Epidemiology, Classification and Description of Cardiac Arrhythmias

Abstract

Cover image; Title page; Table of Contents; Copyright; Contributors; Consulting Editor; Editor; Authors; Forthcoming Issues; Forthcoming Issues; Recent Issues; Foreword; Preface: Sports Cardiology: A Discipline Emerged; The Impact of Sports Cardiology on the Practice of Primary Care Sports Medicine; Key points; Introduction; The preparticipation evaluation-Where were we, where are we?; A practical approach to a complex problem-Where are we headed?; The Cardiovascular Physiology of Sports and Exercise; Key points; Introduction; Principles of exercise physiology. The oxygen cascade and quantifying aerobic fitnessVariables monitored during exercise testing and their physiologic interpretation; Summary; Cardiovascular Adaptation and Remodeling to Rigorous Athletic Training; Key points; Introduction; Overview of relevant exercise physiology; Structural and functional cardiac adaptations; Determinants of adaptation; Uncertainties and areas for future work; Summary; The Electrocardiogram in Highly Trained Athletes; Key points; Introduction; Group 1 European Society of Cardiology criteria; Group 2 European Society of Cardiology criteria; Summary. Advanced Imaging of AthletesKey points; Introduction; Imaging background; Cardiomyopathies; Arterial disease; Aortic root dilation; Summary; Supplementary data; Cardiovascular Concerns in Water Sports; Key points; Depth and pressure; Boyle's law; Henry's law; Immersion; Diving; Summary; Diseases of the Aorta in Elite Athletes; Key points; Introduction; Conditions associated with aortic disease; Management of athletes with aortic disease; Athletes with Implantable Cardioverter Defibrillators; Key points; Introduction; Examination of guideline-based recommendations for athletes and arrhythmias. Challenging the current recommendations: is it really evidence-based practice?Practical considerations of implantable cardioverter defibrillators in athletes; Summary; Sports and Exercise in Athletes with Hypertrophic Cardiomyopathy; Key points; Hypertrophic cardiomyopathy: epidemiology, pathophysiology, diagnosis, clinical course, and treatment; The birth of guidelines: Bethesda and beyond; Comparisons to European guidelines; The evidence behind the guidelines; The cause of sudden cardiac death in hypertrophic cardiomyopathy is rooted in an electrically unstable substrate. Does exercise increase the risk of sudden cardiac death in hypertrophic cardiomyopathy?The exercise paradox in hypertrophic cardiomyopathy; Challenging the guidelines; Defining the high-risk cohort; Other avenues of prevention; Medical-legal implications; Should he be allowed to play? The case of Nicholas Knapp; Future directions; Summary; Legal and Ethical Issues in the Cardiovascular Care of Elite Athletes; Key points; Introduction; Understanding legal standards; Evidence of the standard; Elite athletes versus the normal patient population; Limiting potential exposures.