Possibilities of echocardiographic screening in athletes. Part 2. Structural changes of the heart
https://doi.org/10.47529/2223-2524.2023.1.11
Abstract
Objective: to assess the suitability of existing domestic and international recommendations and standards for the use of echocardiography as a screening technique for examining athletes with various diseases.
Materials and methods: a meta‑analysis of 59 domestic and foreign literature sources based on the results of an echocardiographic examination of athletes was carried out. The indicators of 2647 male athletes aged 16 to 45 years old, playing for the national teams of the city of Moscow and having passed an in‑depth medical examination at the Sports Medicine Clinic, were studied.
Results: screening echocardiography sufficiently reveals structural deviations of the heart of athletes from population norms, including congenital or acquired pathologies that cause both sudden death and general morbidity compared with a healthy population.
Conclusion: in order to speed up and reduce the cost of the examination of athletes, it is appropriate to use the primary screening, and if necessary, an in‑depth examination. In this case, it is advisable to distinguish three diagnostic stages that determine the danger or admissibility of playing sports: (A) — the risk of developing complications, (B) — the presence of structural changes in the heart, and (C) — the appearance of clinical symptoms.
About the Authors
A. S. Sharykin
Moscow Scientific and Practical Center for Medical Rehabilitation and Sports Medicine; Federal Research and Clinical Center of Sports Medicine and Rehabilitation of Federal Medical Biological Agency; Pirogov Russian National Research Medical University
Russian Federation
Russian Federation
Alexander S. Sharykin, MD, D.Sc. (Medicine), Professor of the Department of Hospital Pediatrics
1 Ostrovityanova str., Moscow, 117997
V. A. Badtieva
Moscow Scientific and Practical Center for Medical Rehabilitation and Sports Medicine;
Sechenov First Moscow State Medical University
Russian Federation
Russian Federation
Viktoria A. Badtieva, corresponding member of the RAS, M.D., D.Sc. (Medicine), Professor, Head of Branch No. 1, Restorative and Sports Medicine of the Moscow Department of Healthcare, Head of the Department of Sports Medicine and Clinical Pharmacology; Professor of the Department of Restorative Medicine, Rehabilitation and Balneology
53 Zemlyanoy Val str., Moscow, 105120
62/1 Leninsky ave., Moscow, 119296
Iu. M. Ivanova
Moscow Scientific and Practical Center for Medical Rehabilitation and Sports Medicine
Russian Federation
Russian Federation
Iuliia M. Ivanova, M.D., Ph.D. (Medicine), doctor of functional diagnostics, Department of Functional Diagnostics and Sports Medicine, Branch No. 1, Restorative and Sports Medicine of the Moscow Department of Healthcare, Head of the Department of Sports Medicine and Clinical Pharmacology
53 Zemlyanoy Val str., Moscow, 105120
D. M. Usmanov
Federal Research and Clinical Center of Sports Medicine and Rehabilitation of Federal Medical Biological Agency
Russian Federation
Russian Federation
Dmitriy M. Usmanov, doctor of sports medicine, Department of medical support for sports teams and competitions
5 Bolshaya Dorogomilivskaya str., Moscow, 121059
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Sharykin A.S., Badtieva V.A., Ivanova I.M., Usmanov D.M. Possibilities of echocardiographic screening in athletes. Part 2. Structural changes of the heart. Sports medicine: research and practice. 2023;13(1):5-20. (In Russ.) https://doi.org/10.47529/2223-2524.2023.1.11
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