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Sports Cardiology—an Emerging Topic

A special issue of International Journal of Environmental Research and Public Health (ISSN 1660-4601). This special issue belongs to the section "Sport and Health".

Deadline for manuscript submissions: closed (31 December 2023) | Viewed by 2310

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Guest Editor
Public Health Department, University of Naples Federico II, 80131 Naples, Italy
Interests: sports medicine; sports cardiology; pre-participation screening; sports injury rehabilitation; echocardiography; musculoskeletal ultrasound
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

Sports cardiology is a relatively novel and emerging sub-speciality and therefore the evidence base for the natural history of disease progression or risk of death during intensive exercise and competitive sport among individuals with CVD is relatively sparse.

During the last several decades, lots of people all over the world are being diagnosed with coronary artery syndromes, heart failure, valvular heart disease, peripheral vascular disease, congenital heart disease, aortopathies and cardiomyopathies, while others face lethal arrhythmias and sudden cardiac death due to misdiagnosis or underdiagnosis. New diagnostic methods have contributed to the early diagnosis and risk stratification of cardiovascular disease. Regular physical activity, including structured exercise training programmes, is an important component of treatment strategies for stable cardiovascular disease, and is associated with favourable outcomes including improved quality of life and reduced cardiovascular and all-cause mortality. The process from the diagnosis of cardiovascular disease until patients’ participation in exercise training programmes is of paramount importance to achieve optimal outcome. However, this is a complex procedure, including a multidisciplinary approach and several stages such as screening, diagnosis, risk stratification, shared decision making with physicians and secondary prevention and treatment through exercise protocols, defining the appropriate duration and intensity individualized for each patient.

The term “athlete’s heart” refers to a spectrum of morphological and functional changes that occur in people who practice regular and long-term intense physical activity. The morphological characteristics of the athlete’s heart may overlap with certain structural cardiac diseases, including cardiomyopathies such as hypertrophic or arrhythmogenic cardiomyopathy. While overdiagnosis should be avoided in this population, an early identification of underlying life-threatening cardiac disorders is essential to reduce the potential for sudden cardiac death. A multi-modality approach including rest and exercise electrocardiography, speckle tracking echocardiography, cardiac magnetic resonance, computed tomography, nuclear scintigraphy and genetic testing can be essential in distinguishing extreme physiology adaptations from structural cardiac diseases during the athlete’s cardiovascular evaluation. In this setting, cardiovascular imaging plays a key role in the detection of structural abnormalities in athletes who fall in the grey zone between physiological adaptations and a covert cardiovascular pathology.

We are pleased to invite authors to submit original research articles, recommendation articles, and reviews covering all aspects of sports cardiology, from diagnosis to clinical management, exercise prescription, and recommendation for these subjects.

Dr. Stefano Palermi
Guest Editor

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. International Journal of Environmental Research and Public Health is an international peer-reviewed open access monthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2500 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • athlete's heart
  • cardiovascular adaptation
  • physical activity
  • cardiovascular imaging
  • sudden cardiac death

Published Papers (1 paper)

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Research

14 pages, 1390 KiB  
Article
Negligible Effects of Nutraceuticals from Beetroot Extract on Cardiovascular and Autonomic Recovery Response following Submaximal Aerobic Exercise in Physically Active Healthy Males: A Randomized Trial
by Cicero Jonas R. Benjamim, Francisco Welington de Sousa Júnior, Andrey Alves Porto, Camila Venancia Guerra Andrade, Maria Íris L. Saraiva de Figueiredo, Cicera Josilânia R. Benjamim, Guilherme da Silva Rodrigues, Elida M. Braga Rocha, Taisy Ferro Cavalcante, David M. Garner, Vitor Engracia Valenti and Carlos R. Bueno Júnior
Int. J. Environ. Res. Public Health 2023, 20(5), 4019; https://doi.org/10.3390/ijerph20054019 - 23 Feb 2023
Cited by 1 | Viewed by 1983
Abstract
Background: There is little evidence that nutraceuticals from beetroot extract are beneficial with regards to recovery of the cardiovascular parameters and the autonomic nervous system (ANS) after submaximal aerobic exercise, though this formulation is employed widely for this purpose. Objective: To study the [...] Read more.
Background: There is little evidence that nutraceuticals from beetroot extract are beneficial with regards to recovery of the cardiovascular parameters and the autonomic nervous system (ANS) after submaximal aerobic exercise, though this formulation is employed widely for this purpose. Objective: To study the effects of beetroot extract supplementation on the recovery of cardiorespiratory and autonomic parameters after a session of submaximal aerobic exercise. Methods: Sixteen healthy male adults commenced a cross-over, randomized, double-blind and placebo-controlled trial. Beetroot extract (600 mg) or placebo (600 mg) were ingested 120 min prior to evaluation on randomized days. We assessed systolic blood pressure (SBP), diastolic blood pressure (DBP), pulse pressure (PP), mean arterial pressure (MAP), heart rate (HR) and HR variability (HRV) indexes at Rest and during 60 min of recovery from submaximal aerobic exercise. Results: Beetroot extract ingestion slightly accelerated HR, SBP, DBP and MAP reduction following exercise associated to the placebo protocol (vs. rest). Yet no group effect (p = 0.99) was identified between the beetroot and placebo protocols on HR mean, in addition to interaction (group vs. time) (p = 0.60). No group effect was attained between the SBP (p = 0.90), DBP (p = 0.88), MAP (p = 0.73) and PP (p = 0.99) protocols and no significant differences (group vs. time) were observed between the values of SBP (p = 0.75), DBP (p = 0.79), MAP (p = 0.93) and PP (p = 0.63) between placebo and beetroot protocols. Similarly, the reoccurrence of cardiac vagal modulation after exercise via the HF (ms2) was enhanced, but not with regards to the RMSSD index. No group effect (p = 0.99) was identified for the HF (p = 0.90) and RMSSD (p = 0.67) indices. Likewise, we observed no significant differences (group vs. time) amongst the values of HF (p = 0.69) and RMSSD (p = 0.95) between the placebo and beetroot protocols. Conclusion: Whilst beetroot extract might assist the recovery of the cardiovascular and autonomic systems following submaximal aerobic exercise in healthy males, these results seem insignificant owing to minor differences between interventions and are weak clinically. Full article
(This article belongs to the Special Issue Sports Cardiology—an Emerging Topic)
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