Prevalence and Clinical Outcome of Athletes With Mitral Valve Prolapse

Caselli, Stefano; Mango, Federica; Clark, John M.; Pandian, Natesa G.; Corrado, Domenico; Autore, Camillo; Pelliccia, Antonio

doi:10.1161/circulationaha.117.033395

Cited by 34 publications

(24 citation statements)

References 5 publications

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“…20 Inferior TWI may also be observed in valvular heart disease, first of all in mitral valve prolapse (MVP). 26 Although MVP is relatively common in athletes and usually characterized by a benign course, 27 29 Similarly, Papadakis et al found a prevalence of 4% in adolescent athletes with a mean age 16 ± 1.7 years (range 14-18 years) and showed that TWI extending beyond V2 was extremely rare (0.8%). 21 In a selected cohort of 247 adolescent (mean age, 16 years) elite athletes undergoing ECG screening before the Youth Olympic Games, Adami et al observed TWI in 23 (9.3%) of the overall group; majority were localized in anterior leads (V1-V3) and not associated with cardiac abnormalities; the only case with underlying cardiac disease showed TWI in infero-lateral leads.…”

Section: Inferior Twimentioning

confidence: 99%

Interpretation of T‐wave inversion in physiological and pathological conditions: Current state and future perspectives

D’Ascenzi

Anselmi

Adami

et al. 2020

Clinical Cardiology

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The presence of T-wave inversion (TWI) at 12-lead electrocardiogram (ECG) in competitive athletes is one of the major diagnostic challenges for sports physicians and consulting cardiologists. Indeed, while the presence of TWI may be associated with some benign conditions and it may be occasionally seen in healthy athletes presenting signs of cardiac remodeling, it may also represent an early sign of an underlying, concealed structural heart disease or life-threatening arrhythmogenic cardiomyopathies, which may be responsible for exercise-related sudden cardiac death (SCD). The interpretation of TWI in athletes is complex and the inherent implications for the clinical practice represent a conundrum for physicians. Accordingly, the detection of TWI should be viewed as a potential red flag on the ECG of young and apparently healthy athletes and warrants further investigations because it may represent the initial expression of cardiomyopathies that may not be evident until many years later and that may ultimately be associated with adverse outcomes. The aim of this review is, therefore, to report an update of the literature on TWI in athletes, with a specific focus on the interpretation and management.

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Section: Inferior Twimentioning

confidence: 99%

Interpretation of T‐wave inversion in physiological and pathological conditions: Current state and future perspectives

D’Ascenzi

Anselmi

Adami

et al. 2020

Clinical Cardiology

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“…Physical examination and two-dimensional (2D) echocardiography are the diagnostic gold standards for MVP. Prognosis has varried in the published literature and the denominator of the studies evaluating prognosis is the role of mitral regurgitation progression (2).…”

Section: Introductionmentioning

confidence: 99%

Monocyte to high-density lipoprotein ratio: a prognostic factor for mitral valve prolapse?

Abacıoğlu¹

2021

BLL

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BACKGROUND: Mitral valve prolapse (MVP) is a common disorder, affl icting 2 % to 3 % of the general population. Despite the general belief of a benign disorder, there is an increasing awareness of an association between mitral valve prolapse and sudden cardiac death from arrhythmia and also atherosclerosis. Monocyte to high density lipoprotein ratio (MHR) is a new tool for predicting infl ammation, which plays a major role in atherosclerosis. OBJECTIVE: To evaluate the relationship between MHR and the presence of MVP. METHODS: The study population consisted of 82 patients with MVP and the control group of 78 normal individuals. Transthoracic echocardiograpy was performed for all of the study population and peripheral venous blood samples were drawn for measuring MHR and other haemotological parameters. RESULTS: The patients with MVP were more likely to have higher MHR values (15.82 ± 6.01 in MVP patients and 13.30 ± 6.43 in controls; p=0.011). Monocyte counts and MHR of the MVP group were signifi cantly higher than the control group and MHR values were directly proportional with the regurgitation area. CONCLUSION: The MHR is strongly associated with MVP and regurgitation area and might be a prognostic factor for patients with MVP

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“…According to the European Association for Cardiovascular Imaging (EACVI), standard echocardiography is the first line approach to differentiate an athlete`s heart from pathological left ventricular hypertrophy. In professional athletes, end-diastolic diameter of the left ventricle greater (on average about 60 mm) compared to hypertrophic cardiomyopathy (about 45 mm) (18,19). In professional athletes, left ventricular hypertrophy involves all segments of the myocardium equally and the thickness of the interventricular septum should not exceed 12 mm (20).…”

Section: Echocardiographymentioning

confidence: 99%

The athlete's heart: Modern diagnostic approach

Ćuk¹,

Stojiljković²,

Milutinović³

et al. 2018

Arhiv za farmaciju

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The athlete's heart is an exercise-induced cardiac remodelling phenomenon, which is individual and depends on the intesity, duration and frequency of training, as well as genetic factors. Cardiovascular screening prior to participation in sports activities, is a systematic practice of medical evaluation in the athlete population. The current US recommendations for the screening of cardiovascular abnormalities in high school and university athletes at all levels of performance were initially put forther by the American Heart Association in 2007. These recommendations consist of 12 points, factoring personal and family history data, as well as physical examination. On the other hand, European recommendations suggest the importance of non-invasive diagnostic methods, such as the 12-lead ECG, which should be carried out in combination with a history and physical examination. According to the European Association for Cardiovascular Imaging, standard echocardiography is the first line approach to differentiate an athlete`s heart from pathological left ventricular hypertrophy. Updated ,,Seattle criteria''from 2017. include criteria for assessing abnormalities in the electrocardiogram of athletes and their differentiation from the adaptive electrophysiological changes, which do not require further evaluation. Since sudden cardiac death during sport activities remains a major concern and, as such, it is imperative for the physician to diagnose unrecognized pathological conditions in athletes. Following current expert consensus recommendations on this topic helps to prevent untoward events during physical activity in those who are found to be at elevated risk.

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Prevalence and Clinical Outcome of Athletes With Mitral Valve Prolapse

Cited by 34 publications

References 5 publications

Interpretation of T‐wave inversion in physiological and pathological conditions: Current state and future perspectives

Interpretation of T‐wave inversion in physiological and pathological conditions: Current state and future perspectives

Monocyte to high-density lipoprotein ratio: a prognostic factor for mitral valve prolapse?

The athlete's heart: Modern diagnostic approach

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