Editorial: From the heart of the athlete to athlete's heart to cardiopathy: approaches and challenges in risk management in cardiovascular sports medicine - Scorecard - MDSpire
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Editorial: Navigating the Spectrum from Athletic Heart Adaptations to Cardiovascular Issues: Strategies and Challenges in Sports Medicine Risk Management

  • By

  • Clotilde Castaldo

  • Franca Di Meglio

  • Daria Nurzynska

  • August 13, 2026

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Clinical Scorecard: Navigating the Spectrum from Athletic Heart Adaptations to Cardiovascular Issues: Strategies and Challenges in Sports Medicine Risk Management

At a Glance

CategoryDetail
ConditionAthlete's Heart and Cardiopathy
Key MechanismsCardiac remodeling due to exercise, influenced by training type and intensity.
Target PopulationAthletes across various sports and age groups.
Care SettingSports medicine and cardiology.

Key Highlights

  • Differentiation between physiological adaptations and pathological conditions is crucial.
  • Cardiac remodeling varies with sport type, training volume, and individual characteristics.
  • Endurance training enhances endothelial function and reduces arterial stiffness.
  • Age-related changes complicate cardiovascular screening in athletes.
  • Recent findings support individualized exercise strategies for patients with hypertrophic cardiomyopathy.

Guideline-Based Recommendations

Diagnosis

  • Utilize diagnostic imaging and functional assessments to identify cardiac conditions.

Management

  • Adopt a personalized approach to risk assessment and clinical decision-making.

Monitoring & Follow-up

  • Ongoing monitoring of athletes' cardiovascular health is essential.

Risks

  • Consider the potential for ventricular arrhythmias and sudden cardiac death in athletes.

Patient & Prescribing Data

Athletes, including those over 35 years of age.

Structured exercise may be safe for selected patients with hypertrophic cardiomyopathy.

Clinical Best Practices

  • Involve a multidisciplinary team for comprehensive athlete assessment.
  • Refine ECG criteria for master athletes to improve diagnostic accuracy.

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