Athlete's Heart: A Cardiovascular Step-By-Step Multimodality Approach

Reviews in Cardiovascular Medicine, Journal Year: 2023, Volume and Issue: 24(5), P. 151 - 151

Published: May 19, 2023

"Athlete's heart" is a spectrum of morphological, functional, and regulatory changes that occur in people who practice regular long-term intense physical activity. The morphological characteristics the athlete's heart may overlap with some structural electrical cardiac diseases predispose to sudden death, including inherited acquired cardiomyopathies, aortopathies channelopathies. Overdiagnosis should be avoided, while an early identification underlying life-threatening disorders essential reduce potential for death. A step-by-step multimodality approach, first-line evaluation personal family history, clinical evaluation, 12-lead resting electrocardiography (ECG), followed by second third-line investigations, as appropriate, exercise testing, echocardiography, 24-hour ECG Holter monitoring, magnetic resonance, computed tomography, nuclear scintigraphy, or genetic can determinant differentiate between extreme physiology adaptations pathology. In this context, cardiovascular imaging plays key role detecting abnormalities athletes fall into grey zone physiological covert phenotype disease.

Language: Английский

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Italian Cardiological Guidelines (COCIS) for Competitive Sport Eligibility in athletes with heart disease: update 2024

Minerva Medica, Journal Year: 2024, Volume and Issue: 115(5)

Published: Oct. 1, 2024

Nearly 35 years after its initial publication in 1989, the Italian Society of Sports Cardiology and Federation Medicine (FMSI), collaboration with other leading Cardiological Scientific Associations (ANCE - National Association Outpatient Cardiology, ANMCO Inpatient SIC Cardiology), proudly present 2023 version Guidelines for Competitive Eligibility. This is an update previous guidelines, offering a comprehensive detailed guide participation athletes heart disease sports. edition incorporates latest advances cardiology sports medicine, providing current information recommendations. It addresses various topics, including details pre-participation screening Italy recommendations eligibility disqualification competitive conditions. revised Eligibility, recorded Registry Minister Health, stands as crucial resource medicine professionals, cardiologists, healthcare providers, marked by completeness, reliability, scientific thoroughness. indispensable tool those involved care, management process

Language: Английский

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Determinants of Longitudinal Changes in Exercise Blood Pressure in a Population of Young Athletes: The Role of BMI

Journal of Cardiovascular Development and Disease, Journal Year: 2025, Volume and Issue: 12(2), P. 74 - 74

Published: Feb. 15, 2025

Higher exercise blood pressure in adults correlates with many cardiometabolic markers. The aim of this study was to investigate the main determinants longitudinal variations young athletes. A retrospective conducted on adolescent athletes who underwent at least two sport-related pre-participation screening visits, including testing a standardized incremental ramp protocol treadmill. Blood assessed rest (SBPrest), 3rd minute (SBP3min), and peak (SBPpeak). Predictors response (i.e., respective changes vs. baseline (Δ)) were determined by multivariate regression models after adjustment for age, sex, follow-up duration, related SBP values, characteristics sport, ΔBMI. total 351 (mean age 13 ± 2 years, 54% boys, average duration 3.4 2.2 years) enrolled. BMI increased 1.5 1.8 kg/m2 (p < 0.001) during follow-up. At baseline, mean SBPrest 103 14 mmHg, SBP3min 124 18 SBPpeak 154 23 mmHg. significant between-visit increase (ΔSBPrest 7.0 17.4 mmHg; p 0.001), ΔSBP3min (4.8 11 ΔSBPpeak (11.7 24 observed. significantly predicted male sex 0.01), ΔBMI number practiced sports 0.05), whereas positively gender 0.01) negatively resting heart rate 0.01). In logistic model, only independent determinant passing from lower an upper quartile while moving higher 0.001). Increase development are pressure, both light maximal intensity, population

Language: Английский

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Associations between physical activity and cardiorespiratory fitness and adverse outcomes in patients with atrial fibrillation: a prospective cohort study

Frontiers in Cardiovascular Medicine, Journal Year: 2025, Volume and Issue: 12

Published: April 7, 2025

Cardiorespiratory fitness (CRF) and physical activity (PA) are crucial for health gaining prominence in sports cardiology rehabilitation medicine. This research study analyzes the impact of CRF PA on cardiovascular prognosis patients with atrial fibrillation (AF), offering insights to optimize exercise interventions enhance scientific use health. Cox regression models were used assess associations between CRF, PA, endpoint events, including heart failure, stroke, myocardial infarction, all-cause mortality. was categorized into four intensity levels, while quantified using three metrics: maximal oxygen uptake, (VO2max) resting rate (RHR), maximum rate. To further examine dose-response relationship, restricted cubic spline employed potential non-linear associations. Increased total [hazard ratio (HR) = 0.978; 95% confidence interval (CI): 0.961-0.995, P 0.011], moderate-to-vigorous (HR 0.960; CI: 0.929-0.992, 0.014), moderate (MPA) 0.953; 0.918-0.990, 0.014) significantly associated a decreased risk major adverse respectively. All levels death HRs ranging from 0.577 0.938 (P < 0.01). Higher RHR an increased outcomes, but not stroke 0.999, 0.991-1.007, 0.7854) or 1.004, 0.996-1.013, 0.3504). In addition, higher VO2max lower except 0.956, 0.888-1.030, 0.2376). shows that MPA reduces risks AF, all lowering Any level is beneficial, leading immediate improvements, excessive may yield diminishing returns risks. Focusing solely duration insufficient; scientifically designed interventions, especially those boosting (e.g., VO2max), have greater effect AF prognosis. Future programs should integrate grounded strategies maximize benefits.

Language: Английский

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The Fragmented QRS Complex in Lead V1: Time for an Update of the Athlete’s ECG?

Journal of Cardiovascular Translational Research, Journal Year: 2023, Volume and Issue: 17(1), P. 24 - 32

Published: Oct. 31, 2023

Differentiating between ECG patterns related to athletes' heart remodeling and pathological findings is a challenge in sports cardiology. As the significance of fragmented complex athletes remains uncertain, this study aimed assess presence QRS lead V

Language: Английский

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Editorial: Cardiovascular disease prevention in the workplace

Frontiers in Cardiovascular Medicine, Journal Year: 2024, Volume and Issue: 11

Published: Sept. 6, 2024

Language: Английский

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COVID-19 pandemic and functional capacity in a population of young athletes

The Journal of Sports Medicine and Physical Fitness, Journal Year: 2023, Volume and Issue: 63(12)

Published: Aug. 2, 2023

Language: Английский

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