- Cardiovascular Effects of Exercise
- Cardiovascular and exercise physiology
- Sports injuries and prevention
- Heart Rate Variability and Autonomic Control
- Cardiac electrophysiology and arrhythmias
- Cardiomyopathy and Myosin Studies
- Sports Performance and Training
- Cardiac Imaging and Diagnostics
- Cardiac Arrhythmias and Treatments
- Cardiac Arrest and Resuscitation
- Cardiovascular Function and Risk Factors
- Cardiac pacing and defibrillation studies
- Cardiac Valve Diseases and Treatments
- Spinal Cord Injury Research
- Non-Invasive Vital Sign Monitoring
- Advanced Chemical Sensor Technologies
- Body Composition Measurement Techniques
- Mitochondrial Function and Pathology
- Thermoregulation and physiological responses
- Shoulder Injury and Treatment
- Pulmonary Hypertension Research and Treatments
- Cardiovascular Disease and Adiposity
- Cerebral Palsy and Movement Disorders
- Blood Pressure and Hypertension Studies
- Pericarditis and Cardiac Tamponade
Federazione Medico Sportiva Italiana
1994-2022
Institute of Sports Medicine and Science
2008-2017
Sapienza University of Rome
2000-2016
Foro Italico University of Rome
2016
University of Minnesota
2014
Minnesota Wire (United States)
2014
University of L'Aquila
2013
Policlinico Umberto I
2006
Istituto Motori
2002-2004
Associazione Italiana Arbitri
2002
In some highly trained athletes, the thickness of left ventricular wall may increase as a consequence exercise training and resemble that found in cardiac diseases associated with hypertrophy, such hypertrophic cardiomyopathy. these differential diagnosis between physiologic pathologic hypertrophy be difficult.
Background —The prevalence, clinical significance, and determinants of abnormal ECG patterns in trained athletes remain largely unresolved. Methods Results —We compared with cardiac morphology (as assessed by echocardiography) 1005 consecutive (aged 24±6 years; 75% male) who were participating 38 sporting disciplines. distinctly 145 (14%), mildly 257 (26%), normal or minor alterations 603 (60%). Structural cardiovascular abnormalities identified only 53 (5%). Larger dimensions associated...
Young, trained athletes may have abnormal 12-lead electrocardiograms (ECGs) without evidence of structural cardiac disease. Whether such ECG patterns represent the initial expression underlying disease with potential long-term adverse consequences remains unresolved. We assessed clinical outcomes in ECGs characterized by marked repolarization abnormalities.From a database 12,550 athletes, we identified 81 diffusely distributed and deeply inverted T waves (> or = 2 mm at least three leads)...
Background— The clinical significance and long-term consequences of left ventricular (LV) hypertrophy associated with intensive athletic conditioning remain unresolved. Methods Results— We prospectively evaluated 40 elite male athletes who had shown marked LV cavity enlargement ≥60 mm, wall thickness ≥13 or both in a longitudinal fashion serial echocardiograms, initially at peak training (age 24±4 years) subsequently after deconditioning period (1 to 13 years; mean, 5.6±3.8). After...
Background — Benefits of moderate endurance training include increases in parasympathetic activity and baroreflex sensitivity (BRS) a relative decrease sympathetic tone. However, the effect very intensive load on neural cardiovascular regulation is not known. We tested hypothesis that strenuous training, like high-performance athletes, would enhance activation reduce vagal inhibition. Methods Results studied entire Italian junior national team rowing (n=7) at increasing loads up to 75% 100%...
BACKGROUND--Clinical distinction between athlete9s heart and hypertrophic cardiomyopathy in a trained athlete is often difficult. In an effort to identify variables that may aid this differential diagnosis, the effects of deconditioning on left ventricular wall thickness were assessed six highly elite athletes who had competed rowing or canoeing at 1988 Seoul Olympic Games. Each these showed substantial septal thickening associated with training (13-15 mm) which resembled cardiomyopathy....
Due to superior exercise performance, athletes show higher blood pressure (BP) at peak compared untrained individuals. Thus, reference values for systolic and diastolic BP were reported specifically athletes. However, the prognostic significance of high response (HBPR) has not yet been clarified in this population.One hundred forty-one normotensive with HBPR 141 normal (NBPR) exercise, matched gender, age, body size, type sport. All followed up 6.5 ± 2.8 years. Over follow-up, no cardiac...
Olympic athletes represent model of success in our society, by enduring strenuous conditioning programmes and achieving astonishing performances. They also raise scientific clinical interest, with regard to medical care prevalence cardiovascular (CV) abnormalities.Our aim was assess the type CV abnormalities this selected athlete's cohort.2352 athletes, mean age 25±6, 64% men, competing 31 summer or 15 winter sports, were examined history, physical examination, 12-lead exercise ECG...
In Italy the existence of a law on health protection competitive sports since 1982 has favored creation and revision these cardiological guidelines (called COCIS), which have reached their fourth edition (1989-2009). The present article is second English version, summarized larger version in Italian. experience experts consulted course past 20 years facilitated application compatibility issues related to clinical cardiology medicine field. Such prolonged allowed cardiologist acquire...
To evaluate the prevalence of structural cardiac lesions using echocardiography in apparently healthy boys referred for pre-participation screening (PPS).3100 male soccer players were evaluated by addition to standard PPS.In 56 subjects (1.8%), a lesion with potential future complication was detected. Specifically, hypertrophic cardiomyopathy (HCM) found two boys; bicuspid aortic valve (BAV) 24; mitral prolapse 10 and atrial septal defects (ASDs) 20. Resting physical examination (PE) failed...
T wave inversion (TWI) has been associated with cardiomyopathies. The hypothesis of this study was that TWI relevant clinical significance in peri-pubertal athletes.Consecutive male soccer players, aged 8-18 years, undergoing preparticipation screening between January 2008 and March 2009 were enrolled. Medical family histories collected; physical examinations, 12-lead ECGs transthoracic echocardiogram (TTE) performed. categorised by ECG lead (anterior (V1-V3), extended anterior (V1-V4),...