Abstract
Physical activity comprises all muscular activities that require energy expenditure. Regular sequence of structured and organized exercise with the specific purpose of improving wellness and athletic performance is defined as a sports activity.
Exercise can be performed at various levels of intensity and duration. According to the social context and pathways, it can be recreational, occupational, and competitive. Therefore, the training burden varies inherently and the heart adaptation is challenging.
Although a general agreement on the fact that sports practice leads to metabolic, functional and physical benefits, there is evidence that some athletes may be subjected to adverse outcomes. Sudden cardiac death can occur in apparently healthy individuals with unrecognized cardiovascular disease.
Thus, panels of experts in sports medicine have promoted important pre-participation screening programmes aimed at determining sports eligibility and differentiating between physiological remodeling and cardiac disease.
In this review, the most important pathophysiological and diagnostic issues are discussed.
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- AH:
-
Athlete’s heart
- CVD(s):
-
Cardiovascular disease(s)
- ECG:
-
Electrocardiogram
- ECHO:
-
Echocardiography
- HCM:
-
Hypertrophic cardiomyopathy
- LA:
-
Left atrial/atrium
- LV:
-
Left ventricle/ventricular
- PHA:
-
Physical activity
- pVO2:
-
Peak oxygen uptake
- SA:
-
Sports activity
- SCD:
-
Sudden cardiac death
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de Gregorio, C., Di Nunzio, D., Di Bella, G. (2018). Athlete’s Heart and Left Heart Disease. In: Islam, M. (eds) Heart Failure: From Research to Clinical Practice. Advances in Experimental Medicine and Biology(), vol 1067. Springer, Cham. https://doi.org/10.1007/5584_2018_176
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