Sports Cardiology

Athletes heart was first described atthe beginning of the 20th century and since then has been an area of active debate. In the last decades its conditions and implications have been revealed thanksto modern imaging technology. Therefore the European Association of Preventive Cardiology (EAPC) and t...

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Autores principales:	Persch H, Steinacker JM
Formato:	article
Lenguaje:	DE EN
Publicado:	Dynamic Media Sales Verlag 2020
Materias:	Sports medicine RC1200-1245
Acceso en línea:	https://doaj.org/article/49ac3ed644a7481cb5ce44f2e6443968
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spelling	oai:doaj.org-article:49ac3ed644a7481cb5ce44f2e64439682021-11-16T19:01:40ZSports Cardiology0344-59252510-526410.5960/dzsm.2020.433https://doaj.org/article/49ac3ed644a7481cb5ce44f2e64439682020-06-01T00:00:00Zhttps://www.germanjournalsportsmedicine.com/archiv/archive-2020/issue-6/echocardiographic-criteria-for-athletes-heart-with-cut-off-parameters-and-special-emphasis-on-the-right-ventricle/https://doaj.org/toc/0344-5925https://doaj.org/toc/2510-5264Athletes heart was first described atthe beginning of the 20th century and since then has been an area of active debate. In the last decades its conditions and implications have been revealed thanksto modern imaging technology. Therefore the European Association of Preventive Cardiology (EAPC) and the European Association of Cardiovascular Imaging (EACVI) published a joint position statement for the use and interpretation of cardiovascular imaging in the evaluation of athletes heart. Cardiac adaptation or remodeling due to intensive exercise training can be influenced by physiological or pathological factors. Athletes heart is per definition described asa harmonic and consistent increase in dimension of all four cardiac chambers, wherebyfemale athletes display only moderate cardiac changes compared to their male counterparts. This paper will present recent scientific data with current echocardiographic cut-off parameters for athletes heart and secondly will deal with the right ventricle, more specifically, with the echocardiographic differentiation between athletes heart and arrhythmogenic right ventricular cardiomyopathy (ARVC). ARVC is an inherited heart muscle disease characterized by progressive fibrofatty replacement of the right ventricular -and in up to 50% of the cases also of the left ventricular -myocardium. This pathological remodeling is aggravated by sports and might be the substrate for ventricular arrhythmias as well as sudden cardiac death. Clinical experience with the 2010 International Task Force diagnostic score system has identified some limitations potentially resulting in overdiagnosis - especially in athletes - due to e. g. misinterpretation of electrocardiographic and imaging findings. Hence this paper will provide an overview ofthe latest literature with echocardiographic parameters for a better distinction between ARVC and sports-related remodeling of the right ventricle in athletes.KEY WORDS: Sports-Related Cardiac Remodeling, Cardiac Imaging, Arrhythmogenic CardiomyopathiePersch HSteinacker JMDynamic Media Sales VerlagarticleSports medicineRC1200-1245DEENDeutsche Zeitschrift für Sportmedizin, Vol 71, Iss 6 (2020)
institution	DOAJ
collection	DOAJ
language	DE EN
topic	Sports medicine RC1200-1245
spellingShingle	Sports medicine RC1200-1245 Persch H Steinacker JM Sports Cardiology
description	Athletes heart was first described atthe beginning of the 20th century and since then has been an area of active debate. In the last decades its conditions and implications have been revealed thanksto modern imaging technology. Therefore the European Association of Preventive Cardiology (EAPC) and the European Association of Cardiovascular Imaging (EACVI) published a joint position statement for the use and interpretation of cardiovascular imaging in the evaluation of athletes heart. Cardiac adaptation or remodeling due to intensive exercise training can be influenced by physiological or pathological factors. Athletes heart is per definition described asa harmonic and consistent increase in dimension of all four cardiac chambers, wherebyfemale athletes display only moderate cardiac changes compared to their male counterparts. This paper will present recent scientific data with current echocardiographic cut-off parameters for athletes heart and secondly will deal with the right ventricle, more specifically, with the echocardiographic differentiation between athletes heart and arrhythmogenic right ventricular cardiomyopathy (ARVC). ARVC is an inherited heart muscle disease characterized by progressive fibrofatty replacement of the right ventricular -and in up to 50% of the cases also of the left ventricular -myocardium. This pathological remodeling is aggravated by sports and might be the substrate for ventricular arrhythmias as well as sudden cardiac death. Clinical experience with the 2010 International Task Force diagnostic score system has identified some limitations potentially resulting in overdiagnosis - especially in athletes - due to e. g. misinterpretation of electrocardiographic and imaging findings. Hence this paper will provide an overview ofthe latest literature with echocardiographic parameters for a better distinction between ARVC and sports-related remodeling of the right ventricle in athletes.KEY WORDS: Sports-Related Cardiac Remodeling, Cardiac Imaging, Arrhythmogenic Cardiomyopathie
format	article
author	Persch H Steinacker JM
author_facet	Persch H Steinacker JM
author_sort	Persch H
title	Sports Cardiology
title_short	Sports Cardiology
title_full	Sports Cardiology
title_fullStr	Sports Cardiology
title_full_unstemmed	Sports Cardiology
title_sort	sports cardiology
publisher	Dynamic Media Sales Verlag
publishDate	2020
url	https://doaj.org/article/49ac3ed644a7481cb5ce44f2e6443968
work_keys_str_mv	AT perschh sportscardiology AT steinackerjm sportscardiology
_version_	1718426234787987456

Sports Cardiology

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