Bicuspid aortic valve and sports: From the echocardiographic evaluation to the eligibility for sports competition
Bicuspid aortic valve (BAV) is the most common congenital heart defect in adults. Although a BAV may remain without clinical consequences for a lifetime, it can deteriorate in aortic valve stenosis and regurgitation and aortic dilatation. Unfortunately, the impact of regular training on patients wit...
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Veröffentlicht in: | Scandinavian journal of medicine & science in sports 2021-03, Vol.31 (3), p.510-520 |
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creator | D’Ascenzi, Flavio Valentini, Francesca Anselmi, Francesca Cavigli, Luna Bandera, Francesco Benfari, Giovanni D’Andrea, Antonello Di Salvo, Giovanni Esposito, Roberta Evola, Vincenzo Malagoli, Alessandro Elena Mandoli, Giulia Santoro, Ciro Galderisi, Maurizio Mondillo, Sergio Cameli, Matteo |
description | Bicuspid aortic valve (BAV) is the most common congenital heart defect in adults. Although a BAV may remain without clinical consequences for a lifetime, it can deteriorate in aortic valve stenosis and regurgitation and aortic dilatation. Unfortunately, the impact of regular training on patients with BAV and its natural course is not fully understood, although preliminary evidence suggests that the progression of valvular disease occurs primarily in an independent manner from sports practice. The current review aims to report how to perform a comprehensive echocardiographic examination in athletes with BAV and analyze the current literature on the influence of sports practice and how it impacts the aortic valve in athletes with BAV. The article also summarizes the current recommendations on sports eligibility and disqualification for competitive athletes with BAV. |
doi_str_mv | 10.1111/sms.13895 |
format | Article |
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Although a BAV may remain without clinical consequences for a lifetime, it can deteriorate in aortic valve stenosis and regurgitation and aortic dilatation. Unfortunately, the impact of regular training on patients with BAV and its natural course is not fully understood, although preliminary evidence suggests that the progression of valvular disease occurs primarily in an independent manner from sports practice. The current review aims to report how to perform a comprehensive echocardiographic examination in athletes with BAV and analyze the current literature on the influence of sports practice and how it impacts the aortic valve in athletes with BAV. The article also summarizes the current recommendations on sports eligibility and disqualification for competitive athletes with BAV.</description><identifier>ISSN: 0905-7188</identifier><identifier>EISSN: 1600-0838</identifier><identifier>DOI: 10.1111/sms.13895</identifier><identifier>PMID: 33260267</identifier><language>eng</language><publisher>Denmark: Blackwell Publishing Ltd</publisher><ispartof>Scandinavian journal of medicine & science in sports, 2021-03, Vol.31 (3), p.510-520</ispartof><rights>2020 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd</rights><rights>2020 John Wiley & Sons A/S. 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Although a BAV may remain without clinical consequences for a lifetime, it can deteriorate in aortic valve stenosis and regurgitation and aortic dilatation. Unfortunately, the impact of regular training on patients with BAV and its natural course is not fully understood, although preliminary evidence suggests that the progression of valvular disease occurs primarily in an independent manner from sports practice. The current review aims to report how to perform a comprehensive echocardiographic examination in athletes with BAV and analyze the current literature on the influence of sports practice and how it impacts the aortic valve in athletes with BAV. 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title | Bicuspid aortic valve and sports: From the echocardiographic evaluation to the eligibility for sports competition |
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