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

被引：8

作者：

Cavarretta, Elena ^{[1
,2
]}

D'Ascenzi, Flavio ^{[4
,5
]}

Bianco, Massimiliano

Castelletti, Silvia ^{[6
]}

Cavigli, Luna ^{[3
]}

Cecchi, Franco ^{[6
]}

D'Andrea, Antonello ^{[7
]}

De Luca, Antonio ^{[8
]}

Di Salvo, Giovanni ^{[9
]}

Nistri, Stefano ^{[10
]}

Palama, Zefferino ^{[11
,12
]}

Palmieri, Vincenzo ^{[4
,5
]}

Ricci, Fabrizio ^{[13
,14
,15
]}

Sinagra, Gianfranco ^{[8
]}

Zorzi, Alessandro ^{[16
]}

Biffi, Alessandro ^{[17
]}

Pelliccia, Antonio ^{[18
]}

Romano, Silvio ^{[11
]}

Dello Russo, Antonio ^{[19
]}

Zeppilli, Paolo ^{[4
,5
]}

Patrizi, Giampiero ^{[20
]}

Sciarra, Luigi

机构：

[1] Sapienza Univ Rome, Dept Med & Surg Sci & Biotechnol, Corso Repubbl 79, I-04100 Latina, Italy

[2] Bambino Gesu Pediat Hosp, IRCCS, Adv Cardiovasc Therapies Unit, Rome, Italy

[3] Univ Siena, Dept Med Biotechnol, Sports Cardiol & Rehab Unit, Siena, Italy

[4] Catholic Univ, Fdn Policlin Univ A Gemelli IRCCS, Sports Med Unit, I-00168 Rome, Italy

[5] Sacred Heart Catholic Univ, Fac Med & Surg, Unit Sports Med, Rome, Italy

[6] Ist Auxol Italiano IRCCS, Dept Cardiol, Pl Brescia 20, I-20149 Milan, Italy

[7] Umberto I Hosp, Dept Cardiol & Intens Coronary Care, I-84014 Nocera Inferiore, Italy

[8] Azienda Sanitaria Univ Giuliano Isontina, Cardiothoracovasc Dept, Div Cardiol, I-34149 Trieste, Italy

[9] Univ Padua, Dept Woman & Child Hlth, Paediat Cardiol & Congenital Heart Dis, I-35128 Padua, Italy

[10] CMSR Veneto Med, VI, I-36077 Altavilla Vicentina, Italy

[11] Univ LAquila, Dept Clin Med, Publ Hlth Life & Environm Sci, Pl Salvatore Tommasi 1, I-67100 Coppito, Italy

[12] Casa Cura Villa Verde, Electrophysiol Unit, Taranto, Italy

[13] Gd Annunzio Univ Chieti Pescara, Dept Neurosci Imaging & Clin Sci, Via Luigi Polacchi,11, I-66100 Chieti, Italy

[14] SS Annunziata Hosp, Heart Dept, ASL 2 Abruzzo, I-66100 Chieti, Italy

[15] Lund Univ, Dept Clin Sci, Jan Waldenstroms gata 35, S-21428 Malmo, Sweden

[16] Univ Padua, Dept Cardiac Thorac & Vasc Sci & Publ Hlth, I-35128 Padua, Italy

[17] Medex Med & Exercise srl, Med Partner Scuderia Ferrari, Rome, Maranello, Italy

[18] Natl Italian Olymp Comm, Inst Sport Med & Sci, Rome, Italy

[19] Marche Polytech Univ, Cardiol & Arrhythmol Clin, Azienda Osped Univ Marche, Ancona, Italy

[20] B Ramazzini Hosp, Dept Cardiol, Ausl Modena, Carpi, Italy

来源：

INTERNATIONAL JOURNAL OF CARDIOLOGY | 2024年 / 410卷

关键词：

Athletes; Echocardiography; Pre-participation screening; Sports cardiology; Cardiomyopathy; Sudden cardiac death; Heart valve disease; SPECKLE-TRACKING ECHOCARDIOGRAPHY; LEFT-VENTRICULAR HYPERTROPHY; BICUSPID AORTIC-VALVE; ESC WORKING GROUP; EUROPEAN ASSOCIATION; POSITION STATEMENT; ATHLETES HEART; COMPETITIVE SPORT; REFERENCE VALUES; ASCENDING AORTA;

D O I：

10.1016/j.ijcard.2024.132230

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

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 firstline 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.

引用

页数：12

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