The Female Athlete’s Heart: Overview and Management of Cardiovascular Diseases

The number of female athletes taking part in elite and amateur sport is ever increasing. In contrast with male athletes, few studies have focused on cardiovascular adaptations to exercise in women, the effects of lifelong exercise on heart muscle and electrical tissue, the risk of exercise-related s...

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Main Authors: Silvia Castelletti, Sabiha Gati
Format: Article
Language:English
Published: Radcliffe Medical Media 2021-12-01
Series:European Cardiology Review
Online Access:https://www.ecrjournal.com/articleindex/ecr.2021.29
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author Silvia Castelletti
Sabiha Gati
author_facet Silvia Castelletti
Sabiha Gati
author_sort Silvia Castelletti
collection DOAJ
description The number of female athletes taking part in elite and amateur sport is ever increasing. In contrast with male athletes, few studies have focused on cardiovascular adaptations to exercise in women, the effects of lifelong exercise on heart muscle and electrical tissue, the risk of exercise-related sudden cardiac death and the management of cardiovascular disease. Women have a lower prevalence of large QRS complexes, repolarisation changes including inferior and lateral T-wave inversion, and cardiac dimensions exceeding predicted limits compared with men. The risk of exercise-related sudden cardiac death is significantly lower in women than men. Also, women who have engaged in lifelong exercise do not have a higher prevalence of AF, coronary artery calcification or myocardial fibrosis than their sedentary counterparts. Apart from providing an overview of the existing literature relating to cardiac adaptations, this review explores possible reasons for the sex differences and focuses on the management of cardiovascular disorders that affect female athletes.
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spelling doaj.art-74133520eaef434d9e3b9ea5bcbe93102024-04-20T16:02:31ZengRadcliffe Medical MediaEuropean Cardiology Review1758-37561758-37642021-12-011610.15420/ecr.2021.29The Female Athlete’s Heart: Overview and Management of Cardiovascular DiseasesSilvia Castelletti0Sabiha Gati1Cardiomyopathy Unit and Center for Cardiac Arrhythmias of Genetic Origin, Department of Cardiovascular, Neural and Metabolic Science, Istituto Auxologico Italiano IRCCS, Milan, ItalyNational Heart and Lung Institute, Imperial College London, UK; Department of Cardiology, Royal Brompton Hospital, London, UKThe number of female athletes taking part in elite and amateur sport is ever increasing. In contrast with male athletes, few studies have focused on cardiovascular adaptations to exercise in women, the effects of lifelong exercise on heart muscle and electrical tissue, the risk of exercise-related sudden cardiac death and the management of cardiovascular disease. Women have a lower prevalence of large QRS complexes, repolarisation changes including inferior and lateral T-wave inversion, and cardiac dimensions exceeding predicted limits compared with men. The risk of exercise-related sudden cardiac death is significantly lower in women than men. Also, women who have engaged in lifelong exercise do not have a higher prevalence of AF, coronary artery calcification or myocardial fibrosis than their sedentary counterparts. Apart from providing an overview of the existing literature relating to cardiac adaptations, this review explores possible reasons for the sex differences and focuses on the management of cardiovascular disorders that affect female athletes.https://www.ecrjournal.com/articleindex/ecr.2021.29
spellingShingle Silvia Castelletti
Sabiha Gati
The Female Athlete’s Heart: Overview and Management of Cardiovascular Diseases
European Cardiology Review
title The Female Athlete’s Heart: Overview and Management of Cardiovascular Diseases
title_full The Female Athlete’s Heart: Overview and Management of Cardiovascular Diseases
title_fullStr The Female Athlete’s Heart: Overview and Management of Cardiovascular Diseases
title_full_unstemmed The Female Athlete’s Heart: Overview and Management of Cardiovascular Diseases
title_short The Female Athlete’s Heart: Overview and Management of Cardiovascular Diseases
title_sort female athlete s heart overview and management of cardiovascular diseases
url https://www.ecrjournal.com/articleindex/ecr.2021.29
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