The adolescent athlete's heart; A miniature adult or grown‐up child?
The systematic development of early age talent in sports academies has led to the professionalization of pediatric sport and the sports physician need to be aware of pediatric cardiological problems. Research into the medical cardiac care and assessment of the pediatric athlete are accumulating, but...
Gespeichert in:
Veröffentlicht in: | Clinical cardiology (Mahwah, N.J.) N.J.), 2020-08, Vol.43 (8), p.852-862 |
---|---|
Hauptverfasser: | , |
Format: | Artikel |
Sprache: | eng |
Schlagworte: | |
Online-Zugang: | Volltext |
Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
container_end_page | 862 |
---|---|
container_issue | 8 |
container_start_page | 852 |
container_title | Clinical cardiology (Mahwah, N.J.) |
container_volume | 43 |
creator | Pieles, Guido E. Stuart, A Graham |
description | The systematic development of early age talent in sports academies has led to the professionalization of pediatric sport and the sports physician need to be aware of pediatric cardiological problems. Research into the medical cardiac care and assessment of the pediatric athlete are accumulating, but specific pediatric international guidelines are not available yet and reference data for ECG and echocardiography are incomplete, in particular for the age group |
doi_str_mv | 10.1002/clc.23417 |
format | Article |
fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_7403711</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2422003268</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4207-45f69cd0cb18ed102747103bbb1f36b21b5c006d1ece025904daa05471004f793</originalsourceid><addsrcrecordid>eNp10ctKxDAUBuAgio6XhW9QcKEuOnNyadMiKDJ4gwE34zqkaWormWZMWofZ-Qg-o09ixhkEBVdZ5Ds_54LQMYYhBiAjZdSQUIb5FhrgnJI445RvowHgFOKcZPke2vf-JVDICN1Fe5SkjOIUD9DttNaRLK3RXum2i2RXG93pUx_VWrruIrqOZk3byK53K9ebLrIuenZ20X6-f_TzSNWNKa8O0U4ljddHm_cAPd3eTMf38eTx7mF8PYkVI8BjllRprkpQBc50iYFwxjHQoihwRdOC4CJRAGmJtdJAkhxYKSUkKwSs4jk9QJfr3HlfzHS5atlJI-aumUm3FFY24vdP29Ti2b4JzoByjEPA2SbA2dde-07MmjC5MbLVtveCMEIAwn6yQE_-0BfbuzaMFxSFsNYMkqDO10o5673T1U8zGMTqOiJcR3xfJ9jR2i4ao5f_QzGejNcVX3XAjqU</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2430289805</pqid></control><display><type>article</type><title>The adolescent athlete's heart; A miniature adult or grown‐up child?</title><source>DOAJ Directory of Open Access Journals</source><source>Access via Wiley Online Library</source><source>EZB-FREE-00999 freely available EZB journals</source><source>Wiley Online Library (Open Access Collection)</source><source>PubMed Central</source><creator>Pieles, Guido E. ; Stuart, A Graham</creator><creatorcontrib>Pieles, Guido E. ; Stuart, A Graham</creatorcontrib><description>The systematic development of early age talent in sports academies has led to the professionalization of pediatric sport and the sports physician need to be aware of pediatric cardiological problems. Research into the medical cardiac care and assessment of the pediatric athlete are accumulating, but specific pediatric international guidelines are not available yet and reference data for ECG and echocardiography are incomplete, in particular for the age group <12 years of age. This article is an introduction to the physiological and diagnostics specifics of the pediatric athlete. The focus lies in the differences in presentation and diagnosis between pediatric and adult athletes for the most common pathologies. Reference data for electrical and structural adaptations to intensive exercise are sparse particularly in athletes aged below 12 years old. Training related changes include decrease of resting heart rate, increase of cardiac output, ventricular cavity size, and wall thickness. Cardiac hypertrophy is less pronounced in pediatric athletes, as HR mediated cardiac output increase to endurance exercise is the dominant mechanism in peripubertal children. As in adults, the most pronounced cardiovascular adaptations appear in classical endurance sports like rowing, triathlon, and swimming, but the specifics of pediatric ECG and echocardiographic changes need to be considered.</description><identifier>ISSN: 0160-9289</identifier><identifier>EISSN: 1932-8737</identifier><identifier>DOI: 10.1002/clc.23417</identifier><identifier>PMID: 32643161</identifier><language>eng</language><publisher>New York: Wiley Periodicals, Inc</publisher><subject>adolescence ; Age ; Athletes ; athletic adaptation ; Cardiac arrhythmia ; Cardiomyopathy ; Cardiovascular disease ; Cardiovascular system ; Children & youth ; Etiology ; Exercise ; Family medical history ; Fitness training programs ; Gender ; Girls ; Heart rate ; Metabolism ; pediatric arrhythmia ; pediatric athlete ; pediatric cardiomyopathy ; pediatric exercise ; Pediatrics ; Physical fitness ; Physiology ; Puberty ; Review ; Reviews ; sports cardiology ; Sports training ; Teenagers ; Ultrasonic imaging ; Young adults</subject><ispartof>Clinical cardiology (Mahwah, N.J.), 2020-08, Vol.43 (8), p.852-862</ispartof><rights>2020 The Authors. published by Wiley Periodicals LLC.</rights><rights>2020. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4207-45f69cd0cb18ed102747103bbb1f36b21b5c006d1ece025904daa05471004f793</citedby><cites>FETCH-LOGICAL-c4207-45f69cd0cb18ed102747103bbb1f36b21b5c006d1ece025904daa05471004f793</cites><orcidid>0000-0003-1203-688X</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7403711/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7403711/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,1417,11562,27924,27925,45574,45575,46052,46476,53791,53793</link.rule.ids></links><search><creatorcontrib>Pieles, Guido E.</creatorcontrib><creatorcontrib>Stuart, A Graham</creatorcontrib><title>The adolescent athlete's heart; A miniature adult or grown‐up child?</title><title>Clinical cardiology (Mahwah, N.J.)</title><description>The systematic development of early age talent in sports academies has led to the professionalization of pediatric sport and the sports physician need to be aware of pediatric cardiological problems. Research into the medical cardiac care and assessment of the pediatric athlete are accumulating, but specific pediatric international guidelines are not available yet and reference data for ECG and echocardiography are incomplete, in particular for the age group <12 years of age. This article is an introduction to the physiological and diagnostics specifics of the pediatric athlete. The focus lies in the differences in presentation and diagnosis between pediatric and adult athletes for the most common pathologies. Reference data for electrical and structural adaptations to intensive exercise are sparse particularly in athletes aged below 12 years old. Training related changes include decrease of resting heart rate, increase of cardiac output, ventricular cavity size, and wall thickness. Cardiac hypertrophy is less pronounced in pediatric athletes, as HR mediated cardiac output increase to endurance exercise is the dominant mechanism in peripubertal children. As in adults, the most pronounced cardiovascular adaptations appear in classical endurance sports like rowing, triathlon, and swimming, but the specifics of pediatric ECG and echocardiographic changes need to be considered.</description><subject>adolescence</subject><subject>Age</subject><subject>Athletes</subject><subject>athletic adaptation</subject><subject>Cardiac arrhythmia</subject><subject>Cardiomyopathy</subject><subject>Cardiovascular disease</subject><subject>Cardiovascular system</subject><subject>Children & youth</subject><subject>Etiology</subject><subject>Exercise</subject><subject>Family medical history</subject><subject>Fitness training programs</subject><subject>Gender</subject><subject>Girls</subject><subject>Heart rate</subject><subject>Metabolism</subject><subject>pediatric arrhythmia</subject><subject>pediatric athlete</subject><subject>pediatric cardiomyopathy</subject><subject>pediatric exercise</subject><subject>Pediatrics</subject><subject>Physical fitness</subject><subject>Physiology</subject><subject>Puberty</subject><subject>Review</subject><subject>Reviews</subject><subject>sports cardiology</subject><subject>Sports training</subject><subject>Teenagers</subject><subject>Ultrasonic imaging</subject><subject>Young adults</subject><issn>0160-9289</issn><issn>1932-8737</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>24P</sourceid><sourceid>WIN</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><recordid>eNp10ctKxDAUBuAgio6XhW9QcKEuOnNyadMiKDJ4gwE34zqkaWormWZMWofZ-Qg-o09ixhkEBVdZ5Ds_54LQMYYhBiAjZdSQUIb5FhrgnJI445RvowHgFOKcZPke2vf-JVDICN1Fe5SkjOIUD9DttNaRLK3RXum2i2RXG93pUx_VWrruIrqOZk3byK53K9ebLrIuenZ20X6-f_TzSNWNKa8O0U4ljddHm_cAPd3eTMf38eTx7mF8PYkVI8BjllRprkpQBc50iYFwxjHQoihwRdOC4CJRAGmJtdJAkhxYKSUkKwSs4jk9QJfr3HlfzHS5atlJI-aumUm3FFY24vdP29Ti2b4JzoByjEPA2SbA2dde-07MmjC5MbLVtveCMEIAwn6yQE_-0BfbuzaMFxSFsNYMkqDO10o5673T1U8zGMTqOiJcR3xfJ9jR2i4ao5f_QzGejNcVX3XAjqU</recordid><startdate>202008</startdate><enddate>202008</enddate><creator>Pieles, Guido E.</creator><creator>Stuart, A Graham</creator><general>Wiley Periodicals, Inc</general><general>John Wiley & Sons, Inc</general><scope>24P</scope><scope>WIN</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0003-1203-688X</orcidid></search><sort><creationdate>202008</creationdate><title>The adolescent athlete's heart; A miniature adult or grown‐up child?</title><author>Pieles, Guido E. ; Stuart, A Graham</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4207-45f69cd0cb18ed102747103bbb1f36b21b5c006d1ece025904daa05471004f793</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>adolescence</topic><topic>Age</topic><topic>Athletes</topic><topic>athletic adaptation</topic><topic>Cardiac arrhythmia</topic><topic>Cardiomyopathy</topic><topic>Cardiovascular disease</topic><topic>Cardiovascular system</topic><topic>Children & youth</topic><topic>Etiology</topic><topic>Exercise</topic><topic>Family medical history</topic><topic>Fitness training programs</topic><topic>Gender</topic><topic>Girls</topic><topic>Heart rate</topic><topic>Metabolism</topic><topic>pediatric arrhythmia</topic><topic>pediatric athlete</topic><topic>pediatric cardiomyopathy</topic><topic>pediatric exercise</topic><topic>Pediatrics</topic><topic>Physical fitness</topic><topic>Physiology</topic><topic>Puberty</topic><topic>Review</topic><topic>Reviews</topic><topic>sports cardiology</topic><topic>Sports training</topic><topic>Teenagers</topic><topic>Ultrasonic imaging</topic><topic>Young adults</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Pieles, Guido E.</creatorcontrib><creatorcontrib>Stuart, A Graham</creatorcontrib><collection>Wiley Online Library (Open Access Collection)</collection><collection>Wiley Online Library Free Content</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Clinical cardiology (Mahwah, N.J.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Pieles, Guido E.</au><au>Stuart, A Graham</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The adolescent athlete's heart; A miniature adult or grown‐up child?</atitle><jtitle>Clinical cardiology (Mahwah, N.J.)</jtitle><date>2020-08</date><risdate>2020</risdate><volume>43</volume><issue>8</issue><spage>852</spage><epage>862</epage><pages>852-862</pages><issn>0160-9289</issn><eissn>1932-8737</eissn><abstract>The systematic development of early age talent in sports academies has led to the professionalization of pediatric sport and the sports physician need to be aware of pediatric cardiological problems. Research into the medical cardiac care and assessment of the pediatric athlete are accumulating, but specific pediatric international guidelines are not available yet and reference data for ECG and echocardiography are incomplete, in particular for the age group <12 years of age. This article is an introduction to the physiological and diagnostics specifics of the pediatric athlete. The focus lies in the differences in presentation and diagnosis between pediatric and adult athletes for the most common pathologies. Reference data for electrical and structural adaptations to intensive exercise are sparse particularly in athletes aged below 12 years old. Training related changes include decrease of resting heart rate, increase of cardiac output, ventricular cavity size, and wall thickness. Cardiac hypertrophy is less pronounced in pediatric athletes, as HR mediated cardiac output increase to endurance exercise is the dominant mechanism in peripubertal children. As in adults, the most pronounced cardiovascular adaptations appear in classical endurance sports like rowing, triathlon, and swimming, but the specifics of pediatric ECG and echocardiographic changes need to be considered.</abstract><cop>New York</cop><pub>Wiley Periodicals, Inc</pub><pmid>32643161</pmid><doi>10.1002/clc.23417</doi><tpages>11</tpages><orcidid>https://orcid.org/0000-0003-1203-688X</orcidid><oa>free_for_read</oa></addata></record> |
fulltext | fulltext |
identifier | ISSN: 0160-9289 |
ispartof | Clinical cardiology (Mahwah, N.J.), 2020-08, Vol.43 (8), p.852-862 |
issn | 0160-9289 1932-8737 |
language | eng |
recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_7403711 |
source | DOAJ Directory of Open Access Journals; Access via Wiley Online Library; EZB-FREE-00999 freely available EZB journals; Wiley Online Library (Open Access Collection); PubMed Central |
subjects | adolescence Age Athletes athletic adaptation Cardiac arrhythmia Cardiomyopathy Cardiovascular disease Cardiovascular system Children & youth Etiology Exercise Family medical history Fitness training programs Gender Girls Heart rate Metabolism pediatric arrhythmia pediatric athlete pediatric cardiomyopathy pediatric exercise Pediatrics Physical fitness Physiology Puberty Review Reviews sports cardiology Sports training Teenagers Ultrasonic imaging Young adults |
title | The adolescent athlete's heart; A miniature adult or grown‐up child? |
url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-04T01%3A33%3A04IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=The%20adolescent%20athlete's%20heart;%20A%20miniature%20adult%20or%20grown%E2%80%90up%20child?&rft.jtitle=Clinical%20cardiology%20(Mahwah,%20N.J.)&rft.au=Pieles,%20Guido%20E.&rft.date=2020-08&rft.volume=43&rft.issue=8&rft.spage=852&rft.epage=862&rft.pages=852-862&rft.issn=0160-9289&rft.eissn=1932-8737&rft_id=info:doi/10.1002/clc.23417&rft_dat=%3Cproquest_pubme%3E2422003268%3C/proquest_pubme%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2430289805&rft_id=info:pmid/32643161&rfr_iscdi=true |