluation and Monitoring of Exercise Related Cardiovascular Risk

作　　者：中国医药卫生文化协会心血管健康与科学运动分会 汪芳[2] 赵之光[3] 陈浩[4] 张倩[4] 贾娜[4] 裴作为 Cardiovascular Health and Scientific Sports Branch of China Health Culture Association

机构地区：[1]不详 [2]北京医院心内科,国家老年医学中心,中国医学科学院,老年医学研究院,北京市100730 [3]北京市体育科学研究所 [4]北京医院 [5]大连理工大学附属中心医院

出　　处：《中国循环杂志》2022年第7期659-668,共10页Chinese Circulation Journal

基　　金：国家重点研发计划主动健康和老龄化科技应对重点专项(2020YFC2008100)。

摘　　要：适量的体力活动能够提高心肺耐力、降低心血管疾病的发生率及全因死亡率。尽管其绝对风险很低,高强度的运动也可能使心原性猝死(SCD)和心肌梗死等恶性心血管事件发生的风险升高。对于初始参加运动训练、准备提升运动等级或者合并心血管危险因素的人群,运动进行前医学筛查、心血管疾病风险筛查与分层非常重要。本文旨在为我国医疗卫生机构等专业机构提供一套指导群众运动爱好者进行心血管风险评估与监测的技术指南,帮助早期识别并及时防控运动相关风险因素,并从专业角度提出政策建议。Clinical evidences sufficiently proved that moderate physical activities could improve cardiorespiratory endurance,reduce the incidence of cardiovascular morbidity and mortality. Although the absolute risk is very low, high-intensity sports sometimes are related to increased risk of malignant cardiovascular events including sudden cardiac death and myocardial infarction. For people who initially participate in physical activity, upgrade exercise level, or with cardiovascular risk factors,it is of importance to perform the pre-exercise medical screening,cardiovascular disease risk screening and stratification.This expert consensus aims to provide a set of technical guidelines for Chinese medical and health institutions and other professional institutions to guide mass sports enthusiasts to carry out cardiovascular risk evaluation and monitoring, help early identification and timely prevention and control of sports-related risk factors, and put forward policy recommendations from a professional perspective.

关 键 词：体力活动 运动 心肺耐力 风险评估 筛查 

分 类 号：R54[医药卫生—心血管疾病]