Hütt CE, Salas SJ

Idioma: Español
Referencias bibliográficas: 20
Paginas: 22-27
Archivo PDF: 251.44 Kb.

RESUMEN

El sistema cardiovascular se adapta al ejercicio con cambios estructurales y funcionales. Estos hallazgos deben conocerse para diferenciarlos de posible patología subyacente. Las dimensiones cardiacas suelen ser normales indexadas al área de superficie corporal, por lo que pacientes con valores en la zona gris deben estudiarse. Una de las características propias del corazón de atleta es la regresión de los cambios asociada con el des acondicionamiento y la inactividad física. Ante el aumento en la incidencia y la prevalencia de la muerte súbita en atletas, se ha elaborado recomendaciones para tamizar atletas élite. Éstas comprenden la adquisición de ananmesis completa y examen físico como tamizaje, ya que son costo-efectivas y sensibles.

REFERENCIAS (EN ESTE ARTÍCULO)

1. Mills J Moore G Thompson P. The Athelete's Heart. Primary Care Of The Injured Athlete 1997;4:725-737.

2. Rich B Havens S. The Athletic Heart Syndrome. Current Sports Medicine Reports 2004;3:84-88.

3. Maron B Pelliccia A. The Heart of Trained Athletes: Cardiac Remodeling and the Risks of Sports, Including Sudden Death. Circulation 2006;114:633- 1644.

4. Maron BJ. Sudden death in young athletes. N Engl J Med. 2003;349:1064- 1075.

5. Bryan G Ward A Rippe JM. Athletic Heart Syndrome. Clin Sports Med. 1992;11:259-272.

6. Cheitlin MD. Evaluating athletes who have heart symptoms. Phys Sportsmed 1993;21:150.

7. Maron BJ Pelliccia A Spataro A et al. Reduction in left ventricular wall thickness after deconditioning in highlt trained Olympic athletes. Br Heart J. 1993;69:125-128.

8. Banhegyi A Pavlik G Olexo Z. The effect of detraining on echocardiographic parameters due to injury. Acta Physiol Hung. 1999;86:223-227.

9. Maron BJ Pelliccia A Spirito P. Cardiac disease in young trained athletes: insight into methods for distinguishing athletes heart from structural heart disease, with particular emphasis on hypertrophic cardiomyopathy. Circulation 1995;91:596-601.

10. Pelliccia A Culasso F Di Paolo F Maron BJ. Physiologic left ventricular cavity dilatation in elite athletes. Ann Intern Med. 1999;130:23-31.

11. Pluim BM Zwinderman AH van der Laarse A et al. The athlete's heart: a metanalysis of cardiac structure and function. Circulation. 1999;100:336- 344.

12. Pelliccia A Maron BJ. Preparticipation cardiovascular evaluation of the competitive athlete: perspective from the 30 year Italian experience. Am J Cardiol. 1995;75:827-828.

13. Spirito P Pelicia A Proschan MA et al. Morphology of the athletes heart assesed by echocardiography in 947 elite ahtletes representing 27 sports. Am J Cardiol. 1994;74:802-806.

14. Choo JK Abernethy WB Hutter AM. Electrocardiographic observations in professional football players. J Am Col Cardiol. 2003;41:280-284.

15. Holly RG Shaffrath JD Amsterdam EA. Electrocardiographic alterations associated with the heart of athletes. Sports Med. 1998;25:139-148.

16. Maron BJ Thompson P Ackerman MJ et al. Recommendations and considerations related to preparticipation screening for cardiovascular abnormalities in competitive athletes: 2007 Update: A scientific statement from the American Heart Association Council on Nutrition, Physical Activity, and Metabolism: Endorsed by the American College of Cardiology Foundation. Circulation. 2007;115:1643-1655.

17. Maron BJ Gohman TE Aeppli D. Prevalence of sudden cardiac death during competetive sports activities in Minnesota high school athletes. J Am Coll Cardiol. 1998;32:1881-1884.

18. Maron BJ Shirani J Poliac LC et al. Sudden death in young competitive athletes: clinical, demographic, and pathological profiles. JAMA. 1996;276:199- 204.

19. Smith DM Kovan JR Rich BSE et al. Preparticipation Physical Evaluation. Ed 2. Minneapolis: McGraw Hill; 1997:10.

20. Maron BJ Thompson P Puffer JC et al. Cardiovascular preparticipation screening of competitive athletes: a statement for Health Professionals from the Sudden Death Commitee, American Heart Association. Circulation. 1996;94:850-856.