The athlete’s heart: insights from echocardiography

Echo Research and Practice, Journal Year: 2023, Volume and Issue: 10(1)

Published: Oct. 18, 2023

Abstract The manifestations of the athlete’s heart can create diagnostic challenges during an echocardiographic assessment. classifications morphological and functional changes induced by sport participation are often beyond ‘normal limits’ making it imperative to identify any overlap between pathology normal physiology. phenotype is not exclusive one chamber or function. Therefore, in this narrative review, we consider effects sporting discipline training volume on holistic heart, as well demographic factors including ethnicity, body size, sex, age.

Language: Английский

---

The Challenge of Long COVID-19 Management: From Disease Molecular Hallmarks to the Proposal of Exercise as Therapy

International Journal of Molecular Sciences, Journal Year: 2022, Volume and Issue: 23(20), P. 12311 - 12311

Published: Oct. 14, 2022

Long coronavirus disease 19 (COVID-19) is the designation given to a novel syndrome that develops within few months after infection by severe acute respiratory coronavirus-2 (SARS-CoV-2) and presenting with increasing incidence because of numerous cases infection. COVID-19 characterized sequela clinical symptoms concern different organs tissues, from nervous, respiratory, gastrointestinal, renal systems skeletal muscle cardiovascular apparatus. The main common molecular cause for all long facets appears be related immune dysregulations, persistence inflammatory status, epigenetic modifications, alterations neurotrophin release. prevention management are still inappropriate many aspects need further clarification. Exercise known exert deep action on dysfunctions elicited depending training intensity, duration, continuity. Evidence suggests it could improve quality life patients. This review explores features mechanisms underlying in perspective considering exercise as co-medication management.

Language: Английский

---

COVID-19 and athletes: Endurance sport and activity resilience study—CAESAR study

Frontiers in Physiology, Journal Year: 2022, Volume and Issue: 13

Published: Dec. 16, 2022

Background: The COVID-19 pandemic and imposed restrictions influenced athletic societies, although current knowledge about mild consequences on cardiopulmonary physiologic parameters remains inconclusive. This study aimed to assess the impact of inflection exercise test (CPET) performance among endurance athletes (EA) with varied fitness level. Materials Methods: 49 EA (n male = 43, n female 6, mean age 39.94 ± 7.80 yr, height 178.45 cm, weight 76.62 kg; BMI 24.03 kgm −2 ) underwent double treadmill or cycle ergometer CPET body analysis (BA) pre- post-mild infection. Mild infection was defined as: (1) without hospitalization (2) prolonged health complications lasting for >14 days. Speed, power, heart rate (HR), oxygen uptake (VO 2 ), pulmonary ventilation, blood lactate concentration (at anaerobic threshold (AT)), respiratory compensation point (RCP), maximum exertion were measured before after Pearson’s Spearman’s r correlation coefficients Student t-test applied relationship between variables time. Results: anthropometric measurements did not differ significantly COVID-19. There a significant reduction in VO at AT RCP (both p < 0.001). Pre-COVID-19 34.97 6.43 ml kg·min −1 , 43.88 7.31 47.81 7.81 respectively AT, maximal post-COVID-19 32.35 5.93 40.49 6.63 44.97 7.00 maximal. Differences HR ( 0.001) observed. 145.08 10.82 bpm 168.78 9.01 141.12 9.99 165.14 9.74 RCP. Time-adjusted measures showed significance fat (r 0.46, 0.001), mass 0.33, 0.020), cycling power −0.29, 0.045), −0.30, 0.036). Conclusion: A resulted decrease EA’s performance. most changes observed HR. Medical Professionals Training Specialists should be aware order recommend optimal therapeutic methods properly adjust intensity training.

Language: Английский

---

Myocarditis mortality with and without COVID-19: insights from a national registry

Clinical Research in Cardiology, Journal Year: 2022, Volume and Issue: 113(2), P. 216 - 222

Published: Dec. 24, 2022

Abstract Background Myocarditis in context of a SARS-CoV-2 infection is vividly discussed the literature. Real-world data however are sparse, and relevance myocarditis diagnosis to outcome coronavirus disease (COVID-19) unclear. Patients methods Retrospective analysis 75,304 patients hospitalized Germany with between 2007 2020 reported by DESTATIS. 01/2016 12/2019 served as reference cohort for COVID-19 2020. Results A total were (age 42.5 years, 30.1% female, hospital mortality 2.4%). In cohort, 24,474 42.8 29.5% 2.2%) registered. 2020, annual hospitalizations dropped 19.6% compared (4921 vs. 6119 hospitalization), which 443/4921 (9.0%) connected COVID-19. non-COVID-19 increased significantly (2.9% 2.2%, p = 0.008, OR 1.31, 95% CI 1.08–1.60). myocarditis, was even higher (13.5% < 0.001, 6.93, 5.18–9.18). Conclusion The burden low. Hospital more than sixfold those but without Graphical abstract

Language: Английский

---

Systematic review: characteristics of myocarditis followed by fixed drug eruption and dry eye syndrome in patients who have been vaccinated with monkeypox in children and adults

Frontiers in Cardiovascular Medicine, Journal Year: 2025, Volume and Issue: 11

Published: Jan. 29, 2025

Background The Monkeypox Virus (MPOX) has caused a surge in viral infections, leading to the WHO recognizing it as public health emergency of international concern. MPOX infection shares clinical similarities with smallpox but can cause complications like myocarditis, anorectal pain, ocular lesions, kidney damage, or soft tissue superinfection. study aims understand characteristics fixed drug eruption, and dry eye syndrome patients. Methods This review was conducted based on PRISMA (Preferred Reporting Items for Systematic Reviews Meta-Analyses), Cochrane Handbook Interventions. data obtained from Scopus journal databases by conducting combined keyword searches restricted English-language publications. Result examined 25 cases Monkeypox, primarily involving males aged 32.9 years experiencing chest pain. prognosis generally good, no reported death. Risk factors include sexual activity, STD diagnosis, encounters, workplace exposure orthopoxviruses. Most were male involved Myocarditis, an inflammation myocardium, dilated cardiomyopathy, acute arrhythmia, heart failure. pathophysiology myocarditis patients is not yet determined due rarity cases. Conclusion presents unique necessitating research vaccines, antiviral drugs, prevention measures. Early screening pain investigating MPXV infection's pathogenesis features are crucial differential diagnosis during outbreaks. systematic determine outcomes prepare appropriate treatment complications.

Language: Английский

---

Echocardiography in the cardiac assessment of young athletes: a 2025 guideline from the British Society of Echocardiography (endorsed by Cardiac Risk in the Young)

Echo Research and Practice, Journal Year: 2025, Volume and Issue: 12(1)

Published: March 14, 2025

Abstract Sudden cardiac death in a young physically active individual or athlete is rare but tragic event. Pre-participation screening and follow-up investigations are utilised to reduce the risk occurrence of these events. Echocardiography plays key role diagnostic pathway aims identify underlying inherited congenital structural conditions. In 2013 British Society Cardiac Risk Young produced joint guidance document support echocardiographers this setting. The was subsequently updated 2018, it now timely provide further update guideline drawing on advances our knowledge alongside developments ultrasound technology within nuanced area sports cardiology. Graphical

Language: Английский

---

Number of Symptoms During the Acute Phase of SARS-CoV-2 Infection in Athletes Is Associated With Multiorgan Involvement: AWARE III

Clinical Journal of Sport Medicine, Journal Year: 2025, Volume and Issue: unknown

Published: March 19, 2025

Objective: Acute respiratory infections (ARinf), including SARS-CoV-2 infection, can affect multiple organ systems that may influence return to sport (RTS) in athletes. Factors associated with multiorgan involvement athletes ARinf are lacking. The aim of this study was explore whether factors such as demographics, participation, history comorbidities/allergies, and number acute symptoms recent infection. Design: Prospective cohort cross-sectional analysis. Setting: Institutional clinical research facilities. Participants: Ninety-five (18–60 years) underwent a comprehensive medical assessment 10 28 days after Independent Factors: Demographics, the (in 3 subgroups:1 = ≤5, 2 6-9, or ≥ 10). Main Outcome Measures: Number organs involved Results: not demographics (age, sex), participation (level type), comorbidities allergies. However, significantly higher 6 9 (subgroup 2) compared those ≤5 1) more pronounced when comparing ≥10 3) ( P < 0.0001). Conclusions: Total infection is related involved, which measure disease severity, could therefore RTS decision making. Future studies should observation holds for caused by other pathogens.

Language: Английский

---

Return to play of young and adult professional athletes after COVID-19: A scoping review

Journal of Exercise Science & Fitness, Journal Year: 2024, Volume and Issue: 22(3), P. 208 - 220

Published: March 18, 2024

Given the persistence of COVID-19 under various facets and mutations, there is an urgent need to understand debate on a safe return play for professional athletes (young adults) recovering from infection. This work offers scoping comprehensive review topic during first two years pandemic event by providing identification main clusters research, relevant gaps significant insights future investigation. The literature selected using search engines of: PubMed®, SCIENCEDIRECT, SCOPUS. Further criteria selection are: Time range 2020–2022; Scope: Return infection; 3) Types publications: Research papers, reviews, practice guidelines, case reports; 4) Language: English. Two independent researchers performed quality check random sample (n = 30%) publications. Main results reveal four research deepening analysis on: myocarditis, cardiac diseases play, training rehabilitation, mass screening risk assessment, sport bio-psycho-social sphere play. Major collaborations occur between UK-South Africa, UK-USA, USA-Canada, USA-Australia. Important refer lack investigation female in mostly all sports disciplines; other hand, athlete fast-growing topic. Both deserve further attention immediate improve ad-hoc exercise practices.

Language: Английский

---

Cardiopulmonary examinations of athletes returning to high-intensity sport activity following SARS-CoV-2 infection

Scientific Reports, Journal Year: 2022, Volume and Issue: 12(1)

Published: Dec. 15, 2022

Abstract After SARS-CoV-2 infection, strict recommendations for return-to-sport were published. However, data are insufficient about the long-term effects on athletic performance. suffering and returning to maximal-intensity trainings, control examinations performed with vita-maxima cardiopulmonary exercise testing (CPET). From various sports, 165 asymptomatic elite athletes (male: 122, age: 20y (IQR: 17-24y), training:16 h/w 12–20 h/w), follow-up:93.5 days 66.8–130.0 days) examined. During CPET examinations, achieved 94.7 ± 4.3% of maximal heart rate, 50.9 6.0 mL/kg/min oxygen uptake (V̇O 2max ), 143.7 30.4L/min ventilation. Exercise induced arrhythmias (n = 7), significant horizontal/descending ST-depression 3), ischemic disease 1), hypertension slightly elevated pulmonary pressure 2), training-related hs-Troponin-T increase 1) revealed. Self-controlled comparisons in 62 athletes: due intensive re-building training, time, V̇O ventilation increased compared pre-COVID-19 results. capacity decreased 6 athletes. Further 18 ongoing minor long post-COVID symptoms, pathological ECG (ischemic ST-T changes, arrhythmias) or laboratory findings (hsTroponin-T elevation) controlled. Previous SARS-CoV-2-related myocarditis ischaemic anomalous coronary artery origin ventricular 2) atrial diagnosed. Three months after most had satisfactory fitness levels. Some cases related not pathologies requiring further treatment, follow-up

Language: Английский

---

A tale of two stories: COVID-19 and disability. A critical scoping review of the literature on the effects of the pandemic among athletes with disabilities and para-athletes

Frontiers in Physiology, Journal Year: 2022, Volume and Issue: 13

Published: Nov. 9, 2022

The still ongoing COVID-19 pandemic has dramatically impacted athletes, and, in particular, para-athletes and athletes with disabilities. However, there is no scholarly appraisal on this topic. Therefore, a critical scoping review of the literature was conducted. We were able to retrieve sixteen relevant studies. sample size ranged from 4 183. Most studies observational, cross-sectional, questionnaire-based surveys, two interventional, longitudinal. One study technical feasibility study. Almost all conducted as single-country studies, exception one multi-country investigation. Five major topics/themes could be identified: namely, 1) impact COVID-19-induced confinement training lifestyles disabilities/para-athletes; 2) mental health 3) performance outcomes 4) risk contracting among finally, 5) infection disabilities/para-athletes. assessed highly heterogeneous, contrasting findings, various methodological limitations. Based our considerations, we recommend that standardized, reliable tools should utilized new, specific questionnaires created, tested for reliability, validated. High-quality, multi-center, cross-countries, longitudinal surveys overcome current shortcomings. Involving actors stakeholders, including national international Paralympic Committees, few have done, fundamental: community-led, participatory research can help identify gaps knowledge about sports-related practices population disabilities during an unprecedented period measures undertaken significantly affected everyday life. Moreover, advance field, by capturing needs enabling design truly "disability-inclusive response" similar future conditions/situations. Furthermore, follow-up COVID-19-infected Evidence long-term effects available only able-bodied whom cardiorespiratory residual alterations issues long time after been described.

Language: Английский

---