Potential role of an athlete-focused echocardiogram in sports eligibility  

作　　者：Stefano Palermi Alessandro Serio Marco Vecchiato Felice Sirico Francesco Gambardella Fabrizio Ricci Franco Iodice Juri Radmilovic Vincenzo Russo Antonello D'Andrea 

机构地区：[1]Department,University of Naples Federico II,Naples 80131,Italy [2]Sport and Exercise Medicine Division,Department of Medicine,University Hospital of Padova,Padova 35128,Italy [3]Department of Neuroscience,Imaging and Clinical Sciences,“G.d’Annunzio”University of Chieti-Pescara,Chieti 66100,Italy [4]Department of Clinical Sciences,Faculty of Medicine,Lund University,Clinical Research Center,Malmö21428,Sweden [5]Casa di Cura Villa Serena,Pescara 65013,Italy [6]Unit of Cardiology,Department of Translational Medical Sciences,University of Campania“Luigi Vanvitelli”,Monaldi Hospital,Naples 80131,Italy [7]Unit of Cardiology and Intensive Coronary Care,“Umberto I”Hospital,Nocera Inferiore 84014,Italy

出　　处：《World Journal of Cardiology》2021年第8期271-297,共27页世界心脏病学杂志（英文版）（电子版）

摘　　要：Sudden cardiac death(SCD)of an athlete is a rare but tragic event and sport activity might play a trigger role in athletes with underlying structural or electrical heart diseases.Preparticipation screenings(PPs)have been conceived for the potential to prevent SCD in young athletes by early identification of cardiac diseases.The European Society of Cardiology protocol for PPs includes history collection,physical examination and baseline electrocardiogram,while further examinations are reserved to individuals with abnormalities at first-line evaluation.Nevertheless,transthoracic echocardiography has been hypothesized to have a primary role in the PPs.This review aims to describe how to approach an athlete-focused echocardiogram,highlighting what is crucial to focus on for the different diseases(cardiomyopathies,valvulopathies,congenital heart disease,myocarditis and pericarditis)and when is needed to pay attention to overlap diagnostic zone(“grey zone”)with the athlete's heart.Once properly tested,focused echocardiography by sports medicine physicians may become standard practice in larger screening practices,potentially available during first-line evaluation.

关 键 词：ECHOCARDIOGRAM ATHLETES Sport eligibility Pre-participation screening Sudden cardiac death Sport cardiology 

分 类 号：R540.45[医药卫生—心血管疾病] R541[医药卫生—内科学]