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The role of echocardiography in sports cardiology : An expert opinion statement of the Italian Society of Sports Cardiology (SIC sport)

Cavarretta, Elena ; D'Ascenzi, Flavio ; Bianco, Massimiliano ; Castelletti, Silvia ; Cavigli, Luna ; Cecchi, Franco ; D'Andrea, Antonello ; De Luca, Antonio ; Di Salvo, Giovanni and Nistri, Stefano , et al. (2024) In International Journal of Cardiology 410.
Abstract

Transthoracic echocardiography (TTE) is routinely required during pre-participation screening in the presence of symptoms, family history of sudden cardiac death or cardiomyopathies <40-year-old, murmurs, abnormal ECG findings or in the follow-up of athletes with a history of cardiovascular disease (CVD). TTE is a cost-effective first-line imaging modality to evaluate the cardiac remodeling due to long-term, intense training, previously known as the athlete's heart, and to rule out the presence of conditions at risk of sudden cardiac death, including cardiomyopathies, coronary artery anomalies, congenital, aortic and heart valve diseases. Moreover, TTE is useful for distinguishing physiological cardiac adaptations during intense... (More)

Transthoracic echocardiography (TTE) is routinely required during pre-participation screening in the presence of symptoms, family history of sudden cardiac death or cardiomyopathies <40-year-old, murmurs, abnormal ECG findings or in the follow-up of athletes with a history of cardiovascular disease (CVD). TTE is a cost-effective first-line imaging modality to evaluate the cardiac remodeling due to long-term, intense training, previously known as the athlete's heart, and to rule out the presence of conditions at risk of sudden cardiac death, including cardiomyopathies, coronary artery anomalies, congenital, aortic and heart valve diseases. Moreover, TTE is useful for distinguishing physiological cardiac adaptations during intense exercise from pathological behavior due to an underlying CVD. In this expert opinion statement endorsed by the Italian Society of Sports Cardiology, we discussed common clinical scenarios where a TTE is required and conditions falling in the grey zone between the athlete's heart and underlying cardiomyopathies or other CVD. In addition, we propose a minimum dataset that should be included in the report for the most common indications of TTE in sports cardiology clinical practice.

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organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Athletes, Cardiomyopathy, Echocardiography, Heart valve disease, Pre-participation screening, Sports cardiology, Sudden cardiac death
in
International Journal of Cardiology
volume
410
article number
132230
publisher
Elsevier
external identifiers
  • scopus:85195661111
  • pmid:38852859
ISSN
0167-5273
DOI
10.1016/j.ijcard.2024.132230
language
English
LU publication?
yes
id
ea81f204-0946-4d96-b300-0fe8a4ae4eb4
date added to LUP
2024-07-03 14:29:25
date last changed
2024-07-03 14:29:25
@article{ea81f204-0946-4d96-b300-0fe8a4ae4eb4,
  abstract     = {{<p>Transthoracic echocardiography (TTE) is routinely required during pre-participation screening in the presence of symptoms, family history of sudden cardiac death or cardiomyopathies &lt;40-year-old, murmurs, abnormal ECG findings or in the follow-up of athletes with a history of cardiovascular disease (CVD). TTE is a cost-effective first-line imaging modality to evaluate the cardiac remodeling due to long-term, intense training, previously known as the athlete's heart, and to rule out the presence of conditions at risk of sudden cardiac death, including cardiomyopathies, coronary artery anomalies, congenital, aortic and heart valve diseases. Moreover, TTE is useful for distinguishing physiological cardiac adaptations during intense exercise from pathological behavior due to an underlying CVD. In this expert opinion statement endorsed by the Italian Society of Sports Cardiology, we discussed common clinical scenarios where a TTE is required and conditions falling in the grey zone between the athlete's heart and underlying cardiomyopathies or other CVD. In addition, we propose a minimum dataset that should be included in the report for the most common indications of TTE in sports cardiology clinical practice.</p>}},
  author       = {{Cavarretta, Elena and D'Ascenzi, Flavio and Bianco, Massimiliano and Castelletti, Silvia and Cavigli, Luna and Cecchi, Franco and D'Andrea, Antonello and De Luca, Antonio and Di Salvo, Giovanni and Nistri, Stefano and Palamà, Zefferino and Palmieri, Vincenzo and Ricci, Fabrizio and Sinagra, Gianfranco and Zorzi, Alessandro and Biffi, Alessandro and Pelliccia, Antonio and Romano, Silvio and Dello Russo, Antonio and Zeppilli, Paolo and Patrizi, Giampiero and Sciarra, Luigi}},
  issn         = {{0167-5273}},
  keywords     = {{Athletes; Cardiomyopathy; Echocardiography; Heart valve disease; Pre-participation screening; Sports cardiology; Sudden cardiac death}},
  language     = {{eng}},
  publisher    = {{Elsevier}},
  series       = {{International Journal of Cardiology}},
  title        = {{The role of echocardiography in sports cardiology : An expert opinion statement of the Italian Society of Sports Cardiology (SIC sport)}},
  url          = {{http://dx.doi.org/10.1016/j.ijcard.2024.132230}},
  doi          = {{10.1016/j.ijcard.2024.132230}},
  volume       = {{410}},
  year         = {{2024}},
}