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Exercise-Induced Cardiovascular Adaptations and Approach to Exercise and Cardiovascular Disease: JACC State-of-the-Art Review. [Review]

MedStar author(s):

Citation: Journal of the American College of Cardiology. 78(14):1453-1470, 2021 10 05.PMID: 34593128Institution: MedStar Sports MedicineForm of publication: Journal ArticleMedline article type(s): Journal Article | ReviewSubject headings: *Adaptation, Physiological | *Athletes | *Exercise/ph [Physiology] | *Heart Diseases/di [Diagnosis] | *Heart/ph [Physiology] | HumansYear: 2021 ISSN:

0735-1097

Name of journal: Journal of the American College of CardiologyAbstract: The role of the sports cardiologist has evolved into an essential component of the medical care of athletes. In addition to the improvement in health outcomes caused by reductions in cardiovascular risk, exercise results in adaptations in cardiovascular structure and function, termed exercise-induced cardiac remodeling. As diagnostic modalities have evolved over the last century, we have learned much about the healthy athletic adaptation that occurs with exercise. Sports cardiologists care for those with known or previously unknown cardiovascular conditions, distinguish findings on testing as physiological adaptation or pathological changes, and provide evidence-based and "best judgment" assessment of the risks of sports participation. We review the effects of exercise on the heart, the approach to common clinical scenarios in sports cardiology, and the importance of a patient/athlete-centered, shared decision-making approach in the care provided to athletes. Copyright (c) 2021. Published by Elsevier Inc.All authors: Baggish AL, Bunch TJ, Chung EH, Danielian A, Dean P, Eijsvogels TMH, Emery MS, Fernandez AB, Kim JH, Krishnan S, Levine BD, Martinez MW, Phelan D, Shah AB, Wasfy MMOriginally published: Journal of the American College of Cardiology. 78(14):1453-1470, 2021 Oct 05.Fiscal year: FY2022Fiscal year of original publication: FY2022Digital Object Identifier:

https://dx.doi.org/10.1016/j.jacc.2021.08.003

Date added to catalog: 2021-11-01

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Title notes ( 2 )

Holdings
Item type	Current library	Collection	Call number	Status	Date due	Barcode
Journal Article	MedStar Authors Catalog	Article	34593128	Available		34593128

The role of the sports cardiologist has evolved into an essential component of the medical care of athletes. In addition to the improvement in health outcomes caused by reductions in cardiovascular risk, exercise results in adaptations in cardiovascular structure and function, termed exercise-induced cardiac remodeling. As diagnostic modalities have evolved over the last century, we have learned much about the healthy athletic adaptation that occurs with exercise. Sports cardiologists care for those with known or previously unknown cardiovascular conditions, distinguish findings on testing as physiological adaptation or pathological changes, and provide evidence-based and "best judgment" assessment of the risks of sports participation. We review the effects of exercise on the heart, the approach to common clinical scenarios in sports cardiology, and the importance of a patient/athlete-centered, shared decision-making approach in the care provided to athletes. Copyright (c) 2021. Published by Elsevier Inc.

English