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Influence of Persistently Elevated LDL Values on Carotid Intima Media Thickness in Elite Athletes.
High Blood Press Cardiovasc Prev
January 2025
Institute of Sport Medicine and Science, National Italian Olympic Committee, Largo Piero Gabrielli, 1, 00197, Rome, Italy.
Introduction: Carotid IMT is a recognized marker for early atherosclerotic changes and a predictor of future CV events. Previous studies showed 11% increased risk of myocardial infarction with each 0.1 mm incremental increase of carotid IMT.
View Article and Find Full Text PDFInterpretation and management of T wave inversion in athletes: AnKazimexpert opinion statement of the Italian Society of Sports Cardiology (SICSPORT).
Int J Cardiol
January 2025
Department of Cardiac, Thoracic and Vascular Sciences and Public Health, University of Padua, Padova, Italy. Electronic address:
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.
Provocation test on stairs: a new accessible method to cholinergic urticaria diagnosis.
Eur Ann Allergy Clin Immunol
January 2025
Immunology Service, Hospital Universitário Clementino Fraga Filho (HUCFF-UFRJ), Rio de Janeiro, Brazil.
Cholinergic urticaria (CholU) is characterized by itching and/or stinging, painful micro wheals due to systemic heating. There are two standardized protocols to diagnose CholU using an exercise bike with heart rate or warming passive. The objective is to provide an affordable, new, low-tech test to assist the diagnostic.
View Article and Find Full Text PDFPreparticipation Cardiovascular Screening of Athletes: Current Controversies and Challenges for the Future.
Diagnostics (Basel)
October 2024
Department of Cardiology, Hospital Professor Doutor Fernando Fonseca, 2720-276 Lisbon, Portugal.
Sports cardiology is an evolving field in cardiology, with several topics remaining controversial. Beyond the several well-known benefits of regular exercise practice, the occurrence of adverse clinical events during sports in apparently healthy individuals, especially sudden cardiac death, and the described long-term adverse cardiac adaptations associated to high volume of exercise, remain challenging. The early identification of athletes with increased risk is critical, but the most appropriate preparticipation screening protocols are also debatable and a more personalized evaluation, considering individual and sports-related characteristics, will potentially optimize this evaluation.
View Article and Find Full Text PDFInsight on Exercise-Induced Heart Remodeling in Different Track and Field Disciplines.
J Clin Med
October 2024
Institute of Sports Medicine and Science, National Italian Olympic Committee, Largo Piero Gabrielli, 1, 00197 Rome, Italy.
Article Synopsis
- The study analyzed cardiac differences among Olympic athletes based on their foot racing discipline (sprints, middle, and long distances), focusing on morpho-functional parameters.
- In total, 140 athletes were categorized into four groups based on their racing distances and underwent screenings including echocardiography and exercise stress tests.
- Results indicated that sprinters and 400m runners generally had normal heart geometry, while middle and long-distance runners displayed significant eccentric cardiac remodeling, highlighting how training intensity and distance affect heart structure.
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