Athlete Cardiovascular Concerns in the Training Room: What Do I Do If…?

Peter N Dean; Jonathan H Kim; Robert Battle

doi:10.1016/j.csm.2019.05.002

Athlete Cardiovascular Concerns in the Training Room: What Do I Do If…?

Clin Sports Med. 2019 Oct;38(4):483-496. doi: 10.1016/j.csm.2019.05.002. Epub 2019 Jul 27.

Authors

Peter N Dean¹, Jonathan H Kim², Robert Battle³

Affiliations

¹ Division of Pediatric Cardiology, Department of Pediatrics, University of Virginia, 1204 W Main Street, Charlottesville, VA 22903, USA. Electronic address: pnd8j@virginia.edu.
² Division of Cardiology, Emory Clinical Cardiovascular Research Institute, Emory University School of Medicine, 1462 Clifton Road NE, Suite 502, Atlanta, GA 30322, USA.
³ Division of Cardiology, University of Virginia, 1204 W Main Street, Charlottesville, VA 22903, USA.

PMID: 31472761
DOI: 10.1016/j.csm.2019.05.002

Abstract

Cardiac disease can present in the training room through three portals: the preparticipation history and physical may identify concerns, the athlete may present with symptoms, or screening modalities may demonstrate abnormal findings. Training-related cardiovascular remodeling can mimic real disease, therefore providers must be able to separate the two. Sports medicine providers must be knowledgeable in how these present and how to care for these concerns to ensure proper care and avoid unnecessary restrictions of athletes. This article discusses 10 common cardiac concerns that can arise in the training room.

Keywords: Athlete; Athletic training; Cardiovascular disease; Exercise; Primary care; Sports cardiology; Sports participation.

Publication types

Review

MeSH terms

Cardiovascular Diseases / complications
Cardiovascular Diseases / diagnosis*
Cardiovascular Diseases / genetics
Death, Sudden, Cardiac / prevention & control
Electrocardiography
Humans
Mass Screening
Medical History Taking*
Physical Examination*
Sports Medicine / methods*
Symptom Assessment