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Following the structure and format of the ESC core syllabus, this text introduces key concepts in the field of cardiovascular medicine.
There is a massive war being waged around planet Earth right now. Millions of innocent men, women, children and babies are dying or suffering. The enemy causing all this death and destruction is Heart Disease. But out of the ashes rises phoenix-like a new breed of Superhero. You see Heart Disease made a fatal mistake. It left some survivors who are now seeking their revenge. These real life superheroes are CARDIAC ATHLETES. Read their stories, listen to their wise words, follow their examples and protect yourself and the lives of all your loved ones from this pernicious enemy.
The unexpected death of an athlete during exercise is a tragic irony - albeit with a history dating back to Pheldippides, who collapsed after his original Marathon run. We are more apt to consider vigorous exercise as a protective measure against cardiovascular events and not as a triggering mechanism for them. The relative rarity of such episodes makes the screening of those at risk even more of a challenge. This challenge is well met in this unique text, the first to deal specifically, authoritatively, and comprehensively with the issues of prediction and prevention of sudden cardiac death in the athlete. Many of the underlying cardiovascular diseases that put athletes at risk are identified and explained, including: hypertrophic cardiomyopathy arrhythmogenic right venticular dysplasia Wolff-Parkinson-White Syndrome anomalous origin of the coronary arteries inherited long QT syndromes The screening guidelines are of particular value, as are the recommendations regarding the participation of athletes with cardiovascular disease. Beyond its clinical scope, the editors have incorporated current information in epidemiology, cardiovascular pathophysiology, and the many vexing legal and ethical issues. With its in-depth, multi-faceted approach and prominent contributors, Sudden Cardiac Death in the Athlete is sure to be a much welcomed reference for sports medicine and team physicians, athletic directors and trainers, family practitioners, pediatricians, and cardiologists.
Too much exercise can kill you. The Haywire Heart is the first book to examine heart conditions in athletes. Intended for anyone who competes in endurance sports like cycling, triathlon, running races of all distances, and cross-country skiing, The Haywire Heart presents the evidence that going too hard or too long can damage your heart forever. You’ll find what to watch out for, what to do about it, and how to protect your heart so you can enjoy the sports you love for years to come. The Haywire Heart shares the developing research into a group of conditions known as “athlete’s heart”, starting with a wide-ranging look at the warning signs, symptoms, and how to recognize your potential risk. Leading cardiac electrophysiologist and masters athlete Dr. John Mandrola explores the prevention and treatment of heart conditions in athletes like arrhythmia, atrial fibrillation and flutter, tachycardia, hypertrophy, and coronary artery disease. He reviews new research about exercise intensity and duration, recovery, inflammation and calcification, and the ways athletes inflict lasting harm. These heart problems are appearing with alarming frequency among masters athletes who are pushing their bodies harder than ever in the hope that exercise will keep them healthy and strong into their senior years. The book is complete with gripping case studies of elite and age-group athletes from journalist Chris Caselike the scary condition that nearly killed cyclist and coauthor Lennard Zinnand includes a frank discussion of exercise addiction and the mental habits that prevent athletes from seeking medical help when they need it. Dr. Mandrola explains why many doctors misdiagnose heart conditions in athletes and offers an invaluable guide on how to talk with your doctor about your condition and its proven treatments. He covers known heart irritants, training and rest modifications, effective medicines, and safe supplements that can reduce the likelihood of heart damage from exercise. Heart conditions affect hardcore athletes as well as those who take up sports seeking better health and weight loss. The Haywire Heart is a groundbreaking and critically important guide to heart care for athletes. By protecting your heart now and watching for the warning signs, you can avoid crippling heart conditions and continue to exercise and compete for years to come.
Providing a critical update and review of salient topics needed for the proper cardiac evaluation and care of athletes, this text is designed to be the most up-to-date and practical manual for all health care providers who evaluate and treat athletes, including sports cardiologists, general cardiologists, sports medicine specialists, team doctors and athletic trainers. The book is divided into three key sections. The first section ​discusses essential topics pertaining to the pre-participation cardiac screening of athletes, providing a framework for how best to perform pre-participation cardiac evaluations and optimize the interpret​at​ion of cardiac screening test results, and ​a guide to ​assist the streamlining of appropriate downstream testing ​when required. The second section reviews the management and care of athletes with specific, existing cardiovascular disorders, providing the reader with fundamental principles to help recognize and advise levels of sport participation to athletes with these disorders. The final section deals with acute sideline management of the symptomatic athlete and will again provide practical algorithms for cardiologists and non-cardiologists alike who are responsible for athlete health and safety in the sports arenas and training facilities. Written and edited by highly regarded experts in the field of sports cardiology, including several cardiologists who are collegiate and professional team physicians and who work with professional sports organizations on developing policies for cardiac screening and monitoring, Sports Cardiology is an excellent practical resource for all clinicians working in the field.
Chapter 8 Cardiovascular Screening for the Prevention of Sudden Cardiac Death in AthletesIntroduction; The Risk of Sudden Death in Athletes; Rationale for Screening Competitive Athletes; The Screening Programmes Implemented in Italy; Rationale for Including a 12-Lead ECG in the PPE ; Efficacy of Screening to Identify Cardiac Disease Risk; Impact of the Screening Programme on Cardiac Mortality; Costs of Systematic Screening across Italy; Limitations of Screening Programmes; Conclusion; References
Cardiac problems in athletic individuals are rare, but when they occur can be devastating. This book provides a definitive review of current practice and thinking surrounding the often difficult and life-changing practice of sports cardiology. Topics which remain a challenge for practitioners, athletes and families are investigated, including cardiovascular screening, exercise participation prescription, and prevention strategies for sudden cardiac arrest. Also given are guidelines for diagnosis, management and prevention of specific cardiac illnesses.This second edition includes new information on a number of key issues surrounding modern sports and cardiology, including the athlete at altitude, heat stress in athletes, exercise aspects of swimming and diving and ergogenics in the cardiac care of athletes. Additionally, further details are given on new research related to sports and exercise for individuals with implantable cardioverter defibrillators, advanced echocardiography in athletes and non-compaction cardiomyopathy.Building on the first edition, Exercise and Sports Cardiology (2nd Edition) provides cardiologists, physicians, coaches, trainers and medical students and researchers with a comprehensive go-to reference for modern day concerns in the expanding field of sports cardiology research and treatment.
This textbook provides a comprehensive, yet practically orientated overview of classic and novel sports cardiology topics, based on current evidence, guidelines, recommendations and expert experience. Numerous publications have provided guidance to these issues, but it has become increasingly difficult for both students and doctors to obtain a thorough, but practicable overview for optimal clinical care of athletes and patients. This book is intended as an educational work, filling the large gaps that are still present in the current educational guidelines for medical students and cardiology trainees. Textbook of Sports and Exercise Cardiology differs from other sports cardiology books by focusing on clear, practical recommendations based on the latest evidence, primarily targeting those who seek professional background information and education that can easily be transferred into everyday care.
This book presents an invaluable symptoms-based approach to sports cardiology for sports medicine physicians, primary care physicians, and cardiologists. Edited by an authority in the field, the text offers sought-after insight on the cardiac health of athletes. Case studies are featured throughout to further understanding and the integration of concepts into daily practice. With contributions by both sports medicine physicians and cardiologists, this timely book bridges the gap between disciplines and is an unparalleled resource for those looking to effectively manage the cardiac health of active patients.
In the network of cardiologists within the European Society of Cardiology Working Group on Cardiac Rehabilitation and Exercise Physiology there is a strong view that the time indeed is right to publish definitively on the methods involved in cardiovascular prevention and rehabilitation. We are facing a transition from conventional cardiac rehabilitation to a phase of combined preventive and rehabilitative efforts, as witnessed in the recent Joint Task Force Guidelines on Preventive Cardiology. For this revision of our clinical routines we lack a practical textbook, based upon the conditions and resources of European health care. This textbook is designed to fill that gap.