By A. Dagianti (auth.), A. Pelliccia, G. Caselli, P. Bellotti (eds.)
The unique articles integrated within the current booklet have basically been taken from papers awarded on the overseas complicated direction, extra specified the grasp on activities Cardiology, held in Rome from November 27 to December 15 1995 on the college of game and Institute of game Sciences of the Italian nationwide Olympic Committee. The contributions, written by means of the world over said scientists, seemed after broad and cautious revision by way of the Authors, and symbolize present and hugely ecocnomic medical fabric. the motivation to post this paintings got here from Springer-Verlag, a popular publi sher, and the articles were compiled in Advances in activities Cardiology. the current quantity is an easy-to-consult, entire and up to date refe rence. attainable destiny advancements in cardiovascular assessment in athletes were lined, too. The cardiological review of athletes represents a greater than 30 years-old self-discipline in"Italy, with felony implications, which compel physicians during this box to enquire in each one person athlete the potential, innermost motives of cardiovascular abnormality and to precise a circumstantial prognostic asses sment. Cardiologists during this box must have an intensive historical past in phy siology yet must also pay attention to the indicators and bounds of the instrumen tal diagnostic approaches utilized in scientific perform in addition to of the excellence among common physiological edition to workout and coaching and a real pathological cardiac procedure. consequently, sound foundation in body structure with a big curiosity in medical perform distinguishes activities cardiology as a brand new and origi nal discipline.
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Extra resources for Advances in Sports Cardiology
20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. 31. 32. 33. 34. 35. 36. 37. A. Pelliccia et al. dimensions and mass in response to physical conditioning and de conditioning. Am J CardioI42:52- 56 Martin WHIII, Coyle EF, Bloomfield SA, Enshani AA (1986) Effects of physical deconditioning after intense endurance training on left ventricular dimensions and stroke volume. J Am Coll Cardiol 7:982-989 Maron BJ, Pelliccia A, Spataro A, Granata M (1993) Reduction in left ventricular wall thickness after de conditioning in highly trained Olympic athletes.
DCM: dilated cardiomyopathy 48 G. Ansalone et al. and sports activity, coronary atherosclerosis became the major cause of death (41 %), the right ventricular cardiomyopathy rose to 33%, while hypertrophic cardiomyopathy was present only in the 8% of the dead athletes. 01). Of all causes of sudden death in patients with minimal structural abnormalities, mitral valve prolapse (MVP) was also emphasized by many authors [28,29], but today it is well known that only a minority of these subjects are actually exposed to a risk of sudden death: patients with complex VA, hemodynamically significant mitral valve regurgitation, prolonged QT interval, inferolateral repolarization abnormalities, thickened mitral leaflets, history of syncope, presyncope and palpitations.
This fact is reflected in the shiver paradox: when the lower part of the body is refrigerated the diencephalic centre, which perceives this manoeuvre because the blood is cool, reacts by shivering. But the subject who is not aware of the cold, due to the interruption of the spinothalamic lateral tract, is surprised by the shivering which is subjectively felt as a purposeless activity. The reduced capacity to be consciously informed about thermal stress can expose the WPA to heat stroke when heavy exercise is performed in hot and humid environments.
Advances in Sports Cardiology by A. Dagianti (auth.), A. Pelliccia, G. Caselli, P. Bellotti (eds.)