Publications by authors named "F D'ascenzi"

Article Synopsis
  • T wave inversion (TWI) on ECG is common in athletes and can signal either harmless changes or serious heart issues, requiring careful interpretation.
  • Understanding TWI involves considering its location, associated symptoms, and patient demographics, which help differentiate between physiological adaptations and pathological conditions.
  • The management of athletes with TWI includes thorough diagnostic evaluations, follow-ups, and careful considerations regarding sports participation to prioritize athlete safety without excessive restrictions.
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The knowledge of pericardial diseases has now improved, including prospective and retrospective cohort studies focusing on the pathogenesis, diagnosis, treatment, and outcomes. The complex interplay between genetic predisposition (especially for autoinflammatory conditions), inflammation, and autoimmunity is now known to trigger recurrences of pericarditis. Moreover, diagnostic capabilities have improved with the implementation of multimodality imaging, particularly cardiac magnetic resonance (CMR), to detect and monitor pericardial inflammation, to allow diagnosis in more complicated cases, and tailor the duration of therapy based on objective parameters.

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Nearly 35 years after its initial publication in 1989, the Italian Society of Sports Cardiology and the Italian Federation of Sports Medicine (FMSI), in collaboration with other leading Italian Cardiological Scientific Associations (ANCE - National Association of Outpatient Cardiology, ANMCO - National Association of Inpatient Cardiology, SIC - Italian Society of Cardiology), proudly present the 2023 version of the Cardiological Guidelines for Competitive Sports Eligibility. This publication is an update of the previous guidelines, offering a comprehensive and detailed guide for the participation of athletes with heart disease in sports. This edition incorporates the latest advances in cardiology and sports medicine, providing current information and recommendations.

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Article Synopsis
  • Patients with hypertrophic cardiomyopathy (HCM) face restrictions on competitive sports due to risks of sudden cardiac issues, which leads to a sedentary lifestyle that can harm their health.
  • The study compared active HCM patients to sedentary ones and found that those who exercised had better cardiopulmonary fitness and similar arrhythmia rates, while sedentary individuals had worse fitness and higher obesity rates.
  • A personalized moderate-intensity exercise plan was shown to improve fitness in HCM patients without any negative effects, suggesting that tailored exercise can be beneficial for this population.
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