Eligibility and Disqualification Recommendations for Competitive Athletes With Cardiovascular Abnormalities: Task Force 1: Classification of Sports: Dynamic, Static, and Impact

Levine, Benjamin D.; Baggish, Aaron L.; Kovacs, Richard J.; Link, Mark S.; Maron, Martin S.; Mitchell, Jere H.

doi:10.1161/cir.0000000000000237

Cited by 137 publications

(99 citation statements)

References 26 publications

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“…24 With recent high profile cases of SCD in RFL athletes and PCS being made mandatory for all male athletes competing in the professional RFL Super-League, it is pertinent to establish normative echocardiographic parameters of the right heart in this specific group of athletes. 24 With recent high profile cases of SCD in RFL athletes and PCS being made mandatory for all male athletes competing in the professional RFL Super-League, it is pertinent to establish normative echocardiographic parameters of the right heart in this specific group of athletes.…”

Section: Rugby Football League (Rfl) Is a High Intensity Intermittentmentioning

confidence: 99%

“…Following approval from the Ethics Committee of Liverpool John Moores University, 139 elite senior RFL super-league athletes aged 24 ± 4 years (range [19][20][21][22][23][24][25][26][27][28][29][30][31][32][33][34] and 52 sedentary control subjects 22 ± 3 years (range 20-35) provided written informed consent to participate in the study. Athlete data were collected as part of their mandatory annual PCS.…”

Section: Study Population and Designmentioning

confidence: 99%

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The right heart of the elite senior rugby football league athlete

et al. 2019

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Background: Right heart enlargement is common in the athletes' heart phenotype; however, few data exist regarding interpretation of normal athletic adaptation during Preparticipation Cardiac Screening (PCS) of Rugby Football League (RFL) athletes.Echocardiography is utilized during PCS and thus the primary aim of this study was to establish the normal right ventricular (RV) phenotype in elite RFL athletes using standard 2-D echocardiography and myocardial mechanics. The secondary aim was to describe right atrial (RA) structure and function using 2-D echocardiography.Methods: 139 male RFL athletes underwent echocardiographic evaluation of the right heart including RV strain (ɛ) and strain rate (SR) imaging using speckle tracking echocardiography (STE). Nonathletic males were used for comparison and allometric scaling was applied for conventional echocardiographic parameters.Results: Scaled RV dimensions were larger in athletes (P < 0.05) with the exception of the mid-cavity. No differences (P > 0.05) in RV fractional area change (FAC) and RV longitudinal ɛ were observed between groups. Tissue Doppler imaging (TDI)-indexed parameters and global strain rate (SR) were lower (P < 0.05) in athletes with HR and weight found to have co-variance with SR. The RA was larger in athletes (P < 0.001) with no functional difference (P > 0.05) observed by volume assessment.Conclusions: Reduction in SR and indexed TDI are partly associated with lower HR and increased body mass and are likely to represent normal physiological adaptation in RFL athletes. RA enlargement appears proportional to RV enlargement. These data may aid interpretation of normal athletic adaptation during PCS of RFL athletes. K E Y W O R D Sathletes' heart, echocardiography, right heart, strain | 889 FORSYTHE ET al.

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Section: Rugby Football League (Rfl) Is a High Intensity Intermittentmentioning

confidence: 99%

Section: Study Population and Designmentioning

confidence: 99%

The right heart of the elite senior rugby football league athlete

et al. 2019

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“…The American College of Cardiology and American Heart Association physiologic sports classification algorithm defines ASF as a class 2B sport, a designation that implies a combination of moderate static and dynamic hemodynamic stress 21. However, unlike most other team sports in which all athletes perform similar athletic tasks during training and competition and thus experience similar cardiovascular physiology, ASF athletes are a heterogeneous group.…”

Section: Basic Physiology Of Asf Participationmentioning

confidence: 99%

American‐Style Football and Cardiovascular Health

Kim

Zafonte

Pascuale-Leon

et al. 2018

JAHA

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“…These guideline statements include cardiopulmonary resuscitation, 3-6 ICD implantation, 7 evaluation and management of cardiomyopathies 8, 9 and channelopathies, 10, 11 stimulant medication use, 12, 13 screening 14, 15 and sports eligibility. 10, 16-19 …”

Section: Introductionmentioning

confidence: 99%

Sudden Cardiac Death in the Young

2016

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Although the occurrence of sudden cardiac death (SCD) in a young person is a rare event, it is traumatic and often widely publicized. In recent years, SCD in this population has been increasingly seen as a public health and safety issue. This review presents current knowledge relevant to the epidemiology of SCD and to strategies for prevention, resuscitation and identification of those at greatest risk. Areas of active research and controversy include the development of best practices in screening, risk stratification approaches and post-mortem evaluation, and identification of modifiable barriers to providing better outcomes after resuscitation of young SCD victims. Institution of a national registry of SCD in the young will provide data that will help to answer these questions.

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Eligibility and Disqualification Recommendations for Competitive Athletes With Cardiovascular Abnormalities: Task Force 1: Classification of Sports: Dynamic, Static, and Impact

Cited by 137 publications

References 26 publications

The right heart of the elite senior rugby football league athlete

The right heart of the elite senior rugby football league athlete

American‐Style Football and Cardiovascular Health

Sudden Cardiac Death in the Young

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