Document Detail


Assessment and management of atherosclerosis in the athletic patient.
MedLine Citation:
PMID:  22386292     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Many patients and physicians correctly associate physical activity with reduced cardiovascular morbidity and mortality. Vigorous physical exertion is paradoxically associated with a transient increase in the risk of cardiovascular events and sudden cardiac death. This review extrapolates data from the general population to the management of athletes with symptoms suspicious for coronary artery disease or with prior cardiac events. A history to elicit an athlete's concerns and symptoms combined with a physical examination should guide the decision for preparticipation exercise testing for athletes without prior cardiac events. Athletes with established coronary artery disease should receive aggressive secondary prevention regimens, with special attention to adverse effects that may be unique to this group. There may be benefit in taking time away from competitive athletics to allow for stabilization of coronary artery disease with cholesterol-lowering therapy and, therefore, reduction of future risk. Exercise testing is important for defining risk before the return to participation for athletes who have sustained a cardiac event. Many athletes will ultimately be able to return to full participation provided they have received aggressive therapy and understand the residual risk associated with vigorous physical exertion in the setting of coronary artery disease.
Authors:
Matthew W Parker; Paul D Thompson
Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Progress in cardiovascular diseases     Volume:  54     ISSN:  1873-1740     ISO Abbreviation:  Prog Cardiovasc Dis     Publication Date:    2012 Mar-Apr
Date Detail:
Created Date:  2012-03-05     Completed Date:  2012-04-23     Revised Date:  2013-05-02    
Medline Journal Info:
Nlm Unique ID:  0376442     Medline TA:  Prog Cardiovasc Dis     Country:  United States    
Other Details:
Languages:  eng     Pagination:  416-22     Citation Subset:  AIM; IM    
Copyright Information:
Copyright © 2012 Elsevier Inc. All rights reserved.
Affiliation:
Henry Low Division of Cardiology, Hartford Hospital, Hartford, CT 06102, USA.
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MeSH Terms
Descriptor/Qualifier:
Athletes*
Coronary Artery Disease / complications,  diagnosis*,  physiopathology,  therapy*
Death, Sudden, Cardiac / etiology,  prevention & control
Exercise*
Exercise Tolerance
Humans
Physical Endurance
Practice Guidelines as Topic
Predictive Value of Tests
Prognosis
Risk Assessment
Risk Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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