Electroanatomic mapping in athletes: Why and when. An expert opinion paper from the Italian Society of Sports Cardiology

被引:15
作者
Dello Russo, Antonio [1 ,2 ]
Compagnucci, Paolo [1 ,2 ]
Zorzi, Alessandro [3 ]
Cavarretta, Elena [4 ,5 ]
Castelletti, Silvia [6 ]
Contursi, Maurizio [7 ]
D'Aleo, Antonio [8 ]
D'Ascenzi, Flavio [9 ]
Mos, Lucio [10 ]
Palmieri, Vincenzo [11 ]
Patrizi, Giampiero [12 ]
Pelliccia, Antonio [13 ]
Sarto, Patrizio [14 ]
Delise, Pietro [15 ]
Zeppilli, Paolo [11 ]
Romano, Silvio [16 ]
Palama, Zefferino [16 ,17 ]
Sciarra, Luigi [16 ]
机构
[1] Univ Hosp Lancisi Umberto I Salesi, Cardiol & Arrhythmol Clin, Ancona, Italy
[2] Marche Polytech Univ, Dept Biomed Sci & Publ Hlth, Ancona, Italy
[3] Univ Padua, Dept Cardiac Thorac & Vasc Sci & Publ Hlth, Padua, Italy
[4] Sapienza Univ Rome, Dept Med Surg Sci & Biotechnol, Latina, Italy
[5] Mediterranea Cardioctr, Naples, Italy
[6] Ist Auxol Italiano IRCCS, Dept Cardiol, Milan, Italy
[7] Hosp Peschiera Garda, Div Cardiol, Veneto, Italy
[8] Cardiol AUSL 7 Dist Modica, Ragusa, Italy
[9] Univ Siena, Dept Med Biotechnol, Div Cardiol, Siena, Italy
[10] San Antonio Hosp, Udine, Italy
[11] Fdn Policlin Univ Agostino Gemelli IRCCS, Sports Med Unit, Rome, Italy
[12] Carpi Hosp, Dept Cardiol, Carpi, Italy
[13] Inst Sport Med & Sports Sci, Rome, Italy
[14] ULSS2, Sports Med Unit, Treviso, Treviso, Italy
[15] Osped Pederzoli, Peschiera Del Garda, Italy
[16] Univ Aquila, Dept Life Hlth & Environm Sci, Laquila, Italy
[17] Casa Cura Villa Verde, Taranto, Italy
关键词
Cardiomyopathy; Electroanatomical mapping; Ventricular arrhythmias; Sports cardiology; SUDDEN CARDIAC DEATH; RIGHT-VENTRICULAR CARDIOMYOPATHY; RISK STRATIFICATION; NONISCHEMIC CARDIOMYOPATHY; MAGNETIC-RESONANCE; PROGNOSTIC VALUE; HEART; SCAR; ARRHYTHMIAS; TACHYCARDIA;
D O I
10.1016/j.ijcard.2023.05.013
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Three-dimensional electroanatomical mapping (EAM) has the potential to identify the pathological substrate underlying ventricular arrhythmias (VAs) in different clinical settings by detecting myocardial areas with abnormally low voltages, which reflect the presence of different cardiomyopathic substrates. In athletes, the added value of EAM may be to enhance the efficacy of third-level diagnostic tests and cardiac magnetic reso-nance (CMR) in detecting concealed arrhythmogenic cardiomyopathies. Additional benefits of EAM in the athlete include the potential impact on disease risk stratification and the consequent implications for eligibility to competitive sports. This opinion paper of the Italian Society of Sports Cardiology aims to guide general sports medicine physicians and cardiologists on the clinical decision when to eventually perform an EAM study in the athlete, highlighting strengths and weaknesses for each cardiovascular disease at risk of sudden cardiac death during sport. The importance of early (preclinical) diagnosis to prevent the negative effects of exercise on phenotypic expression, disease progression, and worsening of the arrhythmogenic substrate is also addressed.
引用
收藏
页码:166 / 174
页数:9
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