The Sports Cardiology Team: Personalizing Athlete Care Through a Comprehensive, Multidisciplinary Approach

Hattum, Juliette C van; Verwijs, Sjoerd M; Senden, P. Jeff; Spies, Jessica L.; Boekholdt, S. Matthijs; Groenink, Maarten; Panhuyzen‐Goedkoop, Nicole M.; Willems, Albert R.; Knobbe, Ingmar; Blom, Nicolaas A.; Wijne, Cornelis A.C.M.; Reurink, Gustaaf; Crabben, Saskia N. van der; Bijsterveld, Nick R.; Verhagen, Evert; Pinto, Yigal M.; Wilde, Arthur A.M.; Jørstad, Harald T

doi:10.1016/j.mayocpiqo.2022.08.006

Cited by 7 publications

(11 citation statements)

References 13 publications

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“…However, recent studies point towards the possibility of a more liberal approach [ 29 ]. Our sports advice for these individuals was based on the AHA [ 30 ] and ESC guidelines [ 7 ], but with the final advice formulated by our national multidisciplinary team [ 31 ]. The subject with an aortic aneurysm was advised to discontinue all intensive and explosive exercise.…”

Section: Discussionmentioning

confidence: 99%

Pre-Participation Screenings Frequently Miss Occult Cardiovascular Conditions in Apparently Healthy Male Middle-Aged First-Time Marathon Runners

Laily,

Wiggers,

van Steijn

et al. 2024

Cardiology

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Introduction: The optimal pre-participation screening strategy to identify athletes at risk for exercise-induced cardiovascular events is unknown. We therefore aimed to compare the American College of Sports Medicine (ACSM) and European Society of Cardiology (ESC) pre-participation screening strategies against extensive cardiovascular evaluations in identifying high-risk individuals among 35–50-year-old apparently healthy men. Methods: We applied ACSM and ESC pre-participation screenings to 25 men participating in a study on first-time marathon running. We compared screening outcomes against medical history, physical examination, electrocardiography, blood tests, echocardiography, cardiopulmonary exercise testing, and magnetic resonance imaging. Results: ACSM screening classified all participants as “medical clearance not necessary.” ESC screening classified two participants as “high-risk.” Extensive cardiovascular evaluations revealed ≥1 minor abnormality and/or cardiovascular condition in 17 participants, including three subjects with mitral regurgitation and one with a small atrial septal defect. Eleven participants had dyslipidaemia, six had hypertension, and two had premature atherosclerosis. Ultimately, three (12%) subjects had a serious cardiovascular condition warranting sports restrictions: aortic aneurysm, hypertrophic cardiomyopathy (HCM), and myocardial fibrosis post-myocarditis. Of these three participants, only one had been identified as “high-risk” by the ESC screening (for dyslipidaemia, not HCM) and none by the ACSM screening. Conclusion: Numerous occult cardiovascular conditions are missed when applying current ACSM/ESC screening strategies to apparently healthy middle-aged men engaging in their first high-intensity endurance sports event.

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Section: Discussionmentioning

confidence: 99%

Pre-Participation Screenings Frequently Miss Occult Cardiovascular Conditions in Apparently Healthy Male Middle-Aged First-Time Marathon Runners

Laily,

Wiggers,

van Steijn

et al. 2024

Cardiology

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“…Expert assessment should guide exercise participation and engagement even in intense sports. A sports cardiology team can assist to provide tailored advice to an individual participating in a sport [11].…”

Section: Screening Individuals For Marathon Runningmentioning

confidence: 99%

Cardiac Risks in Long Distance Runners

Boudoulas,

Triposkiadis,

Boudoulas

2024

Cardiology

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Long Distance Running and the Heart: When Is Enough, Enough? "ΜΗΔΕΝ AΓAΝ" ("Nothing in Excess") -Temple of Apollo in Delphi Strenuous endurance exercise is associated with increase in catecholamines, heart rate, blood pressure, cardiac output, and myocardial oxygen consumption and a potential decrease in myocardial blood flow due to a decrease in diastolic time [6][7][8]. Volume and pressure overload may result in an acute increase in cardiac chamber size (especially right-sided chambers). These changes are more pronounced in individuals with less training. Strenuous exercise can also result in the accumulation of free radicals and lactic acidosis. In addition,

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“…In athletes, even minor deviations of homeostasis parameters have a negative effect on the effectiveness of sports and can even cause premature termination of the athlete's career and early disability (de Carvalho e Armstrong et al, 2022). Therefore, prevention of exhaustion and restoration of adaptive capabilities of the athlete's body, rehabilitation of homeostasis violations with the development of individual means taking into account the "autonomic passport", the reactivity of the body, the leading pathological syndrome and its form, as well as the typical clinical syndrome as a manifestation of organ failure is quite important (Meeusen et al, 2013;Saw et al, 2016;van Hattum et al, 2022). Violation of homeostasis parameters changes susceptibility to certain types of diseases.…”

Section: Introductionmentioning

confidence: 99%

Multifunctional changes in the athletes’ body during the formation of autonomic regulations’ overstrain under the influence of training load

Гузій

Mahlovanyy

Romanchuk

2023

Fìz. reabìl. rekreac.-ozdor. tehnol.

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Purpose: the purpose of this study was to generalize polysystemic changes that occur in the body of highly qualified athletes with signs of autonomic regulation overstrain under the influence of training load and during the recovery period after it. Material & Methods: test subjects were qualified male athletes (N=202) aged 22.6±2.8 years, who were examined by means of spiroarteriocardiorhythmography (SACR) and computerized motion meter (CMM). In accordance with the design the examinations with the aid of SACR and CMM were carried out three times: in the morning, on an empty stomach, in a sitting position on the day of training (G1), immediately after training (during the first 5-7 minutes) (G2) and the next day in the morning after sleep (G3). Results: according to the data of the examination of athletes in the dynamics of recovery after the training load, options of changes in HRV indicators were determined, which indicated the formation of sympathetic and parasympathetic overstrain in athletes. Two groups were created. The first included 10 athletes, the second included 9 athletes. The analysis of changes in indicators, the research methods used, allowed us to establish differences in their dynamics during the formation of sympathetic and parasympathetic overstrain. Differences were noted among 18 indicators. Among them are indicators of HRV – ABI (c.u.), SRAI (c.u.), ARI (c.u.), RMSSD (ms), VLF (ms2), LFHF (ms2/ms2); variability of arterial pressure – LFSBPn (n.u.), HFSBPn (n.u.), LFHFSBP (mmHg2), TPDBP (mmHg2), LFDBP, (mmHg2), ICDBP (mmHg2/mmHg2); hemodynamics – CO (dm3), GPVR, (dyn/s/cm−5), CI (dm3/m2); respiratory variability – TPR (L×min–1)2; of sensorimotor function – SCSleft (s), SMleft (%). Conclusions: the obtained results on the formation of sympathetic and parasympathetic overstrain under the influence of intense physical activity indicate that changes in the autonomic regulation of the heart rate, which determine the type of heart rate regulation, are accompanied by a number of changes in hemodynamics, autonomic regulation of the pumping function of the heart, vascular tone, respiratory regulation, and sensorimotor function. The determined differential dynamics of changes in cardiorespiratory and sensorimotor indicators will allow further algorithmization of the assessment of the functional state of the athletes’ body in order to detect early states of non-functional overstrain and overtraining.

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The Sports Cardiology Team: Personalizing Athlete Care Through a Comprehensive, Multidisciplinary Approach

Cited by 7 publications

References 13 publications

Pre-Participation Screenings Frequently Miss Occult Cardiovascular Conditions in Apparently Healthy Male Middle-Aged First-Time Marathon Runners

Pre-Participation Screenings Frequently Miss Occult Cardiovascular Conditions in Apparently Healthy Male Middle-Aged First-Time Marathon Runners

Cardiac Risks in Long Distance Runners

Multifunctional changes in the athletes’ body during the formation of autonomic regulations’ overstrain under the influence of training load

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