Clinical Considerations for the Care of the Tactical Athlete With Cardiovascular Abnormalities: A Scientific Statement From the American College of Cardiology and the American Heart Association.

The considerations are shaped by the interaction between occupational demands and fit for full duty assessments, including risk discussions about how a cardiovascular event in a tactical athlete could impact teammates' well-being, community safety, and overall mission success.

这些考虑因素是由职业需求与全面职责评估之间的相互作用所塑造的，包括关于战术运动员发生心血管事件可能如何影响队友的福祉、社区安全以及整个任务成功的风险讨论。

Methods

This scientific statement is organized into 11 sections focused on cardiovascular disease processes and other topics that are relevant when considering the potential risks and benefits of performing tasks specific to the tactical athlete.

这份科学声明被组织成11个部分，重点讨论心血管疾病过程以及其他与考虑执行特定于战术运动员任务的潜在风险和益处相关的主题。

Task forces, comprised of experts in tactical athlete domains, sports cardiology, and the respective topics covered, were assigned to each section, and specific "Clinical Considerations Tables" for clinicians to reference were prepared.

由战术运动员领域、运动心脏病学和各自涵盖的主题的专家组成的特别工作组被分配到每个部分，并为临床医生准备了特定的“临床考虑因素表”以供参考。

Comprehensive literature reviews and an emphasis on tactical athlete-focused data, as available, were integral in the writing of all clinical considerations presented.

全面的文献回顾和对战术运动员关注的数据的强调，如可用，是撰写所有临床考虑因素的重要组成部分。

The framework mirrors that of the recently published, "Clinical Considerations for Competitive Sports Participation for Athletes With Cardiovascular Abnormalities: A Scientific Statement From the American Heart Association and American College of Cardiology."

该框架反映了最近发布的《美国心脏协会和美国心脏病学院的科学声明：心血管异常运动员参加竞技体育的临床考虑》。

structure

The specific sections in this document include: Section 1: Tactical Tasks Classification; Section 2: The Tactical Athlete Preparticipation Cardiac Evaluation; Section 3: Ethical and Legal Aspects of Tactical Clinical Management; Section 4: Genetic Cardiomyopathies; Section 5: Myocarditis and Other Acquired Cardiac Conditions; Section 6: Congenital Heart Disease; Section 7: Aortopathy, Bicuspid Aortic Valve, and Spontaneous Coronary Artery Dissection; Section 8: Syncope, SCA, Arrhythmias, and Devices; Section 9: Cardiac Channelopathies; Section 10: Older Tactical Athlete; Section 11: Environmental Exposures, PED/S, and Additional Cardiac Conditions and Considerations.

本文档的具体部分包括：第1节：战术任务分类；第2节：战术运动员赛前心脏评估；第3节：战术临床管理的伦理和法律方面；第4节：遗传性心肌病；第5节：心肌炎和其他获得性心脏状况；第6节：先天性心脏病；第7节：主动脉病变、二尖瓣主动脉瓣和自发性冠状动脉夹层；第8节：晕厥、SCA、心律失常和设备；第9节：心脏通道病；第10节：老年战术运动员；第11节：环境暴露、PED/S以及额外的心脏状况和考虑。

Each section provides a summary detailing the rationale for key clinical considerations and the respective Clinical Considerations Table(s).

每个部分都提供了一个总结，详细说明了关键临床考虑因素的理由以及相应的临床考虑因素表。