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2023 | OriginalPaper | Buchkapitel

11. Die sportkardiologische Untersuchung und klinische Konsequenzen

verfasst von : Robert Berent

Erschienen in: Sportkardiologie

Verlag: Springer Berlin Heidelberg

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Zusammenfassung

Die transthorakale Echokardiografie ist eine Untersuchungsmethode ohne bekannte Nebenwirkungen, mit ausgezeichneter kostengünstiger Verfügbarkeit, und stellt eine sehr effektive Untersuchungsmethode dar, die bei einer Vielzahl von klinischen Fragestellungen angewendet werden kann.

Hagendorff A, Fehske W, Flachskampf FA, Helfen A, Kreidel F, Kruck S, La Rosee K, Tiemann K, Voigt JU, von Bardeleben RS (2020) Manual zur Indikation und Durchführung der Echokardiographie – Update 2020 der Deutschen Gesellschaft für Kardiologie. Kardiologe 14:396–431

Cheitlin MD, MacGregor J (2009) Congenital anomalies of coronary arteries: role in the pathogenesis of sudden cardiac death. Herz 34:268–279

Mont L (2010) Arrhythmias and sport practice. Heart 96:398–405

Mitchell JH, Haskell W, Snell P, Van Camp SP (2005) Task Force 8: classification of sports. J Am Coll Cardiol 45:1364–1367

Pluim BM, Zwinderman AH, van der Laarse A, van der Wall EE (2000) The athlete‘s heart: a meta-analysis of cardiac structure and function. Circulation 101:336–344

Maron BJ, Pelliccia A (2006) The heart of trained athletes: cardiac remodeling and the risks of sports, including sudden death. Circulation 114:1633–1644

Pelliccia A, Maron BJ, Spataro A, Proschan MA, Spirito P (1991) The upper limit of physiologic cardiac hypertrophy in highly trained elite athletes. N Engl J Med 324:295–301

Pelliccia A, Culasso F, Di Paolo FM, Maron BJ (1999) Physiologic left ventricular cavity dilatation in elite athletes. Ann Intern Med 130:23–31

Pelliccia A, Maron BJ, DiPaolo FM, Biffi A, Quattrini FM, Pisicchio C, Roselli A, Caselli S, Culasso F (2005) Prevalence and clinical significance of left atrial remodeling in competitive athletes. J Am Coll Cardiol 46:690–696

10.

Luijkx T, Cramer MJ, Prakken NH, Buckens CF, Mosterd A, Rienks R, Backx FJ, Mali WP, Velthuis BK (2012) Sport category is an important determinant of cardiac adaptation: an MRI study. Br J Sports Med 46:1119–1124

11.

Lang RM, Bierig M, Devereux RB (2006) Recommendations for chamber quantification. Eur J Echocardiogr 7:79–108

12.

Maron BJ (1986) Structural features of the athlete heart as defined by echocardiography. J Am Coll Cardiol 7:190–203

13.

Maron BJ (2003) Sudden death in young athletes. N Engl J Med 349:1064–1075

14.

Maron BJ (2009) Distinguishing hypertrophic cardiomyopathy from athlete’s heart physiological remodelling: clinical significance, diagnostic strategies and implications for preparticipation screening. Br J Sports Med 43:649–656

15.

Pelliccia A, Maron BJ, Culasso F, Spataro A, Caselli G (1996) Athlete‘s heart in women. Echocardiographic characterization of highly trained elite female athletes. JAMA 276:211–215

16.

Makan J, Sharma S, Firoozi S, Whyte G, Jackson PG, McKenna WJ (2005) Physiological upper limits of ventricular cavity size in highly trained adolescent athletes. Heart 91:495–499PubMedCentral

17.

Sharma S, Maron BJ, Whyte G, Firoozi S, Elliott PM, McKenna WJ (2002) Physiologic limits of left ventricular hypertrophy in elite junior athletes: relevance to differential diagnosis of athlete‘s heart from hypertrophic cardiomyopathy. J Am Coll Cardiol 40:1431–1436

18.

D‘Andrea A, Riegler L, Cocchia R, Scarafile R, Salerno G, Gravino R, Golia E, Vriz O, Citro R, Limongelli G, Calabrò P, Di Salvo G, Caso P, Russo MG, Bossone E, Calabrò R (2010) Left atrial volume index in highly trained athletes. Am Heart J 159:1155–1161

19.

Pelliccia A, Maron MS, Maron BJ (2012) Assessment of left ventricular hypertrophy in a trained athlete: differential diagnosis of physiologic athlete‘s heart from pathologic hypertrophy. Prog Cardiovasc Dis 54:387–396

20.

Rawlins J, Bhan A, Sharma S (2009) Left ventricular hypertrophy in athletes. Eur J Echocardiogr 10:350–356

21.

Luijkx T, Velthuis BK, Prakken NH, Cox MG, Bots ML, Mali WP, Hauer RN, Cramer MJ (2012) Impact of revised task force criteria: distinguishing the athlete‘s heart from ARVC/D using cardiac magnetic resonance imaging. Eur J Cardiovasc Prev Rehabil 19:885–891

22.

D’Andrea A, Riegler L, Golia E et al (2013) Range of right heart measurements in top-level athletes: the training impact. Int J Cardiol 164:48–57

23.

D‘Andrea A, Riegler L, Morra S, Scarafile R, Salerno G, Cocchia R, Golia E, Martone F, Di Salvo G, Limongelli G, Pacileo G, Bossone E, Calabrò R, Russo MG (2012) Right ventricular morphology and function in top-level athletes: a three-dimensional echocardiographic study. J Am Soc Echocardiogr 25:1268–1276

24.

Oxborough D, Sharma S, Shave R, Whyte G, Birch K, Artis N, Batterham AM, George K (2012) The right ventricle of the endurance athlete: the relationship between morphology and deformation. J Am Soc Echocardiogr 25:263–271

25.

George K, Whyte GP, Green DJ, Oxborough D, Shave RE, Gaze D, Somauroo J (2012) The endurance athletes heart: acute stress and chronic adaptation. Br J Sports Med 46(Suppl I):i29–i36

26.

Rudski LG, Lai WW, Afilalo J, Hua L, Handschumacher MD, Chandrasekaran K, Solomon SD, Louie EK, Schiller NB (2010) Guidelines for the echocardiographic assessment of the right heart in adults: a report from the American Society of Echocardiography endorsed by the European Association of Echocardiography, a registered branch of the European Society of Cardiology, and the Canadian Society of Echocardiography. J Am Soc Echocardiogr 23:685–713

27.

D’Ascenzi F, Pelliccia A, Solari M, Piu P, Loiacono F, Anselmi F, Caselli S, Focardi M, Bonifazi M, Mondillo S (2017) Normative reference values of right heart in competitive athletes: a systematic review and meta-analysis. J Am Soc Echocardiogr 30:845–858.e2

28.

La Gerche A, Heidbüchel H, Burns AT, Mooney DJ, Taylor AJ, Pfluger HB, Inder WJ, Macisaac AI, Prior DL (2011) Disproportionate exercise load and remodeling of the athlete‘s right ventricle. Med Sci Sports Exerc 43:974–981

29.

La Gerche A, Burns AT, Mooney DJ, Inder WJ, Taylor AJ, Bogaert J, Macisaac AI, Heidbüchel H, Prior DL (2012) Exercise-induced right ventricular dysfunction and structural remodeling in endurance athletes. Eur Heart J 33:998–1006

30.

Sharma S, Zaidi A (2012) Exercise-induced arrhythmogenic rightventricular cardiomyopathy: fact or fallacy? Eur Heart J 33:938–940

31.

Gasperetti A, James CA, Cerrone M, Delmar M, Calkins H, Duru F (2021) Arrhythmogenic right ventricular cardiomyopathy and sports activity: from molecular pathways in diseased hearts to new insights into the athletic heart mimicry. Eur Heart J 42(13):1231–1243

32.

Haugaa KH, Basso C, Badano LP, Bucciarelli-Ducci C, Cardim N, Gaemperli O, Galderisi M, Habib G, Knuuti J, Lancellotti P, McKenna W, Neglia D, Popescu BA, Edvardsen T, EACVI Scientific Documents Committee, EACVI Board members and external reviewers; EACVI Scientific Documents Committee, EACVI Board Members and External Reviewers (2017) Comprehensive multi-modality imaging approach in arrhythmogenic cardiomyopathy-an expert consensus document of the European Association of Cardiovascular Imaging. Eur Heart J Cardiovasc Imaging 18(3):237–253PubMedCentral

33.

Nasir K, Bomma C, Tandri H, Roguin A, Dalal D, Prakasa K, Tichnell C, James C, Spevak PJ, Marcus F, Calkins H (2004) Electrocardiographic features of arrhythmogenic right ventricular dysplasia/cardiomyopathy according to disease severity: a need to broaden diagnostic criteria. Circulation 110:1527–1534

34.

Marcus FI, McKenna WJ, Sherrill D, Basso C, Bauce B, Bluemke DA, Calkins H, Corrado D, Cox MG, Daubert JP, Fontaine G, Gear K, Hauer R, Nava A, Picard MH, Protonotarios N, Saffitz JE, Sanborn DM, Steinberg JS, Tandri H, Thiene G, Towbin JA, Tsatsopoulou A, Wichter T, Zareba W (2010) Diagnosis of arrhythmogenic right ventricular cardiomyopathy/dysplasia: proposed modification of the Task Force Criteria. Eur Heart J 31:806–814PubMedCentral

35.

Bosman LP, Cadrin-Tourigny J, Bourfiss M, Aliyari Ghasabeh M, Sharma A, Tichnell C, Roudijk RW, Murray B, Tandri H, Khairy P, Kamel IR, Zimmerman SL, Reitsma JB, Asselbergs FW, van Tintelen JP, van der Heijden JF, Hauer RNW, Calkins H, James CA, Te Riele ASJM (2020) Diagnosing arrhythmogenic right ventricular cardiomyopathy by 2010 Task Force Criteria: clinical performance and simplified practical implementation. Europace 22(5):787–796PubMedCentral

36.

Amzulescu MS, De Craene M, Langet H, Pasquet A, Vancraeynest D, Pouleur AC, Vanoverschelde JL, Gerber BL (2019) Myocardial strain imaging: review of general principles, validation, and sources of discrepancies. Eur Heart J Cardiovasc Imaging 20(6):605–619PubMedCentral

37.

Lang RM, Badano LP, Mor-Avi V, Afilalo J, Armstrong A, Ernande L, Flachskampf FA, Foster E, Goldstein SA, Kuznetsova T, Lancellotti P, Muraru D, Picard MH, Rietzschel ER, Rudski L, Spencer KT, Tsang W, Voigt JU (2015) Recommendations for cardiac chamber quantification by echocardiography in adults: an update from the American Society of Echocardiography and the European Association of Cardiovascular Imaging. J Am Soc Echocardiogr 28(1):1–39.e14

38.

Sugimoto T, Dulgheru R, Bernard A, Ilardi F, Contu L, Addetia K, Caballero L, Akhaladze N, Athanassopoulos GD, Barone D, Baroni M, Cardim N, Hagendorff A, Hristova K, Lopez T, de la Morena G, Popescu BA, Moonen M, Penicka M, Ozyigit T, Rodrigo Carbonero JD, van de Veire N, von Bardeleben RS, Vinereanu D, Zamorano JL, Go YY, Rosca M, Calin A, Magne J, Cosyns B, Marchetta S, Donal E, Habib G, Galderisi M, Badano LP, Lang RM, Lancellotti P (2017) Echocardiographic reference ranges for normal left ventricular 2D strain: results from the EACVI NORRE study. Eur Heart J Cardiovasc Imaging 18(8):833–840

39.

Collier P, Phelan D, Klein A (2017) A test in context: myocardial strain measured by speckle-tracking echocardiography. J Am Coll Cardiol 69(8):1043–1056

40.

Chan J, Shiino K, Obonyo NG, Hanna J, Chamberlain R, Small A, Scalia IG, Scalia W, Yamada A, Hamilton-Craig CR, Scalia GM, Zamorano JL (2017) Left ventricular global strain analysis by two-dimensional speckle-tracking echocardiography: the learning curve. J Am Soc Echocardiogr 30(11):1081–1090

41.

Zamorano JL, Lancellotti P, Rodriguez Munoz D, Aboyans V, Asteggiano R, Galderisi M et al (2016) 2016 ESC Position Paper on cancer treatments and cardiovascular toxicity developed under the auspices of the ESC Committee for Practice Guidelines: the Task Force for cancer treatments and cardiovascular toxicity of the European Society of Cardiology (ESC). Eur Heart J 37:2768–2801

42.

Kalam K, Otahal P, Marwick TH (2014) Prognostic implications of global LV dysfunction: a systematic review and meta-analysis of global longitudinal strain and ejection fraction. Heart 100(21):1673–1680

43.

Baumgartner H, Falk V, Bax JJ, De Bonis M, Hamm C, Holm PJ, Iung B, Lancellotti P, Lansac E, Rodriguez Muñoz D, Rosenhek R, Sjögren J, Tornos Mas P, Vahanian A, Walther T, Wendler O, Windecker S, Zamorano JL, ESC Scientific Document Group (2017) 2017 ESC/EACTS Guidelines for the management of valvular heart disease. Eur Heart J 38(36):2739–2791

44.

Ayach B, Fine NM, Rudski LG (2018) Right ventricular strain: measurement and clinical application. Curr Opin Cardiol 33(5):486–492

45.

Lang RM, Badano LP, Tsang W, Adams DH, Agricola E, Buck T, Faletra FF, Franke A, Hung J, de Isla LP, Kamp O, Kasprzak JD, Lancellotti P, Marwick TH, McCulloch ML, Monaghan MJ, Nihoyannopoulos P, Pandian NG, Pellikka PA, Pepi M, Roberson DA, Shernan SK, Shirali GS, Sugeng L, Ten Cate FJ, Vannan MA, Zamorano JL, Zoghbi WA, American Society of Echocardiography, European Association of Echocardiography (2012 Jan) EAE/ASE recommendations for image acquisition and display using three-dimensional echocardiography. J Am Soc Echocardiogr 25(1):3–46

46.

47.

Buck T, Bösche L, Plicht B (2017 May) Echtzeit-3-D-Echokardiographie zur Schweregradbeurteilung von Herzklappenvitien: Einfluss auf aktuelle Leitlinien [Real-time 3D echocardiography for estimation of severity in valvular heart disease: impact on current guidelines]. Herz 42(3):241–254

48.

Zamorano JL, Badano LP, Bruce C, Chan KL, Gonçalves A, Hahn RT, Keane MG, La Canna G, Monaghan MJ, Nihoyannopoulos P, Silvestry FE, Vanoverschelde JL, Gillam LD (2011 Sep) EAE/ASE recommendations for the use of echocardiography in new transcatheter interventions for valvular heart disease. Eur Heart J 32(17):2189–2214

49.

Pellikka PA, Arruda-Olson A, Chaudhry FA, Chen MH, Marshall JE, Porter TR, Sawada SG (2020) Guidelines for performance, interpretation, and application of stress echocardiography in ischemic heart disease: from the American Society of Echocardiography. J Am Soc Echocardiogr 33(1):1–41.e8

50.

Lancellotti P, Pellikka PA, Budts W, Chaudhry FA, Donal E, Dulgheru R, Edvardsen T, Garbi M, Ha JW, Kane GC, Kreeger J, Mertens L, Pibarot P, Picano E, Ryan T, Tsutsui JM, Varga A (2016) The clinical use of stress echocardiography in non-ischaemic heart disease: recommendations from the European Association of Cardiovascular Imaging and the American Society of Echocardiography. Eur Heart J Cardiovasc Imaging 17(11):1191–1229

51.

Lancellotti P, Dulgheru R, Go YY, Sugimoto T, Marchetta S, Oury C, Garbi M (2018) Stress echocardiography in patients with native valvular heart disease. Heart 104(10):807–813

52.

Steeds RP, Wheeler R, Bhattacharyya S, Reiken J, Nihoyannopoulos P, Senior R, Monaghan MJ, Sharma V (2019) Stress echocardiography in coronary artery disease: a practical guideline from the British Society of Echocardiography. Echo Res Pract 6(2):G17–G33PubMedCentral

53.

Leischik R, Dworrak B, Littwitz H, Gülker H (2007) Prognostic significance of exercise stress echocardiography in 3329 outpatients (5-year longitudinal study). Int J Cardiol 119(3):297–305

54.

Leischik R, Dworrak B, Sanchis-Gomar F, Lucia A, Buck T, Erbel R (2016) Echocardiographic assessment of myocardial ischemia. Ann Transl Med 4(13):259PubMedCentral

55.

Vamvakidou A, Karogiannis N, Tzalamouras V, Parsons G, Young G, Gurunathan S, Senior R (2017) Prognostic usefulness of contemporary stress echocardiography in patients with left bundle branch block and impact of contrast use in improving prediction of outcome. Eur Heart J Cardiovasc Imaging 18(4):415–421

56.

Otto CM, Nishimura RA, Bonow RO, Carabello BA, Erwin JP 3rd, Gentile F, Jneid H, Krieger EV, Mack M, McLeod C, O‘Gara PT, Rigolin VH, Sundt TM 3rd, Thompson A, Toly C (2021) 2020 ACC/AHA guideline for the management of patients with valvular heart disease: a report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines. Circulation 143(5):e72–e227

57.

Carabello BA (2005) Modern management of mitral stenosis. Circulation 112(3):432–437

58.

Oktay AA, Gilliland YE, Lavie CJ, Ramee SJ, Parrino PE, Bates M, Shah S, Cash ME, Dinshaw H, Qamruddin S (2017) Echocardiographic assessment of degenerative mitral stenosis: a diagnostic challenge of an emerging cardiac disease. Curr Probl Cardiol 42(3):71–100

59.

Picano E, Pellikka PA (2014) Stress echo applications beyond coronary artery disease. Eur Heart J 35(16):1033–1040

60.

Aggeli C, Polytarchou K, Varvarousis D, Kastellanos S, Tousoulis D (2018) Stress ECHO beyond coronary artery disease. Is it the holy grail of cardiovascular imaging? Clin Cardiol 41(12):1600–1610PubMedCentral

61.

Ommen SR, Mital S, Burke MA, Day SM, Deswal A, Elliott P, Evanovich LL, Hung J, Joglar JA, Kantor P, Kimmelstiel C, Kittleson M, Link MS, Maron MS, Martinez MW, Miyake CY, Schaff HV, Semsarian C, Sorajja P (2020) 2020 AHA/ACC guideline for the diagnosis and treatment of patients with hypertrophic cardiomyopathy: a report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines. J Am Coll Cardiol 76(25):e159–e240

62.

Pelliccia A, Sharma S, Gati S, Bäck M, Börjesson M, Caselli S, Collet JP, Corrado D, Drezner JA, Halle M, Hansen D, Heidbuchel H, Myers J, Niebauer J, Papadakis M, Piepoli MF, Prescott E, Roos-Hesselink JW, Graham Stuart A, Taylor RS, Thompson PD, Tiberi M, Vanhees L, Wilhelm M, ESC Scientific Document Group (2021) 2020 ESC Guidelines on sports cardiology and exercise in patients with cardiovascular disease. Eur Heart J 42(1):17–96

63.

Leischik R, Dworrak B, Foshag P, Strauss M, Spelsberg N, Littwitz H, Horlitz M (2015) Pre-participation and follow-up screening of athletes for endurance sport. J Clin Med Res 7(6):385–392PubMedCentral

64.

Galderisi M, Cardim N, D‘Andrea A, Bruder O, Cosyns B, Davin L, Donal E, Edvardsen T, Freitas A, Habib G, Kitsiou A, Plein S, Petersen SE, Popescu BA, Schroeder S, Burgstahler C, Lancellotti P (2015) The multi-modality cardiac imaging approach to the Athlete‘s heart: an expert consensus of the European Association of Cardiovascular Imaging. Eur Heart J Cardiovasc Imaging 16(4):353a–353t

65.

Picano E, Pibarot P, Lancellotti P, Monin JL, Bonow RO (2009) The emerging role of exercise testing and stress echocardiography in valvular heart disease. J Am Coll Cardiol 54(24):2251–2260

66.

Varga A, Garcia MA, Picano E, International Stress Echo Complication Registry (2006) Safety of stress echocardiography (from the International Stress Echo Complication Registry). Am J Cardiol 98(4):541–543

67.

Picano E, Mathias W, Pingitore A et al (1994) Safety and tolerability of dobutamine-atropine stress echocardiography: a prospective, multicentre study. Lancet 344:1190–1192

68.

Bigi R (1996) Complications of pharmacologic stress echocardiography in coronary artery disease. Clin Cardiol 19(10):776–780

69.

Pelliccia A, Fagard R, Bjørnstad HH, Anastassakis A, Arbustini E, Assanelli D, Biffi A, Borjesson M, Carrè F, Corrado D, Delise P, Dorwarth U, Hirth A, Heidbuchel H, Hoffmann E, Mellwig KP, Panhuyzen-Goedkoop N, Pisani A, Solberg EE, van Buuren F, Vanhees L, Blomstrom-Lundqvist C, Deligiannis A, Dugmore D, Glikson M, Hoff PI, Hoffmann A, Hoffmann E, Horstkotte D, Nordrehaug JE, Oudhof J, WJ MK, Penco M, Priori S, Reybrouck T, Senden J, Spataro A, Thiene G, Study Group of Sports Cardiology of the Working Group of Cardiac Rehabilitation and Exercise Physiology; Working Group of Myocardial and Pericardial Diseases of the European Society of Cardiology (2005) Recommendations for competitive sports participation in athletes with cardiovascular disease: a consensus document from the Study Group of Sports Cardiology of the Working Group of Cardiac Rehabilitation and Exercise Physiology and the Working Group of Myocardial and Pericardial Diseases of the European Society of Cardiology. Eur Heart J 26:1422–1445

Titel: Die sportkardiologische Untersuchung und klinische Konsequenzen
verfasst von: Robert Berent
Verlag: Springer Berlin Heidelberg
Buch: Sportkardiologie
Print ISBN: 978-3-662-65164-3

Electronic ISBN: 978-3-662-65165-0

Copyright-Jahr: 2023
DOI: https://doi.org/10.1007/978-3-662-65165-0_11

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Neu im Fachgebiet Orthopädie und Unfallchirurgie

TEP mit Roboterhilfe führt nicht zu größerer Zufriedenheit

Lever-Sign-Test hilft beim Verdacht auf Kreuzbandriss

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Update Orthopädie und Unfallchirurgie