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The Prevalence of Cardiovascular Diseases in Paralympic Athletes

Paralympic participants represent a special subset of athletes. Although sudden cardiac death in this group is a rare event, it should be underlined that, in particular, Paralympians with movement restrictions have a higher prevalence of coronary heart disease. Numerous reports have focused on compa...

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Autores principales: Sawczuk, Diana, Gać, Paweł, Poręba, Rafał, Poręba, Małgorzata
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10094457/
https://www.ncbi.nlm.nih.gov/pubmed/37046954
http://dx.doi.org/10.3390/healthcare11071027
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author Sawczuk, Diana
Gać, Paweł
Poręba, Rafał
Poręba, Małgorzata
author_facet Sawczuk, Diana
Gać, Paweł
Poręba, Rafał
Poręba, Małgorzata
author_sort Sawczuk, Diana
collection PubMed
description Paralympic participants represent a special subset of athletes. Although sudden cardiac death in this group is a rare event, it should be underlined that, in particular, Paralympians with movement restrictions have a higher prevalence of coronary heart disease. Numerous reports have focused on comparing athletes with spinal cord injury (SCI) and the ones with non-spinal cord injury—NSCI. The first group is more prone to develop arrhythmias, arterial hypertension, hyperlipidaemia including atrial fibrillation and atrial flutter, and this group potentially may have a higher risk of cardiovascular mortality. In ECGs of the disabled athletes with SCI, we more often find changes typically established as consequences of exercise training, such as T-wave inversions. The potential differences in the cardiovascular status of disabled athletes may depend not only on the class of impairment, but also on the discipline of sport and environmental conditions, which makes the analysis relatively complex. The paper analyses up-to-date articles discussing the cardiovascular problems in disabled athletes, pointing to scarce data in several fields of interest. Previous studies on the frequency of abnormalities of the cardiovascular system in Paralympic athletes highlighted the need to intensify preventive cardiology care for this group of athletes, and some activities could be proposed for sportsmen and sportswomen in this group, including more frequent screening ECG, application of 24 h ECG Holter monitoring, echocardiography and cardiological care. Due to the relatively few data available and existing discrepancies in this area, further research is necessary.
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spelling pubmed-100944572023-04-13 The Prevalence of Cardiovascular Diseases in Paralympic Athletes Sawczuk, Diana Gać, Paweł Poręba, Rafał Poręba, Małgorzata Healthcare (Basel) Review Paralympic participants represent a special subset of athletes. Although sudden cardiac death in this group is a rare event, it should be underlined that, in particular, Paralympians with movement restrictions have a higher prevalence of coronary heart disease. Numerous reports have focused on comparing athletes with spinal cord injury (SCI) and the ones with non-spinal cord injury—NSCI. The first group is more prone to develop arrhythmias, arterial hypertension, hyperlipidaemia including atrial fibrillation and atrial flutter, and this group potentially may have a higher risk of cardiovascular mortality. In ECGs of the disabled athletes with SCI, we more often find changes typically established as consequences of exercise training, such as T-wave inversions. The potential differences in the cardiovascular status of disabled athletes may depend not only on the class of impairment, but also on the discipline of sport and environmental conditions, which makes the analysis relatively complex. The paper analyses up-to-date articles discussing the cardiovascular problems in disabled athletes, pointing to scarce data in several fields of interest. Previous studies on the frequency of abnormalities of the cardiovascular system in Paralympic athletes highlighted the need to intensify preventive cardiology care for this group of athletes, and some activities could be proposed for sportsmen and sportswomen in this group, including more frequent screening ECG, application of 24 h ECG Holter monitoring, echocardiography and cardiological care. Due to the relatively few data available and existing discrepancies in this area, further research is necessary. MDPI 2023-04-04 /pmc/articles/PMC10094457/ /pubmed/37046954 http://dx.doi.org/10.3390/healthcare11071027 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Review
Sawczuk, Diana
Gać, Paweł
Poręba, Rafał
Poręba, Małgorzata
The Prevalence of Cardiovascular Diseases in Paralympic Athletes
title The Prevalence of Cardiovascular Diseases in Paralympic Athletes
title_full The Prevalence of Cardiovascular Diseases in Paralympic Athletes
title_fullStr The Prevalence of Cardiovascular Diseases in Paralympic Athletes
title_full_unstemmed The Prevalence of Cardiovascular Diseases in Paralympic Athletes
title_short The Prevalence of Cardiovascular Diseases in Paralympic Athletes
title_sort prevalence of cardiovascular diseases in paralympic athletes
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10094457/
https://www.ncbi.nlm.nih.gov/pubmed/37046954
http://dx.doi.org/10.3390/healthcare11071027
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