Exercise Stress Echocardiography in Athletes: Applications, Methodology, and Challenges

This comprehensive review explores the role of exercise stress echocardiography (ESE) in assessing cardiovascular health in athletes. Athletes often exhibit cardiovascular adaptations because of rigorous physical training, making the differentiation between physiological changes and potential pathol...

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Main Authors: Stefano Palermi, Simona Sperlongano, Giulia Elena Mandoli, Maria Concetta Pastore, Matteo Lisi, Giovanni Benfari, Federica Ilardi, Alessandro Malagoli, Vincenzo Russo, Quirino Ciampi, Matteo Cameli, Antonello D’Andrea
Format: Article
Language:English
Published: MDPI AG 2023-12-01
Series:Journal of Clinical Medicine
Subjects:
Online Access:https://www.mdpi.com/2077-0383/12/24/7678
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author Stefano Palermi
Simona Sperlongano
Giulia Elena Mandoli
Maria Concetta Pastore
Matteo Lisi
Giovanni Benfari
Federica Ilardi
Alessandro Malagoli
Vincenzo Russo
Quirino Ciampi
Matteo Cameli
Antonello D’Andrea
author_facet Stefano Palermi
Simona Sperlongano
Giulia Elena Mandoli
Maria Concetta Pastore
Matteo Lisi
Giovanni Benfari
Federica Ilardi
Alessandro Malagoli
Vincenzo Russo
Quirino Ciampi
Matteo Cameli
Antonello D’Andrea
author_sort Stefano Palermi
collection DOAJ
description This comprehensive review explores the role of exercise stress echocardiography (ESE) in assessing cardiovascular health in athletes. Athletes often exhibit cardiovascular adaptations because of rigorous physical training, making the differentiation between physiological changes and potential pathological conditions challenging. ESE is a crucial diagnostic tool, offering detailed insights into an athlete’s cardiac function, reserve, and possible arrhythmias. This review highlights the methodology of ESE, emphasizing its significance in detecting exercise-induced anomalies and its application in distinguishing between athlete’s heart and other cardiovascular diseases. Recent advancements, such as LV global longitudinal strain (GLS) and myocardial work (MW), are introduced as innovative tools for the early detection of latent cardiac dysfunctions. However, the use of ESE also subsumes limitations and possible pitfalls, particularly in interpretation and potential false results, as explained in this article.
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spelling doaj.art-0fe790f7222046c6b366960c4fdc710b2023-12-22T14:17:25ZengMDPI AGJournal of Clinical Medicine2077-03832023-12-011224767810.3390/jcm12247678Exercise Stress Echocardiography in Athletes: Applications, Methodology, and ChallengesStefano Palermi0Simona Sperlongano1Giulia Elena Mandoli2Maria Concetta Pastore3Matteo Lisi4Giovanni Benfari5Federica Ilardi6Alessandro Malagoli7Vincenzo Russo8Quirino Ciampi9Matteo Cameli10Antonello D’Andrea11Public Health Department, University of Naples Federico II, 80131 Naples, ItalyDivision of Cardiology, Department of Translational Medical Sciences, University of Campania Luigi Vanvitelli, 80131 Naples, ItalyDivision of Cardiology, Department of Medical Biotechnologies, University of Siena, 53100 Siena, ItalyDivision of Cardiology, Department of Medical Biotechnologies, University of Siena, 53100 Siena, ItalyDivision of Cardiology, Department of Medical Biotechnologies, University of Siena, 53100 Siena, ItalySection of Cardiology, Department of Medicine, University of Verona, 37126 Verona, ItalyDepartment of Advanced Biomedical Sciences, University of Naples Federico II, 80131 Naples, ItalyDivision of Cardiology, Nephro-Cardiovascular Department, Baggiovara Hospital, University of Modena and Reggio Emilia, 41126 Modena, ItalyDivision of Cardiology, Department of Translational Medical Sciences, University of Campania Luigi Vanvitelli, 80131 Naples, ItalyCardiology Division, Fatebenefratelli Hospital, 82100 Benevento, ItalyDivision of Cardiology, Department of Medical Biotechnologies, University of Siena, 53100 Siena, ItalyDepartment of Cardiology, Umberto I Hospital, 84014 Nocera Inferiore, ItalyThis comprehensive review explores the role of exercise stress echocardiography (ESE) in assessing cardiovascular health in athletes. Athletes often exhibit cardiovascular adaptations because of rigorous physical training, making the differentiation between physiological changes and potential pathological conditions challenging. ESE is a crucial diagnostic tool, offering detailed insights into an athlete’s cardiac function, reserve, and possible arrhythmias. This review highlights the methodology of ESE, emphasizing its significance in detecting exercise-induced anomalies and its application in distinguishing between athlete’s heart and other cardiovascular diseases. Recent advancements, such as LV global longitudinal strain (GLS) and myocardial work (MW), are introduced as innovative tools for the early detection of latent cardiac dysfunctions. However, the use of ESE also subsumes limitations and possible pitfalls, particularly in interpretation and potential false results, as explained in this article.https://www.mdpi.com/2077-0383/12/24/7678exercise stress echocardiographysports cardiologyathletesathlete’s heart
spellingShingle Stefano Palermi
Simona Sperlongano
Giulia Elena Mandoli
Maria Concetta Pastore
Matteo Lisi
Giovanni Benfari
Federica Ilardi
Alessandro Malagoli
Vincenzo Russo
Quirino Ciampi
Matteo Cameli
Antonello D’Andrea
Exercise Stress Echocardiography in Athletes: Applications, Methodology, and Challenges
Journal of Clinical Medicine
exercise stress echocardiography
sports cardiology
athletes
athlete’s heart
title Exercise Stress Echocardiography in Athletes: Applications, Methodology, and Challenges
title_full Exercise Stress Echocardiography in Athletes: Applications, Methodology, and Challenges
title_fullStr Exercise Stress Echocardiography in Athletes: Applications, Methodology, and Challenges
title_full_unstemmed Exercise Stress Echocardiography in Athletes: Applications, Methodology, and Challenges
title_short Exercise Stress Echocardiography in Athletes: Applications, Methodology, and Challenges
title_sort exercise stress echocardiography in athletes applications methodology and challenges
topic exercise stress echocardiography
sports cardiology
athletes
athlete’s heart
url https://www.mdpi.com/2077-0383/12/24/7678
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