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Prevalence of cardiovascular pathology in athletes

https://doi.org/10.47529/2223-2524.2024.4.2

Abstract

Purpose of the study: the purpose of the study was to identify and find out the prevalence of cardiovascular pathology, as well as changes in the cardiovascular system that require monitoring and correction, in athletes of various skill levels.

Materials and methods: we evaluated athletes — Moscow national team members who were underwent an in-depth medical examination during six years (2017–2022) in the department No. 1 (Sports Medicine Clinic) of the Moscow Centre for Research and Practice in Medical Rehabilitation, Restorative and Sports Medicine.

Results: the prevalence of cardiovascular diseases among the athletes was about 6 % with no signs of rising in 6 years follow up period. We also noted changes in cardiac diseases structure during the period 2017–2022. There were 1.93 % of high sudden cardiac death risk athletes who needed a deep additional investigation; 0.07 % of athletes were not permitted to sports.

Conclusion: in-depth functional cardiovascular system assessment in athletes is very important to prevent life-threatening conditions and cases of sudden death.

About the Authors

Viktoriya A. Badtieva
Moscow Centre for Research and Practice in Medical Rehabilitation, Restorative and Sports Medicine named after S.I. Spasokukotsky of Moscow Healthcare Department; I.M. Sechenov First Moscow State Medical University of the Ministry of Health of Russia (Sechenov University)
Russian Federation

Viktoriya A. Badtieva, M.D., D.Sc. (Medicine), Professor, Corresponding Member of the Russian Academy of Sciences, Head of Department No. 1, Head of the Department of Sports Medicine and Clinical Pharmacology; Professor of the Department of Restorative Medicine, Rehabilitation and Balneology, 

53, Zemlyanoy Val, Moscow, 105120;

8, Trubetskaya, Moscow, 119991.



Nino V. Sichinava
Moscow Centre for Research and Practice in Medical Rehabilitation, Restorative and Sports Medicine named after S.I. Spasokukotsky of Moscow Healthcare Department
Russian Federation

Nino V. Sichinava, M.D., D.Sc. (Medicine), Professor, Deputy Head of Branch No. 1, Chief Researcher of the Department of Sports Medicine and Clinical Pharmacology,

53, Zemlyanoy Val, Moscow, 105120.



Nataliya V. Trukhacheva
Moscow Centre for Research and Practice in Medical Rehabilitation, Restorative and Sports Medicine named after S.I. Spasokukotsky of Moscow Healthcare Department
Russian Federation

Nataliya V. Trukhacheva, M.D., Ph.D. (Medicine), Head of the department of chargeable medical services, Senior Researcher of the Department of Sports Medicine and Clinical Pharmacology,

53,  Zemlyanoy Val, Moscow, 105120.



Yuliya M. Ivanova
Moscow Centre for Research and Practice in Medical Rehabilitation, Restorative and Sports Medicine named after S.I. Spasokukotsky of Moscow Healthcare Department
Russian Federation

Yuliya M. Ivanova, M.D., Ph.D. (Medicine), functional diagnostics doctor, Senior Researcher of the Department of Sports Medicine and Clinical Pharmacology,

53, Zemlyanoy Val, Moscow, 105120.



Vladimir I. Pavlov
Moscow Centre for Research and Practice in Medical Rehabilitation, Restorative and Sports Medicine named after S.I. Spasokukotsky of Moscow Healthcare Department
Russian Federation

Vladimir I. Pavlov, M.D., D.Sc. (Medicine), Professor, Head of Functional Diagnostics Department, Leading Researcher of the Department of Sports Medicine and Clinical Pharmacology,

53, Zemlyanoy Val, Moscow, 105120.



Aleksandr S. Sharykin
Moscow Centre for Research and Practice in Medical Rehabilitation, Restorative and Sports Medicine named after S.I. Spasokukotsky of Moscow Healthcare Department
Russian Federation

Aleksandr S. Sharykin, M.D., D.Sc. (Medicine), Professor, cardiologist in Sports Medicine and Clinical Pharmacology,

53, Zemlyanoy Val, Moscow, 105120.



Zalina G. Sugarova
Moscow Centre for Research and Practice in Medical Rehabilitation, Restorative and Sports Medicine named after S.I. Spasokukotsky of Moscow Healthcare Department
Russian Federation

Zalina G. Sugarova, M.D., Ph.D. (Medicine), cardiologist, researcher of the Department of Sports Medicine and Clinical Pharmacology,

53, Zemlyanoy Val, Moscow, 105120.



Viktoriya A. Kulikova
Moscow Centre for Research and Practice in Medical Rehabilitation, Restorative and Sports Medicine named after S.I. Spasokukotsky of Moscow Healthcare Department
Russian Federation

Viktoriya A. Kulikova, M.D., Ph.D. (Medicine), Senior Researcher of the Department of Sports Medicine and Clinical Pharmacology,

53 Zemlyanoy Val, Moscow, 105120.



Damir M. Usmanov
Moscow Centre for Research and Practice in Medical Rehabilitation, Restorative and Sports Medicine named after S.I. Spasokukotsky of Moscow Healthcare Department; Federal Research and Clinical Center of Medical Rehabilitation and Balneology of Federal Medical and Biological Agency
Russian Federation

Damir M. Usmanov, Sports Medicine Doctor, Department of Medical Support for Sports Teams and Competitions; Postgraduate Student, 

5, Bolshaya Dorogomilivskaya str., Moscow,121059;

53, building 1, Zemlyanoy Val, Moscow, 105120.



References

1. Pelliccia A., Sharma S., Gati S., Bäck M., Börjesson M., Caselli S., et al.; ESC Scientific Document Group. 2020 ESC Guidelines on sports cardiology and exercise in patients with cardiovascular disease. Eur. Heart. J. 2021;42(1):17–96. https://doi.org/10.1093/eurheartj/ehaa605

2. Corrado D., Basso C., Pavei A., Michieli P., Schiavon M., Thiene G. Trends in sudden cardiovascular death in young competitive athletes after implementation of a preparticipation screening program. JAMA. 2006;296(13):1593–1601. https://doi.org/10.1001/jama.296.13.1593

3. Balykova L.A., Ivyansky S.A., Shirokova А.А., Shchyokina N.V., Kalabkin N.А. Modern approaches and opportunities for the evaluation of cardiovascular system in childhood sports. Cardiovascular Therapy and Prevention. 2015;14(5):53–59. (In Russ.) https://doi.org/10.15829/1728-8800-2015-5-53-59

4. Kornyakova V.V., Badtieva V.A., Balandin M.Yu., Ashvits I.V. The problem of physical fatigue in sports. Man. Sport. Medicine. 2019;19(4):142–149. (In Russ.) https://doi.org/10.14529/hsm190417

5. Kornyakova V.V., Badtieva V.A., Konvay V.D. Functional readiness of athletes in cyclic sports. Man. Sport. Medicine. 2020;20(1):128–134. (In Russ.) https://doi.org/10.14529/hsm200116

6. Risgaard B., Tfelt-Hansen J., Winkel B.G. Sports-related sudden cardiac death: How to prove an effect of preparticipation screening? Heart Rhythm. 2016;13(7):1560–1562. https://doi.org/10.1016/j.hrthm.2016.03.043

7. Petek B.J., Baggish A.L. Current controversies in pre-participation cardiovascular screening for young competitive athletes. Expert Rev. Cardiovasc. Ther. 2020;18(7):435–442. https://doi.org/10.1080/14779072.2020.1787154

8. Alpert J.S. Does Resting or Exercise Electrocardiography Assist Clinicians in Preventing Cardiovascular Events in Asymptomatic Adults? JAMA Cardiol. 2018;3(8):678–679. https://doi.org/10.1001/jamacardio.2018.1800

9. Steinvil A., Chundadze T., Zeltser D., Rogowski O., Halkin A., Galily Y., Perluk H., Viskin S. Mandatory electrocardiographic screening of athletes to reduce their risk for sudden death proven fact or wishful thinking? J. Am. Coll. Cardiol. 2011;57(11):1291–1296. https://doi.org/10.1016/j.acc.2010.10.037

10. Orchard J.J., Orchard J.W., La Gerche A., Semsarian C. Cardiac screening of athletes: consensus needed for clinicians on indications for follow-up echocardiography testing. Br. J. Sports Med. 2020;54(15):936–938. https://doi.org/10.1136/bjsports-2019-101916

11. Liu H.W.,Huang L.W.,Chiu S.N.,Lue H.C.,Wu M.H.,Chen M.R., Wang J.K. Cardiac Screening for High Risk Sudden Cardiac Death in School-Aged Children. Acta Cardiol. Sin. 2020;36(6):641–648. https://doi.org/10.6515/ACS.202011_36(6).20200515A

12. European Society of Cardiology. Even Olympic athletes have cardiac abnormalities and may be at risk of cardiovascular disease [internet]; 15 May 2015. Available at: https://www.escardio.org/The-ESC/Press-Office/Press-releases/Even-Olympic-athleteshave-cardiac-abnormalities-and-may-be-at-risk-of-cardiovas (accessed 15 May 2015).

13. Badtieva V.A., Tenyaeva E.A., Sichinava N.V., Turova E.A., Trukhacheva N.N., Afonina V.I., et al. Analysis of the dynamics and structure of morbidity of athletes of the national teams of Moscow based on the results of medical examination. Sports medicine: research and practice. 2022;12(2):22–31. (In Russ.) https://doi.org/10.47529/2223-2524.2022.2.1

14. Drezner J.A., Sharma S., Baggish A., Papadakis M., Wilson M.G., Prutkin J.M., et al. International criteria for electrocardiographic interpretation in athletes: Consensus statement. Br. J. Sports Med. 2017;51(9):704–731. https://doi.org/10.1136/bjsports-2016-097331

15. Deev V.V. Clinical and physiological features of arterial hypertension in athletes [dissertation]. Moscow; 2021. (In Russ.)

16. Vakhnenko Yu.V., Dorovskikh I.E., Gordienko E.N., Chernykh M.A. Some topical aspects of the problem of «sports heart» (review). Part I. Bulletin Physiology and Pathology of Respiration. 2020;(78):147–160. (In Russ.)

17. Bondarev S.A., Achkasov E.E., Smirnov V.V., Shishkin A.N., Khudyakova N.V., Rybka T.G. Hypertension and other risk factors of atrial fibrillation in athletes. Arterial’naya Gipertenziya = Arterial Hypertension. 2020;26(4):362–370. (In Russ.). https://doi.org/10.18705/1607-419X-2020-26-4-362-370

18. Vessella T., Alessandro Z., Laura M., Cinzia P., Flaviano G., Michele T., et al. The Italian preparticipation evaluation programme: diagnostic yield, rate of disqualification and cost analysis. Br. J. Sports Med. 2019;54(4):231–237. https://doi.org/10.1136/bjsports-2018-100293

19. McKinney J., Lithwick D.J., Morrison B.N., Nazzari H., Luong M., Fordyce C.B., et al. Detecting Underlying Cardiovascular Disease in Young Competitive Athletes. Can. J. Cardiol. 2017;33(1):155–161. https://doi.org/10.1016/j.cjca.2016.06.007

20. Dhutia H., Malhotra A., Gabus V., Merghani A., Finocchiaro G., Millar L., et al. Cost Implications of Using Different ECG Criteria for Screening Young Athletes in the United Kingdom. J. Am. Coll. Cardiol. 2016;68(7):702–711. https://doi.org/10.1016/j.jacc.2016.05.076

21. Riding N.R., Sheikh N., Adamuz C., Watt V., Farooq A., Whyte G.P., et al. Comparison of three current sets of electrocardiographic interpretation criteria for use in screening athletes. Heart. 2015;101(5):384–390. https://doi.org/10.1136/heartjnl-2014-306437


Review

For citations:


Badtieva V.A., Sichinava N.V., Trukhacheva N.V., Ivanova Yu.M., Pavlov V.I., Sharykin A.S., Sugarova Z.G., Kulikova V.A., Usmanov D.M. Prevalence of cardiovascular pathology in athletes. Sports medicine: research and practice. 2024;14(4):21-32. (In Russ.) https://doi.org/10.47529/2223-2524.2024.4.2

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