Are olympic athletes free from cardiovascular diseases. systematic investigation in 2352 participants from athens 2004 to sochi 2014
| Autor: | Fernando M. Di Paolo, Luisa Verdile, Cataldo Pisicchio, Filippo M. Quattrini, Viviana Maestrini, Roberto Ciardo, Maria Rosaria Squeo, Paolo Emilio Adami, Antonio Spataro, Stefano Caselli, Antonio Pelliccia |
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| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
Tachycardia
Adult Male medicine.medical_specialty Heart disease Adolescent Physical Therapy Sports Therapy and Rehabilitation Context (language use) 030204 cardiovascular system & hematology Ventricular tachycardia Coronary artery disease Cohort Studies 03 medical and health sciences Electrocardiography Young Adult 0302 clinical medicine Internal medicine medicine Prevalence Humans Orthopedics and Sports Medicine cardiovascular diseases biology medicine.diagnostic_test Athletes business.industry Atrial fibrillation 030229 sport sciences General Medicine Middle Aged biology.organism_classification medicine.disease Cardiovascular Diseases Echocardiography athlete's heart evaluation heart disease olympics prevention adolescent adult cohort studies echocardiography electrocardiography exercise test female humans male middle aged prevalence young adult athletes sports orthopedics and sports medicine physical therapy sports therapy and rehabilitation Cardiology Physical therapy Exercise Test Female medicine.symptom business Sports |
| Popis: | Context Olympic athletes represent model of success in our society, by enduring strenuous conditioning programmes and achieving astonishing performances. They also raise scientific and clinical interest, with regard to medical care and prevalence of cardiovascular (CV) abnormalities. Objective Our aim was to assess the prevalence and type of CV abnormalities in this selected athlete's cohort. Design, setting and participants 2352 Olympic athletes, mean age 25±6, 64% men, competing in 31 summer or 15 winter sports, were examined with history, physical examination, 12-lead and exercise ECG and echocardiography. Additional testing (cardiac MRI, CT scan) or electrophysiological assessments were selectively performed when indicated. Main outcome measures Prevalence and type of CV findings, abnormalities and diseases found in Olympic athletes over 10 years. Results A subset of 92 athletes (3.9%) showed abnormal CV findings. Structural abnormalities included inherited cardiomyopathies (n=4), coronary artery disease (n=1), perimyocarditis (n=4), myocardial bridges (n=2), valvular and congenital diseases (n=45) and systemic hypertension (n=10). Primary electrical diseases included atrial fibrillation (n=2), supraventricular reciprocating tachycardia (n=14), complex ventricular tachyarrhythmias (non-sustained ventricular tachycardia, n=7; bidirectional ventricular tachycardia, n=1) or major conduction disorders (Wolff-Parkinson-White (WPW), n=1; Long QT syndrome (LQTS), n=2). Conclusions Our study revealed an unexpected prevalence of CV abnormalities among Olympic athletes, including a small, but not negligible proportion of pathological conditions at risk. This observation suggests that Olympic athletes, despite the absence of symptoms or astonishing performances, are not immune from CV disorders and might be exposed to unforeseen high-risk during sport activity. |
| Databáze: | OpenAIRE |
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