Integrated cardiac, endocrine, and genetic assessment in adolescent basketball players - Report - MDSpire

Comprehensive Evaluation of Cardiac, Endocrine, and Genetic Factors in Young Basketball Athletes

  • By

  • Katerina Gregorova

  • Lukas Plachy

  • Vaclav Chaloupecky

  • Olena Iurchenko

  • Klara Maliska Maratova

  • Aneta Kodytkova

  • Martin Matoulek

  • Jan Lebl

  • Viktor Tomek

  • Zdenek Sumnik

  • Petra Dusatkova

  • Stepanka Pruhova

  • July 20, 2026

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Clinical Report: Comprehensive Evaluation of Cardiac, Endocrine, and Genetic Factors

Overview

This study evaluated 55 young basketball athletes for cardiac, endocrine, and genetic factors associated with tall stature. Key findings included echocardiographic abnormalities in 7% of athletes and a diagnosis of Marfan syndrome in one participant, with no endocrine dysfunctions detected.

Background

Tall stature is advantageous in basketball but can be linked to serious health risks, including cardiovascular and endocrine disorders. The potential for sudden cardiac death (SCD) is particularly concerning in this population, necessitating thorough evaluations. Current screening practices may not adequately identify underlying health issues, as noted in various studies.

Data Highlights

FindingPercentage
Echocardiographic abnormalities7%
Physiological adaptation findings9%
Clinically relevant dysmorphic features47%
Mild dysmorphia38%
Monogenic cause of tall stature (Marfan syndrome)1.8%

Key Findings

  • 7% of athletes exhibited echocardiographic abnormalities.
  • 9% displayed echocardiographic findings resembling physiological adaptations.
  • 47% had clinically relevant dysmorphic features.
  • 38% presented with mild dysmorphia.
  • 1.8% were diagnosed with Marfan syndrome due to a pathogenic variant in the FBN1 gene.

Clinical Implications

Routine evaluations for young basketball athletes should include echocardiography and genetic testing to identify potential health risks associated with tall stature.

Conclusion

The study emphasizes the importance of comprehensive evaluations in young basketball athletes to uncover hidden health risks associated with tall stature.

Related Resources & Content

  1. Frontiers in Cardiovascular Medicine, 2026 -- Greater weekly exercise volume is associated with lower prevalence of metabolic comorbidities, psychiatric conditions, and exertional symptoms in youth athletes undergoing pre-participation screening: an observational study
  2. Clinical Research in Cardiology, 2025 -- Emerging Trends and Obstacles in Sports Cardiology: The Relationship Between Blood Pressure Responses and Aortic Changes in Athletes
  3. Pediatric Cardiology, 2025 -- Electrocardiographic Alterations in Young Athletes Associated with Gender, Age, and Type of Sport
  4. Clinical Considerations for Competitive Sports Participation for Athletes With Cardiovascular Abnormalities: A Scientific Statement From the American Heart Association and American College of Cardiology | JACC, 2024
  5. Pediatric Cardiology — Correction: Insights from Pediatric Cardiologists on Screening Practices for Sudden Cardiac Death Risk Factors
  6. Clinical Considerations for Competitive Sports Participation for Athletes With Cardiovascular Abnormalities: A Scientific Statement From the American Heart Association and American College of Cardiology | JACC
  7. The International Criteria for Electrocardiogram Interpretation in Athletes: Common Pitfalls and Future Directions - PubMed
  8. Diagnosis and management of heritable thoracic aortic diseases - PubMed

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