Sports cardiology

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The sports cardiology is with the effects of physical activity on the cardiovascular system involved in the different age groups and areas. This includes both content and knowledge of cardiology as well as performance physiology and sports practice. Sports cardiology has close ties to both cardiology and sports medicine , which is expressed in existing working groups in the relevant specialist societies .

The investigation of the positive effects of physical activity on the cardiovascular system, the practical application in cardiac sports, the proper interpretation of sports-induced changes and the current problem of sudden cardiac death in sports are central questions in sports cardiology.

development

After traditionally enlargement of the heart had always been regarded as pathological, Henschen demonstrated in Finnish cross-country skiers as early as 1899 that their enlarged hearts were due to endurance sports and had no pathological significance.

The term and causes of the sports heart remained controversial in cardiology for a long time. In 1959, heart disease was in a textbook. the "so-called sports heart" is a consequence of the disease. In contrast, Reindell shortly afterwards identified the enlarged heart as a physiological adjustment process. As a clinical cardiologist and sports medicine specialist, Reindell made sports cardiological issues one of his main research areas.

Today, the athletic heart is generally recognized as an endurance-induced adaptation symptom without any disease value.

Institutions

In the German Society for Cardiology - Heart and Circulatory Research (DKG) the working group (AG) Sports Medicine was founded in 1985 , which dealt with cardiological problems in sports medicine. This was followed in 1995 by the DKG working group "Physical resilience in non-coronary heart diseases" and in 2005 by the working group "Sports cardiology".

Internationally, the "Study Group of Sports Cardiology" exists in the European Society for Cardiology (ESC) .

Work and research content

The main concern is the proper classification of changes and abnormalities in the cardiovascular system as a result of physical strain. On the one hand, it is a question of not classifying certain functional and morphological adaptations as disease-related, on the other hand, it is also about not interpreting pathological findings as a physiological consequence of stress . Sports medicine has to provide the appropriate study design for the respective question , while on the cardiological side the type and significance of the changes identified have to be objectified and classified with the given equipment and laboratory technology.

Internationally, sports cardiology positions itself primarily with consensus recommendations such as recommendations on fitness for competition in cardiovascular anomalies and diseases .

literature

  • W. Kindermann, HH Dickhuth, A. Niess, K. Röcker, A. Urhausen: Sports cardiology. 2nd Edition. Steinkopff-Verlag, Darmstadt 2007, ISBN 978-3-7985-1706-6 .
  • H. Reindell: Heart, circulatory diseases and sport. JA Barth-Verlag, Munich 1960.
  • R. Rost: The athlete's heart. Historical perspectives - solved and unsolved problems. In: Cardiol. Clin. 15, 1997, pp. 493-512.
  • J. Scharhag, W. Kindermann: Pitfalls in the differentiation between athlete's heart and hypertrophic cardiomyopathy. In: Clinical Research in Cardiology . 98, 2009, pp. 465-466.

Individual evidence

  1. ^ SE Henschen: A medical sports study. Downhill skiing and ski racing. In: Mittlg. Upsala Medical Clinic. Fischer, Jena 1899.
  2. ↑ S. Kindermann: Sports cardiology - a necessary sub-specialty. In: German magazine for sports medicine. Volume 62, No. 1, 2011.
  3. ↑ S. Kindermann: The father of the sports heart - Herbert Reindell 100 years. In: German magazine for sports medicine. 59, No. 3, 2008, pp. 73-75.
  4. ↑ A. Pelliccia, R. Fagard, HH Bjornstad et al .: Recommendations for competitive sports participation in athletes with cardiovascular disease. In: Eur Heart J . 26, 2005, pp. 1422-1445.

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