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Publikasi Scopus 2024 per tanggal 30 Juni 2024 (499 artikel)
Publikasi Scopus 2024 per tanggal 30 Juni 2024 (499 artikel)
Laily, Inarota (57215279447); Wiggers, Tom G.H. (57224115171); Van Steijn, Niels (59150259800); Bijsterveld, Nick (57207904836); Bakermans, Adrianus J. (54400805800); Froeling, Martijn (36521041200); Van Den Berg-Faay, Sandra (57215608529); De Haan, Ferdinand H. (57202237111); De Bruin-Bon, Rianne H.A.C.M. (26434606200); Boekholdt, S. Matthijs (55666749700); Planken, R. Nils (58018751200); Verhagen, Evert (6602397078); Jorstad, Harald T. (23492369900)
Pre-Participation Screenings Frequently Miss Occult Cardiovascular Conditions in Apparently Healthy Male Middle-Aged First-Time Marathon Runners
2024
Cardiology (Switzerland)
149
3
255
263
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https://www.scopus.com/inward/record.uri?eid=2-s2.0-85190382103&doi=10.1159%2f000536553&partnerID=40&md5=783a2b9ff98e0c33bf07187ea5a8525d
Department of Cardiology, Amsterdam University Medical Centers, University of Amsterdam, Amsterdam, Netherlands; Department of Public and Occupational Health, Amsterdam Collaboration on Health and Safety in Sports, Amsterdam Movement Sciences, Amsterdam University Medical Centers, Vrije Universiteit Amsterdam, Amsterdam, Netherlands; Center for Sport and Exercise Studies, Indonesian Medical Education and Research Institute, Faculty of Medicine, University of Indonesia, Jakarta, Indonesia; Department of Sports Medicine, Anna Hospital, Geldrop, Netherlands; Department of Radiology and Nuclear Medicine, Amsterdam University Medical Centers, University of Amsterdam, Amsterdam, Netherlands; Department of Radiology, University Medical Center Utrecht, Utrecht, Netherlands; Faculty of Health, School of Physiotherapy, Amsterdam University of Applied Sciences, Amsterdam, Netherlands
Introduction: The optimal pre-participation screening strategy to identify athletes at risk for exercise-induced cardiovascular events is unknown. We therefore aimed to compare the American College of Sports Medicine (ACSM) and European Society of Cardiology (ESC) pre-participation screening strategies against extensive cardiovascular evaluations in identifying high-risk individuals among 35.50- year-old apparently healthy men. Methods: We applied ACSM and ESC pre-participation screenings to 25 men participating in a study on first-time marathon running. We compared screening outcomes against medical history, physical examination, electrocardiography, blood tests, echocardiography, cardiopulmonary exercise testing, and magnetic resonance imaging. Results: ACSM screening classified all participants as "medical clearance not necessary."ESC screening classified two participants as "high-risk."Extensive cardiovascular evaluations revealed ≥1 minor abnormality and/or cardiovascular condition in 17 participants, including three subjects with mitral regurgitation and one with a small atrial septal defect. Eleven participants had dyslipidaemia, six had hypertension, and two had premature atherosclerosis. Ultimately, three (12%) subjects had a serious cardiovascular condition warranting sports restrictions: aortic aneurysm, hypertrophic cardiomyopathy (HCM), and myocardial fibrosis post-myocarditis. Of these three participants, only one had been identified as "high-risk"by the ESC screening (for dyslipidaemia, not HCM) and none by the ACSM screening. Conclusion: Numerous occult cardiovascular conditions are missed when applying current ACSM/ ESC screening strategies to apparently healthy middle-aged men engaging in their first high-intensity endurance sports event. © 2024 The Author(s). Published by S. Karger AG, Basel.
Adult; Cardiomyopathy, Hypertrophic; Cardiovascular Diseases; Dyslipidemias; Echocardiography; Electrocardiography; Exercise Test; Humans; Hypertension; Magnetic Resonance Imaging; Male; Marathon Running; Mass Screening; Middle Aged; Missed Diagnosis; Physical Examination; apolipoprotein B; beta adrenergic receptor blocking agent; low density lipoprotein cholesterol; triacylglycerol; troponin T; adult; aortic aneurysm; Article; atherosclerotic plaque; cardiology; cardiometabolic risk; cardiomyopathy; cardiovascular magnetic resonance; cardiovascular risk; computer assisted tomography; dyslipidemia; dyspnea; echocardiography; electrocardiography; female; fibrosis; heart muscle fibrosis; human; hypercholesterolemia; hypertension; hypertrophic cardiomyopathy; male; marathon runner; medical hi
Lembaga Pengelola Dana Pendidikan, LPDP, (201803220412678); Lembaga Pengelola Dana Pendidikan, LPDP
This work is supported by the Indonesia Endowment Fund for Education (LPDP \u2013 Grant No. 201803220412678). The funder had no role in the design, data collection, data analysis, and reporting of this study.
S. Karger AG
00086312
38325343
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