Sports and exercise have been intensely advocated as protective lifestyle measures which prevent or reduce the risk of severe health issues, including cardiovascular disease. More extreme forms of sports (for instance at high altitudes) have been identified as an important way of promoting cardiovascular adaptation, but have also been associated with adverse effects and even major cardiovascular events in predisposed individuals. Participating in more commonplace sports and exercise, such as football, may also increase a person's risk of cardiac events. This publication is timely in the light of a burgeoning number of clinical papers in the field.
The ESC Textbook of Sports Cardiology provides an overview of the detection and treatment of cardiovascular disease in elite athletes and young sports professionals in training, as well as prevention. It will be useful for clinical cardiologists, sports physicians, and general physicians alike. Split into 11 key areas in sports cardiology, ranging from sudden cardiac death in athletes to the most common cardiovascular abnormalities seen in athletes, and to the effects of substance abuse and doping, the text is an invaluable resource covering all aspects of sports cardiology.
Access to the digital version of the textbook is included with purchase of the printed version. Highly illustrated with embedded multimedia features, together with cross-referenced links to related content and primary research data in major journals in the field, the digital version provides users with a dynamic and forward-thinking resource.
The ESC Textbook of Sports Cardiology is the second textbook from the European Association of Preventive Cardiology (EAPC) and aligns with ESC clinical practice guidelines and EAPC recommendations and position papers.
Table of Contents
Section 1: Physiology of Cardiovascular response to exercise and cardiac remodelling
1.1 - Cardiovascular induced by exercise
1.1.1: Physiology of exercise, Sanjay Sharma and Andrew D'Silva
1.2 - Long term adaptation to exercise: athlete's heart and vascular adaptations
1.2.1: Structural and functional adaptations in the athlete's heart, Stefano Caselli and Antonio Pelliccia
1.2.2: Impact of sporting discipline, gender, ethnicity and genetics on the athlete's heart, Nabeel Sheikh
1.2.3: The athlete's heart in children and adolescents, Graham Stuart and Guido E Pieles
1.2.4: The vascular remodelling, Stephan Gielen, M. Harold Laughlin, and Dirk J. Duncker
Section 2: Clinical evaluation of the athlete's heart
2.1 - History and physical examination
2.1.1: History and physical examination, Maurizio Schiavon, Domenico Corrado, and Alessandro Zorzi
2.2 - The electrocardiogram in the athlete
2.2.1: The electrocardiogram in the athlete, Alessandro Zorzi and Domenico Corrado
2.2.2: Common ECG patterns of the athlete's heart, Ricardo Stein and Victor Froelicher
2.2.3: Overlap ECG patterns in athlete's heart and cardiomyopathies, Michael Papadakis and Harshil Dhutia
Section 3: Additional testing in the evaluation of the athlete's heart
3.1 - Exercise testing
3.1.1: Protocols of exercise testing in athletes and cardiopulmonary testing: assessment of the fitness, Paolo Emilio Adami and Marco Guazzi
3.1.2: Evaluation of ischemia, blood pressure, QT interval and arrhythmias, Francois Carre and Frederic Schnell
3.2 - Arrythmias registration
3.2.1: Ambulatory (24-h Holter monitoring, event recorders) and signal-averaged ECG for arrhythmia registration in the athlete's heart, Mahdi Sareban and Josef Niebauer
3.2.2: Class-1 anti arrythmic drug provocation test, Matthias Antz
3.2.3: Electrophysiological study, Matthias Antz
3.3 - Imaging of the athlete's heart: anatomical and functional
3.3.1: Echocardiogram: morphologic and functional evaluation including new echocardiographic techniques, Stefano Caselli and Flavio D'Ascenzi
3.3.2: Cardiac Magnetic Resonance Imaging, Guido Claessen and Andre La Gerche
3.3.3: Coronary computed tomography, Stephan Möhlenkamp
3.3.4: Nuclear imaging, Stephan Möhlenkamp
3.3.5: Coronary angiography, Stephan Möhlenkamp
3.4 - Genotyping
3.4.1: Indications for genetic testing in athletes and its application in daily practice, Silvia Priori
Section 4: Cardiac diseases of interest in sports cardiology
4.1 - Myocardial and coronary diseases
4.1.1: Hypertrophic Cardiomyopathy in Athletes, Sanjay Sharma and Aneil Malhotra
4.1.2: Arrhythmogenic Cardiomyopathy and Sudden Death in Young Athletes: Causes, Pathophysiology and Clinical features, Gaetano Thiene, Kalliopi Pilichou, and Cristina Basso
4.1.3: Myocarditis in athletes, Martin Halle
4.1.4: Differentiating Athlete's Heart from Left Ventricular Noncompaction Cardiomyopathy, Andrew D'Silva and Sanjay Sharma
4.1.5: Congenital coronary artery anomalies, Cristina Basso, Carla Frescura, and Gaetano Thiene
4.2 - Valvular and aortic disease
4.2.1: Mitral Valve Prolapse in Relation to Sport, Christian Schmied and Sanjay Sharma
4.2.2: Bicuspid Aortic Valve Disease and Competitive Sports: Key Considerations and Challenges, Natesa Pandian and Benjamin S. Wessler
4.2.3: The Athlete with Congenital Heart Disease, Guido E Pieles and A Graham Stuart
Section 5: Rhythm disorders of interest in sports cardiology
5.1: Channelopathy in Athletes, Arthur Wilde and Nicole M Panhuyzen-Goedkoop
5.2: Ventricular Tachyarrythmias, Lluis Mont and Eduard Guasch
5.3: Supraventricular tachyarrythmias, Mattias Wilhelm
5.4: Preexcitation and Conduction Abnormalities, Pietro Delise
Section 6: Sudden Cardiac Death in athletes
6.1: Incidence of Sudden Cardiac Death in Athletes, Jonathan Drezner and Kimberly Harmon
6.2: Cardiovascular causes of sudden death in athletes, Cristina Basso and Gaetano Thiene
6.3: The Risk, Etiology, Clinical Features, Management & Prevention of Exercise-related Sudden Cardiac Death and Acute Cardiac Events in Adult Athletes, Paul Thompson
6.4 - Less frequent causes of sudden cardiac death
6.4.1: Less frequent causes of SCD (commotio cordis, aortic rupture). Non-cardiac causes (drug abuse, hyperpyrexia, rhabdomyolysis, sickle cell anemia, asthma, extreme environmental conditions (heat, cold, altitude) PART ONE, Erik Solberg and Paolo Adami
6.4.2: Less frequent causes of SCD (commotio cordis, aortic rupture). Non-cardiac causes (drug abuse, hyperpyrexia, rhabdomyolysis, sickle cell anemia, asthma, extreme environmental conditions (heat, cold, altitude) PART TWO, Erik Solberg and Paolo Adami
6.5: Preparticipation screening of young competitive athletes, Domenico Corrado and Alessandro Zorzi
6.6: Cardiovascular screening in adult/senior competitive athletes, Luc Vanhees and Mats Borjesson
6.7: Cardiovascular screening of children and adolescent athletes, Werner Budts, Massimo Chessa, and Javier Fernandex Sarabia
Section 7: Sports eligibility in athletes with cardiac abnormalities
7.1: Criteria and considerations relative to safe sport participation in athletes with cardiac abnormalities, Antonio Pelliccia, Hein Heidbuchel, Domenico Corrado, Sanjay Sharma, and Mats Borjesson
Section 8: Excercise Prescription for cardiovascular health
8.1: Criteria and considerations relative to safe sport participation in athletes with cardiac abnormalities, Massimo Piepoli, Mats Börjesson, and Mikael Dellborg
8.2: Monitoring exercise programs and improving CV performance, Stephan Müller, Flavia Baldassarri, Julia Schönfeld, and Martin Halle
Section 9: Cardiac safety at sports facilities
9.1: Resuscitation on the field: basic and advanced life support and automatic external defibrillators (AED), Mark Link and Mark Estes III
9.2: Cardiac safety at sports events: the medical action plan, Mats Börjesson, Luis Serratosa, and Efraim Kramer
9.3: Cardiac safety at fitness centres, Erik Solberg, Jakob Johansson, and Alessandro Biffi
Section 10: Cardiovascular effects of substance of abuse/doping
10.1: World Anti-Doping Agency (WADA) and International Olympic Committee (IOC) list of prohibited substances and methods and their cardiovascular effects, Josef Niebauer and Carl-Johan Sundberg
10.2: Nutrition and ergogenic aids prescription for competitive athletes, Ronald Maughan and SM Shirreffs
Section 11: Hypertension in athletes
11.1: Diagnosis and management of hypertension in athletes, Stefano Caselli and Josef Niebauer
