Abstract
L’ecocardiografia bidimensionale e color-Doppler rappresenta la metodica di imaging di più ampio utilizzo nella popolazione degli atleti. In questi soggetti l’ecocardiografia rappresenta un valido strumento per la diagnosi di cardiopatie potenzialmente letali. Infatti, negli ultimi anni hanno avuto molta risonanza mediatica degli episodi di morte improvvisa associata all’esercizio fisico in atleti a livello agonistico. Spesso la causa sottostante della morte improvvisa in tali pazienti è rappresentata da alterazioni strutturali cardiache e/o vascolari che possono essere identificate dall’ecocardiografia. La presenza di una cardiopatia può rappresentare un criterio di esclusione da sport agonistici al fine di ridurre il rischio di morte improvvisa e/o può giustificare l’impianto di un defibrillatore automatico. D’altro canto il cuore dell’atleta, e specificatamente il cuore di atleti molto allenati, praticanti sport di resistenza (maratona, nuoto) o misti (sci di fondo, ciclismo e canottaggio), va incontro a delle modificazioni strutturali e funzionali che vanno conosciute al fine di evitare diagnosi errate di cardiopatie. Il presente capitolo ha l’intento di fornire una guida strutturata allo studio ecocardiografico del cuore dell’atleta.
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Rizzello, V., Fioranelli, M. (2011). L’ecocardiografia nell’atleta. In: Cardiologia dello Sport. Springer, Milano. https://doi.org/10.1007/978-88-470-2352-9_3
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DOI: https://doi.org/10.1007/978-88-470-2352-9_3
Publisher Name: Springer, Milano
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