Advances in Sports Cardiology by A. Dagianti (auth.), A. Pelliccia, G. Caselli, P. Bellotti

By A. Dagianti (auth.), A. Pelliccia, G. Caselli, P. Bellotti (eds.)

The unique articles incorporated within the current booklet have basically been taken from papers awarded on the foreign complicated direction, extra distinctive the grasp on activities Cardiology, held in Rome from November 27 to December 15 1995 on the college of game and Institute of game Sciences of the Italian nationwide Olympic Committee. The contributions, written via across the world said scientists, seemed after broad and cautious revision by way of the Authors, and characterize present and hugely ecocnomic clinical fabric. the inducement to submit this paintings got here from Springer-Verlag, a well known publi­ sher, and the articles were compiled in Advances in activities Cardiology. the current quantity is an easy-to-consult, accomplished and up to date refe­ rence. attainable destiny advancements in cardiovascular review in athletes were coated, too. The cardiological evaluate of athletes represents a greater than 30 years-old self-discipline in"Italy, with felony implications, which compel physicians during this box to enquire in each one person athlete the potential, innermost motives of cardiovascular abnormality and to precise a circumstantial prognostic asses­ sment. Cardiologists during this box must have an intensive heritage in phy­ siology yet must also concentrate on the symptoms and boundaries of the instrumen­ tal diagnostic methods utilized in scientific perform in addition to of the excellence among general physiological variation to workout and coaching and a real pathological cardiac approach. accordingly, sound foundation in body structure with an incredible curiosity in scientific perform distinguishes activities cardiology as a brand new and origi­ nal discipline.

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The increased cardiac dimensions in senior athletes are probably in relation to their larger body surface area and lean body mass, but also to the longer duration of intensive athletic conditioning. d) Finally, a genetic control is suggested by studies evaluating aerobic per-formance and cardiac dimensions in series of twins [39 ,40]. Inherited factors may have a role in governing cardiac dimensions in athletes, either by regulat-ing cardiac morphologic adaptations to training, or through a predisposition to sustain a more intensive athletic conditioning and hemodynamic overload.

Thus, in thermal stress the heat dissipation mechanism of vasodilatation and sweating in the lower body is lost. Furthermore, the interruption of the spinothalamic tract, which conveys information from cutaneous thermoreceptors, reduces the ability to maintain thermal homeostasis. This fact is reflected in the shiver paradox: when the lower part of the body is refrigerated the diencephalic centre, which perceives this manoeuvre because the blood is cool, reacts by shivering. But the subject who is not aware of the cold, due to the interruption of the spinothalamic lateral tract, is surprised by the shivering which is subjectively felt as a purposeless activity.

26. 27. A. Biffi et al. Cardiology, Rome 1978, Gaggi Bologna, p 3 Zeppilli P, Frustaci A (1993) Utilita',limiti ed indicazioni della biopsia miocardica negli sportivi. Int J Sports Cardiol2:275 Crijns HJGM, Van Vijk M, Van Gilst WH et al (1988) Acute conversion of atrial fibrillation to sinus rhythm: clinical efficacy of flecainide acetate. Comparison of two regimens. Eur Heart J 9:634 Pritchett ELC, McCarthy EA, Wilkinson WE (1991) Propafenone treatment of symptomatic paroxysmal supraventricular arhhythmias.

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