Document Detail


Past, present and future of arterial endofibrosis in athletes: a point of view.
MedLine Citation:
PMID:  15233595     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Exercise-induced arterial endofibrosis (EIAE) is now a 20-year-old concept. Initially observed in highly trained cyclists, it has been found in many other male and female endurance athletes. Most stenoses are located on the first centimetres of the external iliac artery but other localisation may be found. The disease is defined by specific histological findings showing fibrosis of the intimal and medial wall of the artery. Ankle pressure measurement plays a key role in the diagnosis of EIAE provided that the exercise tests reproduce symptoms and are performed with the subject being highly trained, and that pressure measurements are performed early following exercise. Various cut-off values have been proposed in the literature. Magnetic resonance imaging or arteriography or ultrasound imaging should be performed by trained operators only. Surgical 'endofibrosectomy' is preferable in young cyclists generally associated with a saphenous enlargement patch. We do not recommend angioplasty. Athletes are generally allowed to return to competition within 3-4 months following surgery. Many unanswered questions remain, specifically about the pathophysiology of this disease. Mechanical and pressure strain play a central role in the development of EIEA, but nutritional and haemorrheological factors, hormonal changes and a genetic predisposition are likely to contribute. New techniques could facilitate the diagnosis of EIAE.
Authors:
Pierre Abraham; Philippe Bouyé; Isabelle Quéré; Jean-Michel Chevalier; Jean-Louis Saumet
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Sports medicine (Auckland, N.Z.)     Volume:  34     ISSN:  0112-1642     ISO Abbreviation:  Sports Med     Publication Date:  2004  
Date Detail:
Created Date:  2004-07-05     Completed Date:  2004-12-02     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8412297     Medline TA:  Sports Med     Country:  New Zealand    
Other Details:
Languages:  eng     Pagination:  419-25     Citation Subset:  IM    
Affiliation:
Laboratory for Vascular Investigations and Sports Medicine, University Hospital, Angers, France. piabraham@chu-angers.fr
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MeSH Terms
Descriptor/Qualifier:
Angiography
Blood Pressure
Exercise
Fibrosis
Forecasting
Humans
Iliac Artery / pathology*,  physiopathology
Magnetic Resonance Imaging
Sports*
Sports Medicine / trends*

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


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