Abstract：
Soccer is the most popular sport in the world, with over 265 million active players and approximately 0.05% professional players worldwide. The Fédération Internationale de Football Association (FIFA) has made preparticipation screening recommendations which involve electrocardiography and echocardiography being performed prior to international competition. The aim of preparticipation cardiovascular screening in young athletes is to detect asymptomatic individuals with cardiovascular disease at risk of sudden cardiac death (SCD). The incidence of SCD in young athletes (age≤ 35 years) is 0.6-3.6 in 100,000 persons/year, with most deaths due to cardiovascular causes. Arrhythmogenic right ventricular cardiomyopathy (ARVC) is one of the leading causes of SCD in young athletes. It is a genetic disease characterized by progressive fibrofatty replacement of the myocardium with variable phenotypic expression. Exercise-induced cardiac remodeling in conjunction with extensive T-wave inversion raises concern for ARVC. This case report and literature review explores a potential mimic for ARVC, the role of cardiovascular screening in sport, and the use of a multimodality approach for risk stratification and management.
摘要：
足球是世界上最受欢迎的运动，在全球拥有超过2.65亿活跃玩家和大约0.05％的职业玩家。国际足球协会联合会（FIFA）提出了参与前筛查建议，其中涉及在国际比赛之前进行心电图和超声心动图检查。在年轻运动员中进行心血管筛查的目的是检测无症状的心源性猝死（SCD）风险的心血管疾病个体。青年运动员（年龄≤35岁）的SCD发生率为10万人/年中的0.6-3.6，大多数死亡是由于心血管原因。致心律失常性右心室心肌病（ARVC）是年轻运动员SCD的主要原因之一。它是一种遗传性疾病，其特征在于心肌的进行性纤维脂肪替代具有可变的表型表达。运动引起的心脏重塑与广泛的T波倒置引起了人们对ARVC的关注。本病例报告和文献综述探讨了ARVC的潜在模拟，心血管筛查在运动中的作用，以及使用多模式方法进行风险分层和管理。
