Adaptation to sport versus cardiomyopathy: How to distinguish them?

Authors

  • Maria Dolores Masía Cardiologist at the Hospital San Juan de Alicante and Sports Cardiology Hospital IMED Benidorm
  • Araceli Boraita Pérez Cardiologist and Specialist in Physical Education and Sport. Higher Council of Sports. Madrid.

DOI:

https://doi.org/10.37615/retic.v5n2a2

Keywords:

sport, athlete's heart, cardiomyopathy.

Abstract

High-intensity sport can produce risky situations, even fatal, in subjects with cardiovascular anomalies, therefore,
an early diagnosis of heart disease is essential to reduce risk. Cardiological assessment in athletes requires a careful and detailed interpretation of cardiac adaptations to training, being necessary to recognize the athlete's heart so as not to limit sports participation, especially in borderline cases, and avoid truncating their sports life with the consequent detriment in all aspects of the athlete's life.

Downloads

Download data is not yet available.

Metrics

Metrics Loading ...

References

Pelliccia A, Caselli S, Sharma S. et al. European Association of Preventive Cardiology (EAPC) and European Association of Cardiovascular Imaging (EACVI) joint position statement: recommendations for the indication and interpretation of cardiovascular imaging in the evaluation of the athlete's heart. Eur Heart J. 2018;39(21):1949-69. DOI: https://doi.org/10.1093/eurheartj/ehx532

Maron BJ, Zipes DP, Kovacs RJ. Eligibility and Disqualification Recommendations for Competitive Athletes With Cardiovascular Abnormalities: Preamble, Principles, and General Considerations: A Scientific Statement From the American Heart Association and American College of Cardiology. J Am Coll Cardiol. 2015;66(21):2343-9. DOI: https://doi.org/10.1016/j.jacc.2015.09.032

Galderisi M, Cardim N, D’Andrea A. et al. The multi-modality cardiac imaging approach to the Athlete’s heart: an expert consensus of the European Association of Cardiovascular Imaging. European Heart Journal – Cardiovascular Imaging (2015) 16, 353 DOI: https://doi.org/10.1093/ehjci/jeu323

Pelliccia A, Sharma S, Gati S. et al. 2020 ESC Guidelines on sports cardiology and exercise in patients with cardiovascular disease. Eur Heart J. 2020. DOI: https://doi.org/10.1093/eurheartj/ehaa735

De Innocentiis C, Ricci F, Khanji MY et al. Athlete’s Heart: Diagnostic Challenges and Future Perspectives. Sports Medicine https://doi.org/10.1007/s40279-018-0985-2 DOI: https://doi.org/10.1007/s40279-018-0985-2

Maron BJ, Levine BD, Washington RL. et al. Eligibility and Disqualification Recommendations for Competitive Athletes With Cardiovascular Abnormalities: Task Force 2: Preparticipation Screening for Cardiovascular Disease in Competitive Athletes: A Scientific Statement From the American Heart Association and American College of Cardiology. J Am Coll Cardiol. 2015;66(21):2356-61. DOI: https://doi.org/10.1016/j.jacc.2015.09.034

Perry R, Swan AL, Hecker T et al. The Spectrum of Change in the Elite Athlete’s Heart. J Am Soc Echocardiogr 2019;32:978-86. DOI: https://doi.org/10.1016/j.echo.2019.04.006

Boraita A, Sanchez-Testal MV, Diaz-Gonzalez L. et al. Apparent Ventricular Dysfunction in Elite Young Athletes: Another Form of Cardiac Adaptation of the Athlete’s Heart. J Am Soc Echocardiogr. 2019 Aug;32(8):987-996. DOI: https://doi.org/10.1016/j.echo.2019.03.017

D’Ascenzi F, Pelliccia A, Solari M. et al. Normative Reference Values of Right Heart in Competitive Athletes: A Systematic Review and Meta-Analysis. J Am Soc Echocardiogr 2017;30:845-58. DOI: https://doi.org/10.1016/j.echo.2017.06.013

D’Ascenzi F, Anselmi F, Focardi M and Sergio Mondillo S. Atrial Enlargement in the Athlete’s Heart: Assessment of Atrial Function May Help Distinguish Adaptive from Pathologic Remodeling. J Am Soc Echocardiogr 2018;31:148-57. DOI: https://doi.org/10.1016/j.echo.2017.11.009

Published

2022-08-30

How to Cite

1.
Masía MD, Boraita Pérez A. Adaptation to sport versus cardiomyopathy: How to distinguish them?. Rev Ecocardiogr Pract Otras Tec Imag Card (RETIC) [Internet]. 2022 Aug. 30 [cited 2024 Dec. 22];5(2):5-16. Available from: https://imagenretic.org/RevEcocarPract/article/view/498

Most read articles by the same author(s)