мануил писал(а):но все таки в 15-20% случаев в динамике выявляется атрио-нолальный ДПП . осложненный и пароксизмальными АВ-тахикардиями, а значит лучше данных детей не отправлять в профессиональный спорт.
Recommendations
1. Athletes with regular, acute-onset SVTs should undergo cardiac assessment with ECG and echocardiogram (Class I; Level of Evidence B).
2. The treatment of choice for athletes with regular, acute-onset, symptomatic SVTs should be catheter ablation (Class I; Level of Evidence C).
3. Athletes with short refractory period bypass tracts capable of anterograde conduction and a history of paroxysmal AF should have an ablation of the accessory pathway before clearance for competitive sports because of risk for life-threatening arrhythmias(Class I; Level of Evidence B).
4. In athletes with asymptomatic preexcitation, it is reasonable to attempt risk stratification with stress testing to determine whether the preexcitation abruptly terminates at low heart rates. If low risk is unclear, it is reasonable to recommend invasive electrophysiological evaluation,with ablation of the bypass tract if it is deemed high risk for SCD because of a refractory period <=250ms (Class IIa; Level of Evidence B).
Eligibility and Disqualification Recommendations for Competitive Athletes With Cardiovascular Abnormalities: Preamble, Principles, and General Considerations.
A Scientific Statement From the American Heart Association and American College of Cardiology 2015
