Potential role of an athlete-focused echocardiogram in sports eligibility
(2021) In World Journal of Cardiology 13(8). p.271-297- Abstract
Sudden cardiac death (SCD) of an athlete is a rare but tragic event and sport activity might play a trigger role in athletes with underlying structural or electrical heart diseases. Preparticipation screenings (PPs) have been conceived for the potential to prevent SCD in young athletes by early identification of cardiac diseases. The European Society of Cardiology protocol for PPs includes history collection, physical examination and baseline electrocardiogram, while further examinations are reserved to individuals with abnormalities at first-line evaluation. Nevertheless, transthoracic echocardiography has been hypothesized to have a primary role in the PPs. This review aims to describe how to approach an athlete-focused... (More)
Sudden cardiac death (SCD) of an athlete is a rare but tragic event and sport activity might play a trigger role in athletes with underlying structural or electrical heart diseases. Preparticipation screenings (PPs) have been conceived for the potential to prevent SCD in young athletes by early identification of cardiac diseases. The European Society of Cardiology protocol for PPs includes history collection, physical examination and baseline electrocardiogram, while further examinations are reserved to individuals with abnormalities at first-line evaluation. Nevertheless, transthoracic echocardiography has been hypothesized to have a primary role in the PPs. This review aims to describe how to approach an athlete-focused echocardiogram, highlighting what is crucial to focus on for the different diseases (cardiomyopathies, valvulopathies, congenital heart disease, myocarditis and pericarditis) and when is needed to pay attention to overlap diagnostic zone (“grey zone”) with the athlete's heart. Once properly tested, focused echocardiography by sports medicine physicians may become standard practice in larger screening practices, potentially available during first-line evaluation.
(Less)
- author
- Palermi, Stefano ; Serio, Alessandro ; Vecchiato, Marco ; Sirico, Felice ; Gambardella, Francesco ; Ricci, Fabrizio LU ; Iodice, Franco ; Radmilovic, Juri ; Russo, Vincenzo and D'Andrea, Antonello
- organization
- publishing date
- 2021-08
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- Athletes, Echocardiogram, Pre-participation screening, Sport cardiology, Sport eligibility, Sudden cardiac death
- in
- World Journal of Cardiology
- volume
- 13
- issue
- 8
- pages
- 27 pages
- publisher
- Baishideng Publishing Group
- external identifiers
-
- scopus:85113424863
- pmid:34589165
- ISSN
- 1949-8462
- DOI
- 10.4330/wjc.v13.i8.271
- language
- English
- LU publication?
- yes
- id
- 51621c23-a416-4a24-a464-5c34cbee0e62
- date added to LUP
- 2021-09-20 14:30:00
- date last changed
- 2024-06-15 16:30:38
@article{51621c23-a416-4a24-a464-5c34cbee0e62,
abstract = {{<p>Sudden cardiac death (SCD) of an athlete is a rare but tragic event and sport activity might play a trigger role in athletes with underlying structural or electrical heart diseases. Preparticipation screenings (PPs) have been conceived for the potential to prevent SCD in young athletes by early identification of cardiac diseases. The European Society of Cardiology protocol for PPs includes history collection, physical examination and baseline electrocardiogram, while further examinations are reserved to individuals with abnormalities at first-line evaluation. Nevertheless, transthoracic echocardiography has been hypothesized to have a primary role in the PPs. This review aims to describe how to approach an athlete-focused echocardiogram, highlighting what is crucial to focus on for the different diseases (cardiomyopathies, valvulopathies, congenital heart disease, myocarditis and pericarditis) and when is needed to pay attention to overlap diagnostic zone (“grey zone”) with the athlete's heart. Once properly tested, focused echocardiography by sports medicine physicians may become standard practice in larger screening practices, potentially available during first-line evaluation.</p>}},
author = {{Palermi, Stefano and Serio, Alessandro and Vecchiato, Marco and Sirico, Felice and Gambardella, Francesco and Ricci, Fabrizio and Iodice, Franco and Radmilovic, Juri and Russo, Vincenzo and D'Andrea, Antonello}},
issn = {{1949-8462}},
keywords = {{Athletes; Echocardiogram; Pre-participation screening; Sport cardiology; Sport eligibility; Sudden cardiac death}},
language = {{eng}},
number = {{8}},
pages = {{271--297}},
publisher = {{Baishideng Publishing Group}},
series = {{World Journal of Cardiology}},
title = {{Potential role of an athlete-focused echocardiogram in sports eligibility}},
url = {{http://dx.doi.org/10.4330/wjc.v13.i8.271}},
doi = {{10.4330/wjc.v13.i8.271}},
volume = {{13}},
year = {{2021}},
}