This textbook provides a comprehensive, yet practically orientated overview of classic and novel sports cardiology topics, based on current evidence, guidelines, recommendations and expert experience. Numerous publications have provided guidance to these issues, but it has become increasingly difficult for both students and doctors to obtain a thorough, but practicable overview for optimal clinical care of athletes and patients. This book is intended as an educational work, filling the large gaps that are still present in the current educational guidelines for medical students and cardiology trainees.
Textbook of Sports and Exercise Cardiology differs from other sports cardiology books by focusing on clear, practical recommendations based on the latest evidence, primarily targeting those who seek professional background information and education that can easily be transferred into everyday care.
Preface.- Introduction: Sports and exercise cardiology current status
and future perspectives.-PART I: Sports cardiology in young competitive
athletes.-Definition of athletes and classification of sports.-The
cardiologist as part of the athlete medical team.-Athlete“s heart: basic
physiology and adaptation to exercise.-Impact of sporting disciplines and
body size on the athletes heart.-Sudden cardiac death in athletes:
incidence, causes and prevention strategies.-Medical evaluation of athletes:
Medical history and physical examination.-Medical evaluation of athletes:
Electrocardiogram.-Medical evaluation of athletes: Echocardiography.-Medical
evaluation of athletes: Further imaging modalities: Stress echo, CT and
MRI.-Medical evaluation of athletes: Exercise testing.-Medical evaluation of
athletes: Genetic testing.-Specific cardiovascular diseases and competitive
sports participation: Arterial hypertension.- Specific cardiovascular
diseases and competitivesports participation: Hypertrophic
cardiomyopathy.-Specific cardiovascular diseases and competitive sports
participation: Arrhythmogenic right ventricular cardiomyopathy.-Specific
cardiovascular diseases and competitive sports participation: Left
ventricular hypertrabeculation.-Specific cardiovascular diseases and
competitive sports participation: Valvular heart disease .-Specific
cardiovascular diseases and competitive sports participation:
Arrhythmias.-Specific cardiovascular diseases and competitive sports
participation: Pacemakers and ICD.-Specific cardiovascular diseases and
competitive sports participation: Myocarditis and myocardial
fibrosis.-Specific cardiovascular diseases and competitive sports
participation: Channelopathies .-Specific cardiovascular diseases and
competitive sports participation: Coronary anomalies and myocardial bridging
at risk of sudden death.-Specific cardiovascular diseases and competitive
sports participation: Congenital heart disease.-Specific populations:
Pediatric and adolescent athletes.-Specific populations: Female
athletes.-Specific populations: Athletes of Afro-Caribbean origin.-Commotio
cordis .-Cardiovascular side effects of commonly prescribed medications and
performance enhancing drugs and special considerations for the
athlete.-Cardiac safety in sports arenas.-PART II: Sports cardiology in
recreational / master athletes.-Medical supervision of mass sporting
events.-Incidence and causes of sudden cardiac death in recreational
athletes.-Potential cardiac damage induced by strenuous exercise.-The role of
imaging .-Endurance exercise and atrial fibrillation.-Sports in extreme
environments: cardiovascular issues.-PART III: Exercise in primary prevention
of cardiovascular disease.-Epidemiology: Physical activity, exercise and
mortality.-Impact of exercise on cardiovascular risk factors: Arterial
hypertension.-Impact of exercise on cardiovascular risk factors:
Dyslipidaemia.-Impact of exercise on cardiovascular risk factors: Diabetes
mellitus.-Impact of exercise on cardiovascular risk factors:
Obesity.-Exercise and vascular function.-The optimal dose of exercise.-PART
IV: Exercise in secondary prevention and cardiac rehabilitation.-Modalities
of exercise training in cardiac rehabilitation.-Cardiopulmonary exercise
testing and prescription of exercise.-Exercise in specific diseases: Coronary
artery disease.-Exercise in specific diseases: Heart failure with preserved
ejection fraction.-Exercise in specific diseases: Heart failure with reduced
ejection fraction.-Exercise in specific diseases: Heart transplantation and
left ventricular assist device.-Exercise in specific diseases: Valvular heart
disease.-Exercise in specific diseases: Atrial fibrillation.-Exercise in
Specific Diseases: Pacemakers and Implantable Cardioverter
Defibrillators.-Exercise in specific diseases: Abdominal aortic aneurysm
Assoc. Prof. Dr. Axel Pressler, born 1970, is running a private center for sports and exercise cardiology in Munich, Germany. He is a specialist in internal medicine and cardiology and has focused his clinical and scientific interests on sports cardiology, which has evolved in recent years as a novel, important subspecialty at the interface of cardiology, sports and preventive medicine. He clinically cares for both athletes and cardiac patients who seek medical advice regarding safe and effective sports participation and optimal medical or non-pharmacological therapy. Prior to this, Axel Pressler has worked over years as a senior physician and researcher at the Department of Prevention, Rehabilitation and Sports Medicine, Technical University of Munich (TUM), which is among the largest sports medicine and cardiology centers in Germany. He is still teaching students at the TUM and has regular lectures on sports cardiology and prevention issues. He is a nucleus member of both the German and European Working Groups of Sports Cardiology and is involved in writing specific guidelines for sports participation with cardiac disease and prevention of sudden cardiac death.
Prof. Josef Niebauer, MD, PhD, MBA is a specialist in internal medicine, cardiology, sports medicine and sports cardiology. He is the university chair and clinical director of the Institute of Sports Medicine, Prevention and Rehabilitation at the Paracelsus Medical University Salzburg and is also responsible for the Olympic Centre Salzburg-Rif. Each year, several thousand leisure-time to world class athletes, healthy as well as patient athletes, but also patients suffering and/or recovering from cardiovascular, pulmonary and metabolic diseases receive as required pre-participation screening, medical examinations, advice, therapy, and training recommendations. Among others he is the current president of the Austrian Society of Prevention and Rehabilitation, Vice- and Past-President of the Austrian Society of Sports Medicine and Prevention, as well as chair-elect of the Sports Cardiology section of the European Association of Preventive Cardiology, an association of the European Society of Cardiology. He lectures at several universities, has received interantional awards for his clinical as well as scientific exerpertise and has published more than 240 manuscripts in leading medical journals and books worldwide.
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