Physiologic left ventricular cavity dilatation in elite athletes
Gespeichert in:
| Deutscher übersetzter Titel: | Physiologische Erweiterung des Volumens der linken Herzkammer bei Spitzensportlern |
|---|---|
| Autor: | Pelliccia, A.; Culasso, F.; DiPaolo, F.M.; Maron, B.J. |
| Erschienen in: | Annals of internal medicine |
| Veröffentlicht: | 130 (1999), 1, S. 23-31, Lit. |
| Format: | Literatur (SPOLIT) |
| Publikationstyp: | Zeitschriftenartikel |
| Medienart: | Gedruckte Ressource |
| Sprache: | Englisch |
| ISSN: | 0003-4819, 1539-3704 |
| Schlagworte: | |
| Online Zugang: | |
| Erfassungsnummer: | PU199907400370 |
| Quelle: | BISp |
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PU199907400370 |
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db |
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Literatur |
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2009-12-10T09:29:23Z |
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2001-07-24T13:48:24Z |
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BISp |
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Zeitschriftenartikel |
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JO00000000129 |
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JOI199900010000129 |
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Annals of internal medicine |
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Annals of internal medicine, 1999, 1 |
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PU199907400370 |
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Physiologic left ventricular cavity dilatation in elite athletes |
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0023 |
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bisparticle |
| publishDate |
1999 |
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1999 |
| language |
eng |
| title |
Physiologic left ventricular cavity dilatation in elite athletes |
| spellingShingle |
Physiologic left ventricular cavity dilatation in elite athletes Ausdauersport Herzgröße Kardiologie Querschnittsuntersuchung Sportart Sportherz Sportmedizin Ventrikel, linker Ventrikelfunktion Ventrikelvolumen |
| title_sort |
physiologic left ventricular cavity dilatation in elite athletes |
| title_short |
Physiologic left ventricular cavity dilatation in elite athletes |
| title_alt |
Physiologische Erweiterung des Volumens der linken Herzkammer bei Spitzensportlern |
| title_alt_lang |
deu |
| media_type |
Gedruckte Ressource |
| city |
Philadelphia (Penn.) |
| abstract |
Background: Absolute left ventricular cavity dimension may be substantially increased in some highly trained athletes. This raises questions about the differential diagnosis between athlete's heart and dilated cardiomyopathy as well as possible disqualification from competitive sports. Objective: To evaluate the morphologic characteristics and physiologic limits of left ventricular cavity enlargement associated with intensive, long-term athletic conditioning. Design: Evaluation of left ventricular cavity dimension in a large sample of highly trained athletes. Setting: Institute of Sports Science, Rome, Italy. Participants: 1309 elite Italian athletes (957 men and 352 women), 13 to 59 years of age (mean, 24 years), participating in 38 different sports. Measurements: Echocardiographic assessment of left ventricular cavity dimension and multivariate statistical analysis of the determinants. Results: Left ventricular end-diastolic cavity dimensions varied widely (38 to 66 mm (mean, 48 mm) in women and 43 to 70 mm (mean, 55 mm) in men) and was within generally accepted normal limits for most participants (</=54 mm in 725 athletes (55%)). According to an arbitrary clinical cut-point of 60 mm, the left ventricular cavity was substantially enlarged in 185 participants (14%). These athletes had global left ventricular systolic function within normal limits and no regional wall-motion abnormalities; participants remained free of cardiac symptoms and impaired performance over 1 to 12 years (mean, 4.7 years). The major determinants of cavity dimension were greater body surface area and participation in certain endurance sports (cycling, cross-country skiing, and canoeing). Conclusions: In a sample of highly trained athletes, left ventricular cavity dimension varied widely but was strikingly increased to a degree compatible with primary dilated cardiomyopathy in almost 15% of participants. In the absence of systolic dysfunction, this cavity dilatation is most likely an extreme physiologic adaptation to intensive athletic conditioning. The long-term consequences and significance of this marked left ventricular remodeling of the athlete's heart is not known. Verf.-Referat |
| abstract_lang |
eng |
| abstract_type |
author |
| author2 |
Pelliccia, A. Culasso, F. DiPaolo, F.M. Maron, B.J. |
| author_facet |
Pelliccia, A. Culasso, F. DiPaolo, F.M. Maron, B.J. |
| author2-role |
Autor Autor Autor Autor |
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|
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Pelliccia, A. Culasso, F. DiPaolo, F.M. Maron, B.J. |
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|
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0/Autor/ 1/Autor/Pelliccia, A./ 0/Autor/ 1/Autor/Culasso, F./ 0/Autor/ 1/Autor/DiPaolo, F.M./ 0/Autor/ 1/Autor/Maron, B.J./ |
| issn |
0003-4819 1539-3704 |
| spelling |
0003-4819 1539-3704 AIMEA 336-0 Ausdauersport Herzgröße Kardiologie Querschnittsuntersuchung Sportart Sportherz Sportmedizin Ventrikel, linker Ventrikelfunktion Ventrikelvolumen athlete's heart cardiology cross-sectional study endurance sport heart size sport, type of sports medicine ventricle, left ventricular function ventricular volume Ausdauersportler Sportdisziplin Medizin Geschichte der Medizin Untersuchung, sportmedizinische Wasserdampf athletic heart cross-sectional investigation event cardiac size Physiologic left ventricular cavity dilatation in elite athletes PU199907400370 199907400370 |
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AIMEA |
| zdb |
336-0 |
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0/USA/ 1/USA/Pennsylvania/ |
| topic |
Ausdauersport Herzgröße Kardiologie Querschnittsuntersuchung Sportart Sportherz Sportmedizin Ventrikel, linker Ventrikelfunktion Ventrikelvolumen |
| topic_facet |
Ausdauersport Herzgröße Kardiologie Querschnittsuntersuchung Sportart Sportherz Sportmedizin Ventrikel, linker Ventrikelfunktion Ventrikelvolumen |
| topic_en |
athlete's heart cardiology cross-sectional study endurance sport heart size sport, type of sports medicine ventricle, left ventricular function ventricular volume |
| topic_en_facet |
athlete's heart cardiology cross-sectional study endurance sport heart size sport, type of sports medicine ventricle, left ventricular function ventricular volume |
| synonym |
Ausdauersportler Sportdisziplin Medizin Geschichte der Medizin Untersuchung, sportmedizinische Wasserdampf |
| synonym_en |
athletic heart cross-sectional investigation event cardiac size |
| journal_facet |
Annals of internal medicine |
| container_title |
Annals of internal medicine |
| container_volume |
130 |
| container_issue |
1 |
| container_start_page |
S. 23-31 |
| has_references |
1 |
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BISp |
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JO00000000129 |
| journal_year |
1999 |
| journal_issue |
1 |
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1791516420414111744 |
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13,559913 |