The natural course of bicuspid aortic valve in athletes
Deutscher übersetzter Titel: | Der natürliche Verlauf eines Bikuspidalklappenfehlers bei Sportlern |
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Autor: | Spataro, A.; Pelliccia, A.; Rizzo, M.; Biffi, A.; Masazza, G.; Pigozzi, F. |
Erschienen in: | International journal of sports medicine |
Veröffentlicht: | 29 (2008), 1, S. 81-85, Lit. |
Format: | Literatur (SPOLIT) |
Publikationstyp: | Zeitschriftenartikel |
Medienart: | Gedruckte Ressource Elektronische Ressource (online) |
Sprache: | Englisch |
ISSN: | 0172-4622, 1439-3964 |
DOI: | 10.1055/s-2007-965110 |
Schlagworte: | |
Online Zugang: | |
Erfassungsnummer: | PU200809003041 |
Quelle: | BISp |
Abstract des Autors
The purpose of this study was to evaluate the impact of a long-term athletic training on the clinical course of bicuspid aortic valve. A group of 81 athletes (73 M, 8 F, 22.7 +/- 5.6 years) with bicuspid aortic valve was collected. Based on clinical and echocardiographic criteria, athletes were initially divided into 2 groups: the low-risk (51 athletes) and the high-risk group (30 athletes). The high-risk athletes were disqualified from training and competitions after the first evaluation. Over the follow-up period, all of them showed significant worsening of morphologic and hemodynamic features of bicuspid aortic valve; two underwent surgical valvular repair and one of them died suddenly. Over the same period, six of the initially low-risk athletes (7%) showed significant worsening of morphologic features of bicuspid aortic valve and/or incidence of symptoms which led to their disqualification from competition. At the end of follow-up, we observed that in high-risk subjects the progression of valvular disease occurred independently from the former athletic activity and that the majority of athletes with mild bicuspid aortic valve had a benign clinical course. However, athletes with bicuspid aortic valve should be viewed with caution, and continued clinical surveillance would be mandatory. Verf.-Referat