The role of coronary CT angiography in athletes

Eleonora Moliterno, Giuseppe Rovere, Lorenzo Giarletta, Alessandro Brancasi, Anna Rita Larici, Giancarlo Savino, Massimiliano Bianco, Agostino Meduri, Vincenzo Palmieri, Luigi Natale, Riccardo Marano*

*Autore corrispondente per questo lavoro

Risultato della ricerca: Contributo in rivistaArticolo in rivista

Abstract

The sudden death of a young or high-level athlete or adolescent during recreational sports is one of the events with the greatest impact on public opinion in modern society. Sudden cardiac death (SCD) is the principal medical cause of death in athletes and can be the first and last clinical presentation of underlying disease. To prevent such episodes, pre-participation screening has been introduced in many countries to guarantee cardiovascular safety during sports and has become a common target among medical sports/governing organizations. Different cardiac conditions may cause SCD, with incidence depending on definition, evaluation methods, and studied populations, and a prevalence and etiology changing according to the age of athletes, with CAD most frequent in master athletes, while coronary anomalies and non-ischemic causes prevalent in young. To detect silent underlying causes early would be of considerable clinical value. This review summarizes the pre-participation screening in athletes, the specialist agonistic suitability visit performed in Italy, the anatomical characteristics of malignant coronary anomalies, and finally, the role of coronary CT angiography in such arena. In particular, the anatomical conditions suggesting potential disqualification from sport, the post-treatment follow-up to reintegrate young athletes, the diagnostic workflow to rule-out CAD in master athletes, and their clinical management are analyzed.
Lingua originaleEnglish
pagine (da-a)1008-1024
Numero di pagine17
RivistaLA RADIOLOGIA MEDICA
Volume129
DOI
Stato di pubblicazionePubblicato - 2024

Keywords

  • Athletes
  • Coronary artery anomalies
  • Coronary artery disease
  • Coronary CT angiography
  • Sudden cardiac death
  • Personalized medicine
  • Pre-participation screening
  • Specialist agonistic suitability visit
  • Sports medicine
  • Diagnostic imaging

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