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Do you have an athlete in your family? Few things you should know about heart disease screening..

Updated: Jun 5



Young boy in a white tank top and red gloves punches a black punching bag with determination in a dark setting.
A young athlete fervently trains with a punching bag, highlighting the importance of monitoring heart health even at an early age.

Athletes Heart Disease Screening: Understanding the Athletic Heart


Athletes who are well-trained might have hearts that look quite different from those of non-athletes, sometimes resembling a diseased state. This phenomenon necessitates a thorough understanding of athletes heart disease screening to differentiate between a healthy athletic heart and one that may have underlying issues.


Physiological Changes in the Athletic Heart


By delving deeper and using advanced tests, we can distinguish between a healthy athletic heart and a heart with issues. What changes are often observed in athletes’ hearts during heart disease screening?

  • Enlarged Heart Chambers: The chambers of the heart might get bigger due to increased blood volume and cardiac output.

  • Thicker Heart Walls: Heart walls can become thicker as a result of consistent training and increased workload.

  • Right-Sided Heart Changes: In athletes focused on serious endurance training, the right side of the heart might enlarge and weaken at times.

  • Resting Heart Rate: At rest, the heart rate is generally slow, and there could be some irregularities in an ECG.


Differences in Heart Adaptations


Did you know that the heart of someone who primarily engages in endurance training looks different from someone who focuses on resistance training? The heart adapts to stress and strain from training. While most of the changes are protective, sometimes they can be concerning. In most cases, the heart returns to its normal state when the athlete stops training.


Screening and Monitoring for Heart Issues


There's an ongoing debate about whether pushing exercise intensity too far can be harmful and whether regular athletes heart disease screening is necessary. Discussions have emerged about the feasibility of regularly screening young athletes for heart issues using ECG and echocardiography. However, it's widely accepted that a thorough history and physical examination make sense as part of the screening process.

If athletes experience symptoms like fast heartbeats, dizziness, chest pain, or shortness of breath, it's crucial to seek medical help. Additionally, athletes with a family history of sudden death or heart problems should consider screening before engaging in intense exercise.


FAQs on Athletes Heart Disease Screening


What is athletes heart disease screening?


Athletes heart disease screening refers to the process of evaluating the hearts of athletes to detect any potential heart issues, often involving ECG and echocardiography.


Why is screening important for athletes?


Screening is important to identify any underlying heart conditions that could lead to serious health risks, especially during intense physical activity.


What symptoms should athletes be aware of?


Athletes should be vigilant for symptoms such as fast heartbeats, dizziness, chest pain, or shortness of breath, and seek medical attention if they experience these.


How does training affect the heart?


Training can lead to physiological changes in the heart, such as enlarged chambers and thicker walls, which are often benign but need to be monitored through athletes heart disease screening.


References


  • Maron, B. J., & Thompson, P. D. (2015). "Sudden Cardiac Death in Young Athletes." New England Journal of Medicine, 372(3), 231-241.

  • Pelliccia, A., & Fagard, R. (2000). "Cardiovascular Preparticipation Screening of Competitive Athletes: A Consensus Statement." Journal of the American College of Cardiology, 36(1), 198-208.

  • Corrado, D., et al. (2005). "Screening for Hypertrophic Cardiomyopathy in Young Athletes." Circulation, 112(15), 2193-2200.

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