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Sports Medicine
Erschienen in: Sports Medicine 11/2018

24.09.2018 | Review Article

Athlete’s Heart: Diagnostic Challenges and Future Perspectives

verfasst von: Carlo De Innocentiis, Fabrizio Ricci, Mohammed Y. Khanji, Nay Aung, Claudio Tana, Elvira Verrengia, Steffen E. Petersen, Sabina Gallina

Erschienen in: Sports Medicine | Ausgabe 11/2018

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Abstract

Distinguishing between adaptive and maladaptive cardiovascular response to exercise is crucial to prevent the unnecessary termination of an athlete’s career and to minimize the risk of sudden death. This is a challenging task essentially due to the substantial phenotypic overlap between electrical and structural changes seen in the physiological athletic heart remodeling and pathological changes seen in inherited or acquired cardiomyopathies. Stress testing is an ideal tool to discriminate normal from abnormal cardiovascular response by unmasking subtle pathologic responses otherwise undetectable at rest. Treadmill or bicycle electrocardiography, transthoracic echocardiography, and cardiopulmonary exercise testing are common clinical investigations used in sports cardiology, specifically among participants presenting with resting electrocardiographic abnormalities, frequent premature ventricular beats, or non-sustained ventricular arrhythmias. In this setting, as well as in cases of left ventricular hypertrophy or asymptomatic left ventricular dysfunction, stress imaging and myocardial tissue characterization by cardiovascular magnetic resonance show promise. In this review, we aimed to reappraise current diagnostic schemes, screening strategies and novel approaches that may be used to distinguish adaptive remodeling patterns to physical exercise from early phenotypes of inherited or acquired pathological conditions commanding prompt intervention.
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Metadaten
Titel
Athlete’s Heart: Diagnostic Challenges and Future Perspectives
verfasst von
Carlo De Innocentiis
Fabrizio Ricci
Mohammed Y. Khanji
Nay Aung
Claudio Tana
Elvira Verrengia
Steffen E. Petersen
Sabina Gallina
Publikationsdatum
24.09.2018
Verlag
Springer International Publishing
Erschienen in
Sports Medicine / Ausgabe 11/2018
Print ISSN: 0112-1642
Elektronische ISSN: 1179-2035
DOI
https://doi.org/10.1007/s40279-018-0985-2

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