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Diagnostics
Special Issues
Diagnosis and Management in Sports Cardiology
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Diagnosis and Management in Sports Cardiology

A special issue of Diagnostics (ISSN 2075-4418). This special issue belongs to the section "Medical Imaging and Theranostics".

Deadline for manuscript submissions: 31 May 2025 | Viewed by 2344

Special Issue Editor

Prof. Dr. Hélder Alexandre Correia Dores

E-Mail Website
Guest Editor
Department of Cardiology, Hospital da Luz, Lisbon, Portugal
Interests: sports cardiology; cardiac rehabilitation; cardiovascular prevention; exercise physiology

Special Issue Information

Dear Colleagues,

Sports cardiology is an emerging field in medicine, with several remaining controversial topics. Despite the multiple benefits, regular physical exercise can paradoxically trigger some adverse clinical events, including sudden cardiac death. Appropriate preparticipation protocols for athletes’ evaluation and emergency plans in sports arenas are crucial measures to minimize these risks. However, some challenges persist, including the best methodology for clinical evaluation and its adaptation according to demographic and exercise-related characteristics, the risk stratification of veteran athletes, the differentiation between physiological adaptations (athletes’ hearts) and pathology and the individualization of exercise prescription in the presence of cardiovascular disease. In this setting, comprehensive evaluation, integrating clinical data with advanced imaging tests and even artificial-intelligence-derived tools, is promising.

We are pleased to invite you to submit your contributions for this Special Issue, with the aim of providing new insights about sports cardiology.

Prof. Dr. Hélder Alexandre Correia Dores
Guest Editor

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Diagnostics is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2600 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • athlete’s heart
  • preparticipation evaluation
  • exercise prescription
  • cardiovascular disease
  • extreme exercise
  • sudden cardiac death
  • artificial intelligence in sports cardiology

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Published Papers (2 papers)

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Review

16 pages, 856 KiB  
Review
Preparticipation Cardiovascular Screening of Athletes: Current Controversies and Challenges for the Future
by Hélder Dores, Paulo Dinis, José Miguel Viegas and António Freitas
Diagnostics 2024, 14(21), 2445; https://doi.org/10.3390/diagnostics14212445 - 31 Oct 2024
Viewed by 752
Abstract
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 [...] Read more.
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. As the risk of major clinical events during sports is not zero, independently of previous evaluation, ensuring the capacity for cardiopulmonary resuscitation, especially with availability of automated external defibrillators, in sports arenas, is crucial for its prevention and to improve outcomes. As in other areas of medicine, application of new digital technologies, including artificial intelligence, is promising and could improve in near future several aspects of sports cardiology. This paper aims to review the methodology of athletes’ preparticipation screening, emphasizing current controversies and future challenges, in order to improve early diagnosis of conditions associated with sudden cardiac death. Full article
(This article belongs to the Special Issue Diagnosis and Management in Sports Cardiology)
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10 pages, 1169 KiB  
Review
Return-to-Play Post-Myocarditis for Athletes: To Play or Not to Play?
by Kentaro Yamagata and Aneil Malhotra
Diagnostics 2024, 14(19), 2236; https://doi.org/10.3390/diagnostics14192236 - 7 Oct 2024
Viewed by 1270
Abstract
Myocarditis is a condition marked by inflammation of the heart muscle, which can lead to serious outcomes such as sudden cardiac death (SCD) and life-threatening arrhythmias. While myocarditis can affect any population, athletes, especially those engaged in high-intensity training, are at increased risk [...] Read more.
Myocarditis is a condition marked by inflammation of the heart muscle, which can lead to serious outcomes such as sudden cardiac death (SCD) and life-threatening arrhythmias. While myocarditis can affect any population, athletes, especially those engaged in high-intensity training, are at increased risk due to factors such as reduced immunity and increased exposure to pathogens. This review examines the clinical presentation, current guidelines, diagnostic challenges, and the significance of cardiac magnetic resonance imaging (CMR) in detecting myocardial inflammation and scarring. Current guidelines recommend a period of exercise restriction followed by thorough reassessment before athletes can return-to-play (RTP). However, there are several knowledge gaps, including the implications of persistent late gadolinium enhancement (LGE) on CMR and the optimal duration of exercise restriction. Additionally, the psychological impact of myocarditis on athletes highlights the importance of incorporating mental health support in the recovery process. A shared decision-making approach should be encouraged in RTP, considering the athlete’s overall health, personal preferences, and the potential risks of resuming competitive sports. We have proposed an algorithm for RTP in athletes following myocarditis, incorporating CMR. Future research is warranted to refine RTP protocols and improve risk stratification, particularly through longitudinal studies that examine recovery and outcomes in athletes. Full article
(This article belongs to the Special Issue Diagnosis and Management in Sports Cardiology)
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