Exercise induces physiological cardiac remodeling, requiring sports cardiologists to distinguish these adaptations from pathological changes using a patient-centered, shared decision-making approach.
Cardiovascular conditions in athletes
Exercise
The role of the sports cardiologist has evolved into an essential component of the medical care of athletes. In addition to the improvement in health outcomes caused by reductions in cardiovascular risk, exercise results in adaptations in cardiovascular structure and function, termed exercise-induced cardiac remodeling. As diagnostic modalities have evolved over the last century, we have learned much about the healthy athletic adaptation that occurs with exercise. Sports cardiologists care for those with known or previously unknown cardiovascular conditions, distinguish findings on testing as physiological adaptation or pathological changes, and provide evidence-based and "best judgment" assessment of the risks of sports participation. We review the effects of exercise on the heart, the approach to common clinical scenarios in sports cardiology, and the importance of a patient/athlete-centered, shared decision-making approach in the care provided to athletes.
“The concept of the exercise paradox was revisited, in which habitual exercise lowers long-term CV risk yet vigorous exertion transiently increases the likelihood of acute CV events in those with underlying disease. Thus, clinicians were encouraged to move beyond assumptions of protection and to i...”
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Matthew W. Martinez
Jonathan H. Kim
Ankit B. Shah
Journal of the American College of Cardiology
University of Pennsylvania
Massachusetts General Hospital
The University of Texas Southwestern Medical Center
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Martinez et al. (Mon,) conducted a review in Cardiovascular conditions in athletes. Exercise was evaluated. Exercise induces physiological cardiac remodeling, requiring sports cardiologists to distinguish these adaptations from pathological changes using a patient-centered, shared decision-making approach.
www.synapsesocial.com/papers/69e7959b8a4862ceef5c8de2 — DOI: https://doi.org/10.1016/j.jacc.2021.08.003
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