Другие заболевания миокарда

При некоторых других нечастых заболеваниях миокарда риск внезапной сердечной смерти у спортсменов также может быть повышен. К таким заболеваниям относятся: дилатационная кардиомиопатия (различной этиологии, включая наследственную), первичная негипертрофическая рестриктивная кардиомиопатия, системные инфильтративные заболевания с вторичным вовлечением сердца (например, саркоидоз) и некомпактный миокард без при наличии или отсутствии систолической дисфункции [48, 49]. Данные об относительном риске вследствие занятий спортом при вышеперечисленных заболеваниях ограничены.

Рекомендации:

До получения дополнительных сведений о влиянии перечисленных выше заболеваний на прогноз, благоразумно будет отстранить таких спортсменов от занятий любыми видами спорта, за исключением низко интенсивных (класс IA) видов спорта лишь в некоторых случаях.

Перикардит.

Рекомендации:

Спортсмены с перикардитом, вне зависимости от этиологии, должны быть отстранены от занятий любыми видами спорта во время острой стадии заболевания. Такие спортсмены могут возобновить занятия спортом вне острой стадии заболевания, включая отсутствие выпота по данным ЭхоКГ, при условии нормализации маркеров воспаления. При наличии признаков вовлечения миокарда в воспалительный процесс, тактика ведения должна быть основана на данных, изложенных в разделе Миокардит. Спортсмены с хроническим констриктивным перикардитом должны быть отстранены от занятий спортом.

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