Exercise Stress Testing in Athletes
Exercise stress testing (EST) is indicated for diagnostic and prognostic purposes in the general population. In athletes, stress tests can also be useful to inform the risk of high-intensity training and competition, to assess athletic conditioning, and to refine training regimens. Many specific indications for EST are unique to athletes. Treadmill and cycle ergometer protocols each have their strengths and disadvantages; extensive protocol customization may be necessary to answer the clinical question at hand. A comprehensive understanding of the available tools for exercise testing, their strengths, and their limitations...
Source: Clinics in Sports Medicine - June 14, 2022 Category: Sports Medicine Authors: Gary Parizher, Michael S. Emery Source Type: research
Exercise in the Genetic Arrhythmia Syndromes – A Review
Provide a brief summary of your article (100 –150 words; no references or figures/tables). The synopsis appears only in the table of contents and is often used by indexing services such as PubMed. Genetic arrhythmia syndromes are rare, yet harbor the potential for highly consequential, often unpredictable arrhythmias or sudden death events. There has been historical uncertainty regarding the correct advice to offer to affected patients who are reasonably wanting to participate in sporting and athletic endeavors. In some cases, this had led to abundantly cautious disqualifications, depriving individuals from participation...
Source: Clinics in Sports Medicine - June 14, 2022 Category: Sports Medicine Authors: Chinmaya Mareddy, Matthew Thomas ScM, George McDaniel, Oliver Monfredi Source Type: research
Sports Participation and Physical Activity in Individuals with Heritable Thoracic Aortic Disease and Aortopathy Conditions
The evaluation and management of athletes with HTAD and aortopathy conditions requires shared decision-making encompassing the underlying condition, family history, aortic diameter, and type and intensity of sports and exercise. Mouse models of thoracic aortic disease show that low-to-moderate-level aerobic exercise can maintain aortic architecture and attenuate pathologic aortic root dilation. Although controlled trials in human are lacking, recreational physical activities performed at a low-to-moderate aerobic pace are generally low risk for most individuals with aortopathy conditions. High-intensity, competitive, and c...
Source: Clinics in Sports Medicine - June 14, 2022 Category: Sports Medicine Authors: Mary B. Sheppard, Alan C. Braverman Source Type: research
Cardiac Concerns in the Pediatric Athlete
Cardiovascular disease remains the number one cause of death in Americans. It is no secret that exercise mitigates this risk. Exercise and regular physical activity are beneficial for physical health including aerobic conditioning, endurance, strength, mental health, and overall improved quality of life. Unfortunately, today many children and adolescents are sedentary, lacking the recommended daily amount of physical activity, leading to higher rates of obesity, cardiovascular disease, stroke, diabetes, anxiety, and depression. Given this rising concern, the World Health Organization launched a 12-year plan to improve phys...
Source: Clinics in Sports Medicine - June 14, 2022 Category: Sports Medicine Authors: Jamie N. Colombo, Christine N. Sawda, Shelby C. White Source Type: research
Hypertrophic Cardiomyopathy and Exercise
Individuals with HCM have historically been held from participation in sports beyond mild-intensity exercise. Exercise improves functional capacity and indices of cardiac function even in those with HCM. Emerging data have demonstrated the safety of exercise in individuals with HCM. Improvement in risk stratification and a shared decision-making approach has led to a guideline endorsement for HCM providers to develop an informed plan for exercise and competitive athletics among the HCM population. (Source: Clinics in Sports Medicine)
Source: Clinics in Sports Medicine - June 14, 2022 Category: Sports Medicine Authors: Matthew W. Martinez Source Type: research
The Offense and Defense of Sports Cardiology
Just stand out there and stick your glove out in the air. I ’ll take care of it.— Benny “the Jet” Rodriguez, The SandlotEarly the movie, The Sandlot, Benny “The Jet” Rodriguez recognizes Scotty Smalls has never played baseball and has no hope of catching a fly ball. Instead of shunning him and sending him home, he says the above quote and sends h im back to left field. As you may guess, Smalls holds his glove in the air, closes his eyes, and Benny hits a perfect fly ball into the glove. (Source: Clinics in Sports Medicine)
Source: Clinics in Sports Medicine - June 14, 2022 Category: Sports Medicine Authors: Peter N. Dean Tags: Preface Source Type: research
Sports Cardiology: Put Your Heart into It
I love that Dr Dean, who was gracious enough to accept the job as guest editor for this issue of Clinics in Sports Medicine, used a baseball analogy to introduce this topic. I would say that he hit it out of the park! This is a very thorough and comprehensive review of the subject, and I think we can all learn a lot —and not miss a beat. The issue begins with a discussion of the team care of athletes, which is important for all specialists that cover sports. Sudden Cardiac Death is given all the attention it deserves, because none of us want to be on the sidelines when a cardiac emergency occurs. (Source: Clinics in Sports Medicine)
Source: Clinics in Sports Medicine - June 14, 2022 Category: Sports Medicine Authors: Mark D. Miller Tags: Foreword Source Type: research
Sports Cardiology
CLINICS IN SPORTS MEDICINE (Source: Clinics in Sports Medicine)
Source: Clinics in Sports Medicine - June 14, 2022 Category: Sports Medicine Authors: Peter N. Dean Source Type: research
Copyright
ELSEVIER (Source: Clinics in Sports Medicine)
Source: Clinics in Sports Medicine - June 14, 2022 Category: Sports Medicine Source Type: research
Contributors
MARK D. MILLER, MD (Source: Clinics in Sports Medicine)
Source: Clinics in Sports Medicine - June 14, 2022 Category: Sports Medicine Source Type: research
Contents
Mark D. Miller (Source: Clinics in Sports Medicine)
Source: Clinics in Sports Medicine - June 14, 2022 Category: Sports Medicine Source Type: research
Forthcoming Issues
Pediatric& Adolescent Knee Injuries: Evaluation, Treatment& Rehabilitation (Source: Clinics in Sports Medicine)
Source: Clinics in Sports Medicine - June 14, 2022 Category: Sports Medicine Source Type: research
Regional Anesthesia for Hip Arthroscopy
Pain after hip arthroscopy can be severe, yet we lack a consensus method for non-narcotic analgesia. Here we describe anatomic elements of hip arthroscopy and our current understanding of the relevant sensory innervation as a prelude to the evaluation of locoregional analgesic techniques. Many regional nerve blocks and local anesthetic infiltration techniques are reviewed, including 2 newer ultrasound fascial plane blocks. Further study of targeted, motor-sparing approaches, either ultrasound-guided or under direct surgical visualization is needed. (Source: Clinics in Sports Medicine)
Source: Clinics in Sports Medicine - March 15, 2022 Category: Sports Medicine Authors: Peter E. Amato, Andrew J. Winkelman, Grace L. Forster, F. Winston Gwathmey Source Type: research
Anesthesia for the Patient Undergoing Knee Procedures
This article discusses anesthetic approaches to patients with acute, subacute, and chronic knee-related pathology requiring surgery. We will also review pertinent knee anatomy and innervation and discuss regional nerve blocks and their applications to knee-related surgical procedures. (Source: Clinics in Sports Medicine)
Source: Clinics in Sports Medicine - March 15, 2022 Category: Sports Medicine Authors: Grant Neely, Nicole Hollis, Cy Mozingo Source Type: research
Regional Anesthesia for Athletes Undergoing Upper Extremity Procedures
Upper extremity injuries are frequent in athletes which may require surgeries. Regional anesthesia for postoperative analgesia is important to aid recovery, and peripheral nerve blocks for surgical anesthesia enable surgeries to be performed without general anesthetics and their associated adverse effects. The relevant nerve block approaches to anesthetize the brachial plexus for elbow, wrist and hand surgeries are discussed in this article. There is very limited margin for error when performing nerve blocks and multimodal monitoring approach to reduce harm are outlined. Lastly, the importance of obtaining informed consent...
Source: Clinics in Sports Medicine - March 15, 2022 Category: Sports Medicine Authors: Carole-Anne Potvin, Vivian H.Y. Ip Source Type: research
