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Sports Cardiology in the Modern Era
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Sports Cardiology in the Modern Era

A special issue of Journal of Cardiovascular Development and Disease (ISSN 2308-3425). This special issue belongs to the section "Epidemiology, Lifestyle, and Cardiovascular Health".

Deadline for manuscript submissions: closed (15 September 2023) | Viewed by 3550

Special Issue Editor

Dr. Patrizio Ripari

E-Mail Website
Guest Editor
Department of Innovative Technologies in Medicine & Dentistry, University “G. D’Annunzio” Chieti-Pescara, 66100 Chieti, Italy
Interests: sports medicine; sports cardiology; therapeutic exercise; sport nutrition; exercise physiology; long-covid syndrome in athlete's

Special Issue Information

Dear Colleagues,

Sports cardiology is a branch of medicine of increasing importance in the modern era. Its main area of work is in primary prevention, which aims at the early diagnosis of cardiovascular disease in competitive and noncompetitive athletes by means of resting and exercise cardiological evaluations; similarly, it also plays an essential role in secondary prevention as monitoring of relevant pathological conditions to ensure the drafting of ad hoc therapeutic, functional re-education and training protocols.

A further application, which has come to the fore recently, is the evaluation of "return to play" in post-COVID-19 athletes and, in particular, in subjects suffering from PACS (Long Covid Syndrome in athletes), a transient pathological condition characterized by fatigue, headache, cough, fever and, in a non-negligible number of athletes, impairment of the cardiovascular system with pictures of myopericarditis, thrombophlebitis, as well as an obvious decline in physical condition and performance.

The aim of this Special Issue is to highlight the role of sports cardiology in the modern era, with particular emphasis on the use of diagnostic methods, such as echocardiography and C-PET, in the study of athletes, possible applications in telemedicine and telecardiology and new therapeutic strategies in patients with cardiovascular impairment.

Dr. Patrizio Ripari
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. Journal of Cardiovascular Development and Disease is an international peer-reviewed open access monthly 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 2700 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

  • sports cardiology
  • PACS
  • C-PET
  • athletes
  • prevention
  • echocardiography
  • telemedicine

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Published Papers (2 papers)

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Research

10 pages, 1861 KiB  
Article
Three-Dimensional-Derived Echocardiographic Left Ventricular Structure and Function and Indices from the 12-Lead Electrocardiogram across the Menstrual Cycle in Healthy Physically Active Females: An Exploratory Study
by Barbara N. Morrison, Allison J. Campbell, Anita T. Coté, Aleah Mohammad, Laura Sambrook, Georgia Robinson, Keith George and David Oxborough
J. Cardiovasc. Dev. Dis. 2023, 10(8), 331; https://doi.org/10.3390/jcdd10080331 - 3 Aug 2023
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Abstract
Background: The impact of the menstrual phases on left ventricular (LV) structure and function using 3D echocardiography and resting electrocardiogram (ECG) in healthy, eumenorrheic, and physically active females has not been investigated. Methods: sixteen females (20 y ± 2) underwent 3D echocardiography [...] Read more.
Background: The impact of the menstrual phases on left ventricular (LV) structure and function using 3D echocardiography and resting electrocardiogram (ECG) in healthy, eumenorrheic, and physically active females has not been investigated. Methods: sixteen females (20 y ± 2) underwent 3D echocardiography and an ECG at three time points in the menstrual cycle phases (follicular, ovulation, luteal). LV end-diastolic volume (LVEDVi), LV ejection fraction (LVEF), LV mass allometrically indexed to height2.7 (LVMi), torsion, and global longitudinal, circumferential, and radial strain (GLS, GCS, and GRS) were evaluated. ECG data of the P and QRS waves were presented as well as axis deviation, chamber enlargement, and any rhythm abnormalities. Results: LVMi was significantly higher in the luteal phase (36.4 g/m2.7 ± 3.3) compared to the follicular (35.0 g/m2.7 ± 3.7) and ovulation (34.7 g/m2.7 ± 4.3) phases (p = 0.026). There were no differences in other indices of LV structure and function or ECG variables across all phases of the menstrual cycle or evidence of arrhythmia. Conclusions: In physically active females, there is a small but significantly higher LVMi associated with the luteal phase of the menstrual cycle with no concomitant change in LV function or ECG parameters. These findings are important to consider when conducting clinical or research serial assessments. Full article
(This article belongs to the Special Issue Sports Cardiology in the Modern Era)
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15 pages, 4560 KiB  
Article
Concentric and Eccentric Remodelling of the Left Ventricle and Its Association to Function in the Male Athletes Heart: An Exploratory Study
by Christopher Johnson, Nicholas Sculthorpe, Keith George, Martin Stout, William Procter, Robert M. Cooper and David Oxborough
J. Cardiovasc. Dev. Dis. 2023, 10(7), 269; https://doi.org/10.3390/jcdd10070269 - 23 Jun 2023
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Abstract
Aims: To compare (1) conventional left ventricular (LV) functional parameters, (2) LV peak strain and strain rate and (3) LV temporal strain and strain rate curves in age, ethnicity and sport-matched athletes with concentric, eccentric and normal LV geometry. Methods: Forty-five male athletes [...] Read more.
Aims: To compare (1) conventional left ventricular (LV) functional parameters, (2) LV peak strain and strain rate and (3) LV temporal strain and strain rate curves in age, ethnicity and sport-matched athletes with concentric, eccentric and normal LV geometry. Methods: Forty-five male athletes were categorised according to LV geometry including concentric remodelling/hypertrophy (CON), eccentric hypertrophy (ECC) or normal (NORM). Athletes were evaluated using conventional echocardiography and myocardial speck tracking, allowing the assessment of myocardial strain and strain rate; as well as twist mechanics. Results: Concentric remodelling was associated with an increased ejection fraction (EF) compared to normal geometry athletes (64% (48–78%) and 56% (50–65%), respectively; p < 0.04). No differences in peak myocardial strain or strain rate were present between LV geometry groups including global longitudinal strain (GLS; CON −16.9% (−14.9–20.6%); ECC −17.9% (−13.0–22.1%); NORM −16.9% (−12.8–19.4%)), global circumferential strain (GCS; CON −18.1% (−13.5–24.5%); ECC −18.7% (−15.6–22.4%); NORM −18.0% (−13.5–19.7%)), global radial strain (GRS; CON 42.2% (30.3–70.5%); ECC 50.0% (39.2–60.0%); NORM 40.6 (29.9–57.0%)) and twist (CON 14.9° (3.7–25.3°); ECC 12.5° (6.3–20.8°); NORM 13.2° (8.8–24.2°)). Concentric and eccentric remodelling was associated with alterations in temporal myocardial strain and strain rate as compared to normal geometry athletes. Conclusion: Physiological concentric and eccentric remodelling in the athletes heart is generally associated with normal LV function; with concentric remodelling associated with an increased EF. Physiological concentric and eccentric remodelling in the athletes heart has no effect on peak myocardial strain but superior deformation and untwisting is unmasked when assessing the temporal distribution. Full article
(This article belongs to the Special Issue Sports Cardiology in the Modern Era)
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