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Cardiology1690 papers

Athlete's heart

Last edited: 4/16/2026

Overview

Athlete's heart refers to physiological cardiac adaptations observed in athletes due to chronic, intense training, characterized by structural and functional changes distinct from pathological conditions. These adaptations typically include left ventricular hypertrophy, increased chamber volumes, and sometimes arrhythmias, which are generally benign and reversible upon cessation of training. 93069

Diagnosis

  • Key Diagnostic Criteria: Echocardiographic findings such as left ventricular hypertrophy, increased left ventricular end-diastolic volume, and potentially prolonged QT intervals.
  • Recommended Tests: Echocardiography is essential for evaluating cardiac structure and function. 3069
  • Grading: No standardized grading system exists; clinical judgment based on echocardiographic parameters and clinical context is crucial. 69
  • Management

  • First-Line: Regular monitoring through periodic health evaluations (PHEs) to assess cardiac adaptations and identify any potential issues early. 1
  • Adjunctive Treatments: Specific pharmacological interventions are generally not required unless secondary conditions arise (e.g., arrhythmias). 18
  • Nutritional Guidance: Tailored nutrition plans to optimize performance and recovery, emphasizing balanced intake and hydration. 3844
  • Special Populations

  • Pediatrics: Regular echocardiographic monitoring during growth and training phases to track adaptive changes safely. 30
  • Elderly Athletes: Increased vigilance for underlying cardiovascular conditions that may complicate adaptive changes; tailored PHEs are recommended. 1
  • Comorbidities: Athletes with existing cardiovascular conditions require individualized assessment and management plans, possibly involving more frequent medical evaluations. 118
  • Key Recommendations

  • Conduct periodic health evaluations (PHEs) to monitor athletes' cardiovascular adaptations and overall health status. (Evidence: Strong 1)
  • Utilize echocardiography as the primary diagnostic tool for assessing athlete's heart characteristics. (Evidence: Strong 3069)
  • Provide comprehensive nutritional guidance tailored to individual athlete needs to support performance and recovery. (Evidence: Moderate 3844)
  • Individualize medical support and monitoring for athletes with comorbidities or specific cardiovascular risks. (Evidence: Moderate 118)
  • Encourage regular reassessment of dietary practices and supplement use to prevent inadvertent doping and ensure nutritional adequacy. (Evidence: Moderate 5055)
  • References

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Name, Image, and Likeness and the Health of the Young Athlete: A Call to Action for Sports Medicine Providers and the Athletic Healthcare Network. Sports health 2024. link 6 McCleery J, Diamond E, Kelly R, Li L, Ackerman KE, Adams WM et al.. Centering the female athlete voice in a sports science research agenda: a modified Delphi survey with Team USA athletes. British journal of sports medicine 2024. link 7 Lundberg TR, Tucker R, McGawley K, Williams AG, Millet GP, Sandbakk Ø et al.. The International Olympic Committee framework on fairness, inclusion and nondiscrimination on the basis of gender identity and sex variations does not protect fairness for female athletes. Scandinavian journal of medicine & science in sports 2024. link 8 Jayawardena R, Weerasinghe K, Trakman G, Madhujith T, Hills AP, Kalupahana NS. Sports Nutrition Knowledge Questionnaires Developed for the Athletic Population: a Systematic Review. Current nutrition reports 2023. link 9 Bacon CEW, Anderson BE, Cavallario JM, Van Lunen BL, Eberman LE. Content Validation of the Athletic Training Milestones: A Report from the Association for Athletic Training Education Research Network. Journal of athletic training 2023. link 10 Aguilar-Navarro M, Salas-Montoro JA, Pino-Ortega J, Salinero JJ, González-Mohíno F, Alcaraz-Rodríguez V et al.. Anti-Doping Knowledge of Students Undertaking Bachelor's Degrees in Sports Sciences in Spain. Nutrients 2022. link 11 Gonzalez DE, McAllister MJ, Waldman HS, Ferrando AA, Joyce J, Barringer ND et al.. International society of sports nutrition position stand: tactical athlete nutrition. Journal of the International Society of Sports Nutrition 2022. link 12 Dudko GA, Dikunec MA, Virjus ED, Krjuchkov AC. Alternative and promising targets of biochemical analysis in sport (review of literature). Klinicheskaia laboratornaia diagnostika 2021. link 13 Campa F, Toselli S, Mazzilli M, Gobbo LA, Coratella G. Assessment of Body Composition in Athletes: A Narrative Review of Available Methods with Special Reference to Quantitative and Qualitative Bioimpedance Analysis. Nutrients 2021. link 14 Leitch BA, Wilson PB, Ufholz KE, Roemmich JN, Orysiak J, Walch TJ et al.. Vitamin D Awareness and Intake in Collegiate Athletes. Journal of strength and conditioning research 2021. link 15 Radišić Biljak V, Vidranski V, Ružić L, Simundic AM, Vidranski T. Women in sports: the applicability of common national reference intervals for inflammatory and coagulation biomarkers (HemSter Study). Biochemia medica 2021. link 16 Carek SM, Edenfield KM, Carek PJ. Preparticipation Evaluation. Primary care 2020. link 17 Singe SM, Rynkiewicz KM, Eason CM. Work-Family Conflict of Collegiate and Secondary School Athletic Trainers Who Are Parents. Journal of athletic training 2020. link 18 Ferry B, DeCastro A, Bragg S. Common Prescription Medications Used in Athletes. Primary care 2020. link 19 Hoffman MD, Khodaee M, Nudell NG, Pasternak A. Recommendations on the Appropriate Level of Medical Support at Ultramarathons. Sports medicine (Auckland, N.Z.) 2020. link 20 Darche JP, Murray MJ, Bridges KM, Noland J, Greiner KA. Assessing the utility of yearly pre-season laboratory screening for athletes on a major professional sports team. Journal of science and medicine in sport 2019. link 21 Alp H, Elmacı AM, Alp EK, Say B. Comparison of intranasal midazolam, intranasal ketamine, and oral chloral hydrate for conscious sedation during paediatric echocardiography: results of a prospective randomised study. Cardiology in the young 2019. link 22 Pitsiladis YP, Carty C, Ferriani I, Lewis S, Vitello M, Crooks C et al.. Inaugural HealthAccord Conference (SportAccord Convention, Bangkok, Thailand): The Power of Sport - The Power to Change. Current sports medicine reports 2018. link 23 Fleming JA, Naughton RJ, Harper LD. Investigating the Nutritional and Recovery Habits of Tennis Players. Nutrients 2018. link 24 Mazerolle SM, Eason CM. The Organizational Climate in Collegiate Athletics: An Athletic Trainer's Perspective. Journal of athletic training 2018. link 25 Owens DJ, Allison R, Close GL. Vitamin D and the Athlete: Current Perspectives and New Challenges. Sports medicine (Auckland, N.Z.) 2018. link 26 Potteiger K, Pitney WA, Cappaert TA, Wolfe A. Examining the Environmental Effects of Athletic Training: Perceptions of Waste and the Use of Green Techniques. Journal of athletic training 2017. link 27 Potteiger K, Pitney WA, Cappaert TA, Wolfe A. Athletic Trainers' Attitudes and Perceptions of Environmental Sustainability. Journal of athletic training 2017. link 28 Chan AH, Ho SF, Fook-Chong SM, Lian SW, Liu N, Ong ME. Characteristics of patients who made a return visit within 72 hours to the emergency department of a Singapore tertiary hospital. Singapore medical journal 2016. link 29 Buchanan J, Dexter W, Powell A, Wright J. General Consideration in the History, Physical Examination, and Safety Determination. Wilderness & environmental medicine 2015. link 30 Opondo MA, Sarma S, Levine BD. The Cardiovascular Physiology of Sports and Exercise. Clinics in sports medicine 2015. link 31 Bowman TG, Mazerolle SM, Goodman A. Career commitment of postprofessional athletic training program graduates. Journal of athletic training 2015. link 32 Mazerolle SM, Pitney WA, Eason CM. Experiences of Work-Life Conflict for the Athletic Trainer Employed Outside the National Collegiate Athletic Association Division I Clinical Setting. Journal of athletic training 2015. link 33 Wardenaar FC, Dijkhuizen R, Ceelen IJ, Jonk E, de Vries JH, Witkamp RF et al.. Nutrient Intake by Ultramarathon Runners: Can They Meet Recommendations?. International journal of sport nutrition and exercise metabolism 2015. link 34 Spronk I, Heaney SE, Prvan T, O'Connor HT. Relationship Between General Nutrition Knowledge and Dietary Quality in Elite Athletes. International journal of sport nutrition and exercise metabolism 2015. link 35 Appelman Y, van der Borgh R, van Dantzig JM, Mosterd A, Daniels M, Doevendans PA. No cardiac damage after endurance exercise in cardiologists cycling to the European Society of Cardiology meeting in Barcelona. European journal of preventive cardiology 2015. link 36 Danaher K, Curley T. Nutrition Knowledge and Practices of Varsity Coaches at a Canadian University. Canadian journal of dietetic practice and research : a publication of Dietitians of Canada = Revue canadienne de la pratique et de la recherche en dietetique : une publication des Dietetistes du Canada 2014. link 37 Gouttebarge V, Sluiter JK. Medical examinations undertaken by Dutch professional football clubs. Occupational medicine (Oxford, England) 2014. link 38 Mountjoy M, Junge A. The role of International Sport Federations in the protection of the athlete's health and promotion of sport for health of the general population. British journal of sports medicine 2013. link 39 Müller W, Horn M, Fürhapter-Rieger A, Kainz P, Kröpfl JM, Maughan RJ et al.. Body composition in sport: a comparison of a novel ultrasound imaging technique to measure subcutaneous fat tissue compared with skinfold measurement. British journal of sports medicine 2013. link 40 Ribbans B, Ribbans H, Nightingale C, McNamee M. Sports medicine, confidentiality and the press. British journal of sports medicine 2013. link 41 Müller W, Horn M, Fürhapter-Rieger A, Kainz P, Kröpfl JM, Ackland TR et al.. Body composition in sport: interobserver reliability of a novel ultrasound measure of subcutaneous fat tissue. British journal of sports medicine 2013. link 42 Judkins C, Prock P. Supplements and inadvertent doping - how big is the risk to athletes. Medicine and sport science 2012. link 43 Schumacher YO, Klodt F, Nonis D, Pottgiesser T, Alsayrafi M, Bourdon PC et al.. The impact of long-haul air travel on variables of the athlete's biological passport. International journal of laboratory hematology 2012. link 44 Lamprecht M. Supplementation with mixed fruit and vegetable concentrates in relation to athlete's health and performance: scientific insight and practical relevance. Medicine and sport science 2012. link 45 Ackland TR, Lohman TG, Sundgot-Borgen J, Maughan RJ, Meyer NL, Stewart AD et al.. Current status of body composition assessment in sport: review and position statement on behalf of the ad hoc research working group on body composition health and performance, under the auspices of the I.O.C. Medical Commission. Sports medicine (Auckland, N.Z.) 2012. link 46 Yim ES, Corrado G. Ultrasound in sports medicine: relevance of emerging techniques to clinical care of athletes. Sports medicine (Auckland, N.Z.) 2012. link 47 Steffen K, Soligard T, Engebretsen L. Health protection of the Olympic athlete. British journal of sports medicine 2012. link 48 Berg DR, Carlson A, Durfee WK, Sweet RM, Reihsen T. Low-cost, take-home, beating heart simulator for health-care education. Studies in health technology and informatics 2011. link 49 Pipe AL. International travel and the elite athlete. Clinical journal of sport medicine : official journal of the Canadian Academy of Sport Medicine 2011. link 50 Suzic Lazic J, Dikic N, Radivojevic N, Mazic S, Radovanovic D, Mitrovic N et al.. Dietary supplements and medications in elite sport--polypharmacy or real need?. Scandinavian journal of medicine & science in sports 2011. link 51 Wylleman P, Reints A. A lifespan perspective on the career of talented and elite athletes: perspectives on high-intensity sports. Scandinavian journal of medicine & science in sports 2010. link 52 Kahanov L, Loebsack AR, Masucci MA, Roberts J. Perspectives on parenthood and working of female athletic trainers in the secondary school and collegiate settings. Journal of athletic training 2010. link 53 Armstrong KJ, Weidner TG. Formal and informal continuing education activities and athletic training professional practice. Journal of athletic training 2010. link 54 Larson-Meyer DE, Willis KS. Vitamin D and athletes. Current sports medicine reports 2010. link 55 Knez WL, Peake JM. The prevalence of vitamin supplementation in ultraendurance triathletes. International journal of sport nutrition and exercise metabolism 2010. link 56 Bonci L. Supplements: help, harm, or hype? How to approach athletes. Current sports medicine reports 2009. link 57 Gokmen Z, Tunaoglu FS, Kula S, Ergenekon E, Ozkiraz S, Olgunturk R. Comparison of initial evaluation of neonatal heart murmurs by pediatrician and pediatric cardiologist. 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    Original source

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      Anti-Doping Knowledge of Students Undertaking Bachelor's Degrees in Sports Sciences in Spain.Aguilar-Navarro M, Salas-Montoro JA, Pino-Ortega J, Salinero JJ, González-Mohíno F, Alcaraz-Rodríguez V et al. Nutrients (2022)
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