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Exercise electrocardiography AND athletes

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https://www.readbyqxmd.com/read/27882733/anomalous-origin-of-the-right-coronary-artery-first-familial-cases-in-asia
#1
Hideki Motomura, Mari Yokokawa, Hirofumi Fukunaga, Mari Nakagaki, Tomoyuki Hasuwa, Hiroyuki Moriuchi
Congenital coronary artery abnormalities may cause sudden death, particularly in athletes. Two siblings, aged 10 and 9 years, respectively, were diagnosed with anomalous origin of the right coronary artery on multi-detector computed tomography (MDCT). The right coronary artery arose from the left coronary cusp, and was wedged between the aorta and pulmonary artery. This was also noted on cardiac ultrasonography (UCG), but in general this might not be seen on electrocardiography at rest. Although the surgical indications are unclear in the case of unproven ischemia, early recognition of the condition may reduce risk of the cardiac events during exercise...
November 2016: Pediatrics International: Official Journal of the Japan Pediatric Society
https://www.readbyqxmd.com/read/27222386/occult-coronary-artery-disease-in-middle-aged-sportsmen-with-a-low-cardiovascular-risk-score-the-measuring-athlete-s-risk-of-cardiovascular-events-marc-study
#2
Thijs L Braber, Arend Mosterd, Niek H Prakken, Rienk Rienks, Hendrik M Nathoe, Willem P Mali, Pieter A Doevendans, Frank J Backx, Michiel L Bots, Diederick E Grobbee, Birgitta K Velthuis
BACKGROUND: Most exercise-related cardiac arrests in men aged ≥45 years are due to coronary artery disease (CAD). The current sports medical evaluation (SME) of middle-aged sportsmen includes medical history, physical examination and resting and exercise electrocardiography (ECG). We investigated the added value of low-dose cardiac computed tomography (CCT) - both non-contrast CT for coronary artery calcium scoring (CACS) and contrast-enhanced coronary CT angiography (CCTA) - in order to detect occult CAD in asymptomatic recreational sportsmen aged ≥45 years without known cardiovascular disease...
October 2016: European Journal of Preventive Cardiology
https://www.readbyqxmd.com/read/26893099/utility-of-exercise-electrocardiography-in-pre-participation-screening-in-asymptomatic-athletes-a-systematic-review
#3
REVIEW
Danny A J P van de Sande, Michelle A W Breuer, Hareld M C Kemps
BACKGROUND: Although test characteristics of exercise electrocardiography are well established in symptomatic patients, data on healthy athletes are scarce. This systematic review focuses on the diagnostic utility of exercise electrocardiography for the detection of coronary heart disease in athletes during pre-participation screening. OBJECTIVES: This systematic review evaluated the prevalence of an abnormal exercise test result and the positive predictive value of exercise electrocardiography in asymptomatic athletes...
August 2016: Sports Medicine
https://www.readbyqxmd.com/read/26611937/left-atrial-remodeling-early-repolarization-pattern-and-inflammatory-cytokines-in-professional-soccer-players
#4
Christian Stumpf, Michael Simon, Matthias Wilhelm, Stefan Zimmermann, Christian Rost, Stephan Achenbach, Matthias H Brem
OBJECTIVES: Although regular physical exercise clearly reduces cardiovascular morbidity risk, long-term endurance sports practice has been recognized as a risk factor for atrial fibrillation (AF). However, the mechanisms how endurance sports can lead to AF are not yet clear. The aim of our present study was to investigate the influence of long-term endurance training on vagal tone, atrial size, and inflammatory profile in professional elite soccer players. METHODS: A total of 25 professional major league soccer players (mean age 24±4 years) and 20 sedentary controls (mean age 26±3 years) were included in the study and consecutively examined...
July 2016: Journal of Cardiology
https://www.readbyqxmd.com/read/26112193/clinical-differentiation-between-physiological-remodeling-and-arrhythmogenic-right-ventricular-cardiomyopathy-in-athletes-with-marked-electrocardiographic-repolarization-anomalies
#5
Abbas Zaidi, Nabeel Sheikh, Jesse K Jongman, Sabiha Gati, Vasileios F Panoulas, Gerald Carr-White, Michael Papadakis, Rajan Sharma, Elijah R Behr, Sanjay Sharma
BACKGROUND: Physiological cardiac adaptation to regular exercise, including biventricular dilation and T-wave inversion (TWI), may create diagnostic overlap with arrhythmogenic right ventricular cardiomyopathy (ARVC). OBJECTIVES: The goal of this study was to assess the accuracy of diagnostic criteria for ARVC when applied to athletes exhibiting electrocardiographic TWI and to identify discriminators between physiology and disease. METHODS: The study population consisted of athletes with TWI (n = 45), athletes without TWI (n = 35), and ARVC patients (n = 35)...
June 30, 2015: Journal of the American College of Cardiology
https://www.readbyqxmd.com/read/25648529/the-diagnostic-accuracy-of-exercise-electrocardiography-in-asymptomatic-recreational-and-competitive-athletes
#6
D A J P van de Sande, A Hoogeveen, J Hoogsteen, H M C Kemps
The goals of this study were to determine the prevalence and determinants of false-positive exercise tests in athletes. Data from all athletes who visited the Department of Sport Medicine for assessment of sports eligibility during a 1.5-year period were reviewed retrospectively. Potential determinants of (false) positive test results that were evaluated included demographics, cardiovascular risk factors, sports characteristics, resting electrocardiogram (ECG) abnormalities, and exercise capacity. Data from 1298 athletes were included...
February 2016: Scandinavian Journal of Medicine & Science in Sports
https://www.readbyqxmd.com/read/25646400/surgical-treatment-of-aberrant-aortic-origin-of-coronary-arteries
#7
Marlotte Kooij, Hubert W Vliegen, Michiel A de Graaf, Mark G Hazekamp
OBJECTIVES: Aberrant origin of the coronary arteries is rare but can be life threatening. It is an important cause of sudden death in athletes and other young adults, and may be treated surgically. Consensus exists that interarterial left coronary artery (LCA) should be surgically repaired. For interarterial right coronary artery (RCA), the discussion remains open. The purpose of this study was to analyse our surgical experience. METHODS: From 2001 until 2014, 31 patients were operated for interarterial RCA, interarterial LCA or intraseptal course of the LCA...
November 2015: European Journal of Cardio-thoracic Surgery
https://www.readbyqxmd.com/read/25593529/exercise-induced-syncope-in-a-sedentary-woman
#8
Ahmad Ramy Elashery, John W Rickard, Sammy Zakaria
Vasovagal (neurocardiogenic) syncope, a subtype of reflex syncope, has many well-known triggers. However, we found no previous report of vasovagal exercise-induced syncope in a sedentary person. We present the case of a 35-year-old sedentary woman who experienced vasovagal syncope as she underwent an exercise stress test. Results of evaluations, including resting and stress electrocardiography and echocardiography, were normal. Her presentation is highly unusual: syncope has typically not been associated with exercise except in young athletes, people with structural heart abnormalities, or people with a prolonged QT syndrome...
December 2014: Texas Heart Institute Journal
https://www.readbyqxmd.com/read/25172065/usefulness-of-echocardiography-in-preparticipation-screening-of-competitive-athletes
#9
Gonzalo Grazioli, Beatriz Merino, Silvia Montserrat, Bàrbara Vidal, Manel Azqueta, Carles Pare, Georgia Sarquella-Brugada, Xavier Yangüas, Ramon Pi, Lluis Til, Jaume Escoda, Josep Brugada, Marta Sitges
INTRODUCTION AND OBJECTIVES: Despite the established diagnostic value of the electrocardiogram in preparticipation screening of athletes, some cardiac structural changes can be missed, particularly in early disease stages. The aim of this study was to evaluate the prevalence of cardiac structural changes via the systematic use of echocardiography in preparticipation screening of competitive athletes. METHODS: Professional athletes or participants in a competitive athletic program underwent a screening that included family and personal medical history, physical examination, electrocardiography, exercise testing, and Doppler echocardiography...
September 2014: Revista Española de Cardiología
https://www.readbyqxmd.com/read/24922882/89%C3%A2-the-electrocardiographic-phenotype-in-athletes-with-hypertrophic-cardiomyopathy-implications-for-pre-participation-cardiovascular-evaluation-using-electrocardiography
#10
Nabeel Sheikh, Michael Papadakis, Aneil Malhotra, Lynne Millar, Harshil Dhutia, Ahmed Merghani, Rajay Narain, Mathew Wilson, William McKenna, Sanjay Sharma
BACKGROUND: Pre-participation cardiovascular evaluation is being recommended by a growing number of sporting bodies and scientific organisations in an attempt to identify athletes harbouring quiescent cardiac conditions which put them at risk of exercise-related sudden cardiac death (SCD). However cardiac adaptation to exercise may itself result in ECG patterns that overlap with those observed in several cardiac conditions, including hypertrophic cardiomyopathy (HCM), the leading cause of SCD in athletes worldwide...
June 2014: Heart: Official Journal of the British Cardiac Society
https://www.readbyqxmd.com/read/24726026/usefulness-of-echocardiography-in-preparticipation-screening-of-competitive-athletes
#11
Gonzalo Grazioli, Beatriz Merino, Silvia Montserrat, Bàrbara Vidal, Manel Azqueta, Carles Pare, Georgia Sarquella-Brugada, Xavier Yangüas, Ramon Pi, Lluis Til, Jaume Escoda, Josep Brugada, Marta Sitges
INTRODUCTION AND OBJECTIVES: Despite the established diagnostic value of the electrocardiogram in preparticipation screening of athletes, some cardiac structural changes can be missed, particularly in early disease stages. The aim of this study was to evaluate the prevalence of cardiac structural changes via the systematic use of echocardiography in preparticipation screening of competitive athletes. METHODS: Professional athletes or participants in a competitive athletic program underwent a screening that included family and personal medical history, physical examination, electrocardiography, exercise testing, and Doppler echocardiography...
April 8, 2014: Revista Española de Cardiología
https://www.readbyqxmd.com/read/24163971/-sudden-cardiac-death-in-athletes
#12
REVIEW
Hannu Parikka
Sudden deaths occurring during exercise are rare and are most commonly due to cardiac arrest. It is most commonly underlain by symptomless cardiomyopathy or coronary artery disease. Preventive work comes up against a diagnostic problem in distinguishing adaptational changes of the athletic heart from a heart disorder. To reveal the danger of cardiac arrest and reduce human tragedies international sports organizations and cardiologic expert groups recommend screening of cardiac disorders among competing athletes...
2013: Duodecim; Lääketieteellinen Aikakauskirja
https://www.readbyqxmd.com/read/24029371/cardiac-imaging-and-stress-testing-asymptomatic-athletes-to-identify-those-at-risk-of-sudden-cardiac-death
#13
REVIEW
Andre La Gerche, Aaron L Baggish, Juhani Knuuti, David L Prior, Sanjay Sharma, Hein Heidbuchel, Paul D Thompson
Sudden cardiac death in young athletes is rare but tragic. The cardiology community is faced with the challenge of providing a sensible strategy for the prevention of SCD while simultaneously reaffirming that the benefits of regular exercise far outweigh potential risks. At present, there is a broad range of screening recommendations dependent upon country, sporting discipline, and competition level. While much recent debate has focused on the efficacy of screening with electrocardiography, a number of sporting bodies also mandate the inclusion of exercise testing and echocardiography in screening protocols...
September 2013: JACC. Cardiovascular Imaging
https://www.readbyqxmd.com/read/23892948/sudden-cardiac-death-in-athletes-where-do-we-stand
#14
REVIEW
Adel Shabana, Ayman El-Menyar, AbdurRazzak Gehani
We aimed to review the literature to explore the magnitude of sudden cardiac death (SCD) in young athletes. Although SCD in athletes is not a common event, it represents a tragedy of the apparently fit young population. SCD varies according to countries, age groups, and sex. In addition, it varies in the underlying causes and the screening tool. Therefore, we are in need for further research efforts. Guidelines, public and physician awareness, and education regarding the warning signs are integral part in the strategy to reduce SCD tragedy...
September 2013: Critical Pathways in Cardiology
https://www.readbyqxmd.com/read/23871885/exercise-increases-age-related-penetrance-and-arrhythmic-risk-in-arrhythmogenic-right-ventricular-dysplasia-cardiomyopathy-associated-desmosomal-mutation-carriers
#15
COMPARATIVE STUDY
Cynthia A James, Aditya Bhonsale, Crystal Tichnell, Brittney Murray, Stuart D Russell, Harikrishna Tandri, Ryan J Tedford, Daniel P Judge, Hugh Calkins
OBJECTIVES: This study sought to determine how exercise influences penetrance of arrhythmogenic right ventricular dysplasia/cardiomyopathy (ARVD/C) among patients with desmosomal mutations. BACKGROUND: Although animal models and anecdotal evidence suggest that exercise is a risk factor for ARVD/C, there have been no systematic human studies. METHODS: Eighty-seven carriers (46 male; mean age, 44 ± 18 years) were interviewed about regular physical activity from 10 years of age...
October 1, 2013: Journal of the American College of Cardiology
https://www.readbyqxmd.com/read/23867807/linear-and-non-linear-analysis-of-heart-rate-variability-in-master-athletes-and-healthy-middle-aged-non-athletes
#16
Panagiota Sotiriou, Evangelia Kouidi, Theodoros Samaras, Asterios Deligiannis
The present study examined the autonomic cardiac modulation of veteran athletes by the use of traditional and modern methods of heart rate variability (HRV) analysis. Twenty-nine healthy male master soccer players were divided into two groups; group A consisted of fourteen participants (age 48.9±5.8 years), who were engaged to regular aerobic exercise and group B of fifteen sedentary ones (age 50.8±5.7 years). Sixteen age-matched non-athletes formed control group C. All participants underwent ambulatory 24-h continuous electrocardiogram monitoring for the calculation of time and frequency domain HRV indices...
November 2013: Medical Engineering & Physics
https://www.readbyqxmd.com/read/23852445/outcomes-among-athletes-with-arrhythmias-and-electrocardiographic-abnormalities-implications-for-ecg-interpretation
#17
REVIEW
David McClaskey, Daniel Lee, Eric Buch
Electrocardiographic (ECG) aberrations and arrhythmias occur frequently among athletes due to normal variants, subclinical cardiac disease or structural and electrical remodeling in response to training. It is unclear whether these changes are associated with adverse clinical outcomes over time among otherwise asymptomatic, healthy athletes. Consensus guidelines have been developed to guide the clinician regarding further management of these arrhythmias. The purpose of this review is to summarize prospective data regarding cardiovascular outcomes related to ECG changes among athletes and compare these findings with current guidelines...
October 2013: Sports Medicine
https://www.readbyqxmd.com/read/23844516/-the-importance-and-composition-of-pre-season-examination-in-sportsmen
#18
Gideon Mann, Gal Dubnov-Raz, Ron Golan, Atzmon Tsur
Every competitive athlete in Israel is required by law to undergo a periodical pre-participation physical examination (PPE), before the competitive season. The PPE is intended to discover medical problems which might affect the health of the athletes, and rarely, may even pose a risk to their lives. It includes a sports-oriented medical questionnaire, a thorough physical examination, and a resting electrocardiogram (ECG). From a certain age onwards, it also includes a graded exercise test (GXT). Numerous studies and standpoints of several professional committees and sports medicine organizations in Europe have emphasized the importance of the first 3 parts of the PPE, namely the questionnaire, physical examination, and resting ECG...
April 2013: Harefuah
https://www.readbyqxmd.com/read/23678212/preventing-sudden-cardiac-death-in-athletes-in-search-of-evidence-based-cost-effective-screening
#19
Paolo Angelini, Mladen I Vidovich, Christine E Lawless, Macarthur A Elayda, J Alberto Lopez, Dwayne Wolf, James T Willerson
Sudden cardiac death in athletes is a recurrent phenomenon at sporting events and during training. Recent studies have associated sudden cardiac death with such cardiovascular conditions as coronary artery anomalies, cardiomyopathies, and electrocardiographic abnormalities, most of which are screenable with modern imaging techniques. We recently inaugurated the Center for Coronary Artery Anomalies at the Texas Heart Institute, which is dedicated to preventing sudden cardiac death in the young and investigating coronary artery anomalies...
2013: Texas Heart Institute Journal
https://www.readbyqxmd.com/read/23642297/-cardiovascular-clearance-for-competitive-sport-in-aging-people
#20
François Carré
The regular sport practice slows the physiological deleterious effects of aging. However, during intense exercise, the hazard of acute cardiovascular event is significantly increased. Whatever their cardiovascular risk factors are, aging people are more prone to coronary acute event during intense exertion than a young one. Cardiovascular exam, with resting ECG and maximal exercise test, is needed to give clearance for competitive sport in aging people (>65 y.o.). The limited value to evaluate the individual risk of acute cardiac event during intense exercise must be clearly explained to Master athletes...
June 2013: La Presse Médicale
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