IOC MANUAL OF SPORTS CARDIOLOGY

Description

For thepracticing sports medicine physician at the front line of sports cardiology,this comprehensive and authoritative resource provides a centralized source ofinformation which addresses this important topic in an accessible manner. Thisbook recognises the broad role sports physicians play, from liaison betweenathlete, family, specialist, and coaching staff based on the identification ofpathological heart disease, to being first to respond when an athletecollapses. The chapters include basic science of disease and disorders, pathophysiology, diagnosis, the effect or role of exercise,and clinical management guidance.

Provides acomprehensive and authoritative overview on all aspects of sports cardiology

Addressescardiac abnormalities confronting Olympic athletes, Paralympicathletes, as well as athletes competing on all other levels of competition

Endorsed bythe Medical Commission of the International Olympic Committee (IOC)

Written andedited by global thought leaders in sports medicine

Table of Contents

Contributors,x

Foreword,xiii

Preface,xiv

PART 1 The Cardiovascular System 1

1 Anatomyand Physiology of the Heart 3
Keith P. George and Nathan Riding

2 TheVascular System 13
N. Tim Cable

3 EnergyProduction Pathways During Exercise 21
Sébastien Racinaisand Stéphane Perrey

4Cardiovascular Responses to Exercise 32
Julien D. Périard

5 TheAthletes Heart: Impact of Age, Sex, Ethnicity and Sporting Discipline 43
Tracey Keteepe ]Arachi and NabeelSheikh

6 Physical Activity in the Prevention and Management of AtheroscleroticDisease 53
John P. Buckley

PART 2Preventing Sudden Cardiac Death in Athletes 63

7 Incidence and Aetiology of Sudden Cardiac Death in Athletes65
Kimberly G. Harmon

8 CardiovascularScreening for the Prevention of Sudden Cardiac Death in Athletes 74
Antonio Pelliccia and DomenicoCorrado

9Comparison of Pre ]participation Evaluations forAssessing Cardiovascular Risk in Athletes 82
Ramy S. Abdelfattahand Mathew G. Wilson

10 Normal Electrocardiographic Findings in Athletes 95
Mathew G. Wilson and Victoria Watt

11 AbnormalElectrocardiographic Findings in Athletes: Recognising Changes Suggestive of Cardiomyopathy 104
Gherardo Finocchiaroand Michael Papadakis

12 AbnormalElectrocardiographic Findings in Athletes: Recognising Changes Suggestive ofPrimary Electrical Disease 114
Jordan Prutkin

13Effective Echocardiographic Assessment of theAthlete: Basic Examination to Advanced Imaging Techniques 128
David Oxborough

14 Early Repolarisation in Athletes 147
Greg Mellor and Elijah R. Behr

15 Clinical(Laboratory) Exercise Testing 153
Jonathan Myers and Victor Froelicher

16 The Roleof Cardiovascular Magnetic Resonance in the Assessment of Athletes 163
Rory OHanlon

17 GeneticTesting for Cardiovascular Conditions Predisposing to Sudden Death 175
Colleen Caleshu and EuanAshley

PART 3Cardiac Conditions Predisposing to Sudden Cardiac Death 187

Section1: Introduction 189

18 Causesof Sudden Cardiac Death in Sport: The Importance of Autopsy and SpecialistExamination of the Heart 191
Mary N. Sheppard

Section2: Inherited and Congenital Cardiovascular Pathologies 203

19Hypertrophic Cardiomyopathy 205
David S. Owens

20 Arrhythmogenic Right Ventricular Cardiomyopathy217
Alessandro Zorzi and DomenicoCorrado

21 Dilated Cardiomyopathy, Left Ventricular Hypertrabeculationand Noncompaction 231
Sabiha Gati andSanjay Sharma

22 Marfan Syndrome and Aortopathies 240
Anne H. Child and Bethan Davies

23 Valvular Disease 247
Kathleen E. Kearneyand Catherine M. Otto

24Congenital Heart Disease 263
Guido E. Pieles and A. Graham Stuart

25Congenital Coronary Artery Anomalies 275
Cristina Basso and Gaetano Thiene

Section3: Ion Channelopathies, Accessory Pathways andElectrical Disease 287

26 Long QTSyndrome 289
David J. Tester and Michael J. Ackerman

27 Brugada Syndrome303
Elena Arbelo and Josep Brugada

28WolffParkinsonWhite Syndrome 315
Jack C. Salerno

29 Catecholaminergic Polymorphic Ventricular Tachycardia 324
Leonie C.H. Wong and Elijah R. Behr

30 Idiopathic Ventricular Tachycardia/VentricularFibrillation 331
André La Gerche

Section4: Acquired Disorders 341

31 Commotio Cordis 343
Christopher Madias and Mark S. Link

32 Myocarditis 350
Jeffrey A. Towbin

Section5: Other Causes of Sudden Death 359

33Alternative Noncardiac Medical Causes of SuddenDeath: Sickle ]Cell Trait, ExertionalHeatstroke, Exercise Rhabdomyolysis, Asthma andExtreme Environmental Conditions 361
Juan Manuel Alonsoand Paul Dijkstra

PART 4 Cardiovascular Management 371

34Guidelines for Sports Practice in Athletes with Cardiovascular Disease 373
Andrew DSilva and Sanjay Sharma

35 Management of the Symptomatic Athlete 385
Meagan M. Wasfy and Aaron L. Baggish

36 Management of Abnormal Physical Examination Findings in Athletes 395
Victoria Watt, Mats Börjesson and Mikael Dellborg

37Management of Atrial Fibrillation in Athletes 406
Eduard Guasch and LluisMont

38Implantable Cardioverter ]Defibrillators in Athletes 415
Victoria Watt

39Management of Hypertension in Athletes 427
Maria ]Carmen Adamuz

PART 5Conundrums in Sports Cardiology 439

40Distinguishing Physiological Left Ventricular Hypertrophy from Hypertrophic Cardiomyopathy in Athletes 441
Aneil Malhotraand Sanjay Sharma

41Screening for Cardiovascular Disease in the Older Athlete 449
Mats Börjesson

42 Is Ultra ]Endurance Exercise Damaging to the Right Ventricle? 457
Guido Claessen and Hein Heidbuchel

43 ClinicalImplications of Performance ]Enhancing Drugs forCardiovascular Health 468
Peter J. Angell and Yorck O. Schumacher

44Cardiovascular Concerns in the Paralympic Athlete 475
Cindy J. Chang and Suzy Kim

PART 6Emergency Cardiac Care 483

45 EmergencyCardiac Care in the Athletic Setting: From SchoolSports to the Olympic Arena 485
Efraim Kramer and Martin Botha

PART 7Sports Cardiology Training 493

46Recommendations for Sports Cardiology Training for the Sports MedicinePhysician 495
Irfan M. Asif andJonathan A. Drezner

Index, 503