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- W2888865514 abstract "La pratique sportive représente un bienfait universellement reconnu tant sur le plan cardiaque que sur l’ensemble de l’organisme. Cependant, au moment de l’effort, le risque de mort subite, bien que faible, est majoré. Avant 35 ans, un dépistage lors d’une visite médicale avec, selon les cas, la réalisation d’un électrocardiogramme, pourrait diminuer les risques. Après 35 ans, il convient d’être particulièrement attentif à la maladie coronaire et à la stratification du risque du sportif. Pour les pratiquants porteurs d’une cardiopathie connue, des recommandations existent mais elles ne répondent pas à toutes les questions. Il faut probablement favoriser le plus possible la pratique sportive pour autant que l’on garde à l’esprit les situations dans lesquelles elle est clairement limitée ou proscrite. Enfin, pour quelques sportifs endurants, on constate une adaptation à l’effort qui va au-delà du cœur d’athlète avec des modifications non réversibles qui deviennent des lésions potentiellement dangereuses. Cela se traduit cliniquement, le plus souvent, sous forme de fibrillation auriculaire, voire parfois des atteintes rythmiques ventriculaires potentiellement beaucoup plus dangereuses. Si l’on doit s’efforcer de progresser dans la compréhension et la prévention de ces risques, il faut surtout, dès à présent, améliorer les capacités de réanimation de base de la population générale, notamment en cas de malaise cardiaque. Sports practice is a universally recognized benefit both in terms of the heart and the entire body. However, at the time of the effort, the risk of sudden death, although low, is increased. Before 35 years old, screening during a medical visit with, depending on the case, the completion of an electrocardiogram could improve the situation. After 35 years old, special attention should be paid to coronary artery disease and athlete risk stratification. For athletes with known heart disease, recommendations exist but they do not answer all the questions. It is probably necessary to encourage as much as possible the sport practice as long as one keeps in mind the situations in which it is clearly proscribed. Finally, for some enduring athletes, there is an adaptation to the effort that goes beyond the athlete's heart with non-reversible changes that become lesions and are potentially dangerous. This is clinically manifested as atrial fibrillation most often but elements attempt to demonstrate the same mechanisms at the ventricular level with potentially much more dangerous rhythmic complications. If we are to strive to make progress in understanding and preventing these risks, we must immediately improve the immediate burden of these sudden death patients and improve the basic resuscitation capacity of the general population." @default.
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- W2888865514 date "2018-10-01" @default.
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- W2888865514 title "Pratiques sportives : risques et toxicité cardiaques potentiels" @default.
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- W2888865514 doi "https://doi.org/10.1016/j.jts.2018.07.003" @default.
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