Cardiovascular Medicine

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Open AccessCommunication

Jahresbericht 2008 der Arbeitsgruppe «Herzinsuffizienz» der SGK

by Fritz Widme, Hans-Peter Brunne, Giorgio Moschovitis, René Lerch, Thomas Sutter, Charles Seydoux, Georg Noll and Otto Hess

Cardiovasc. Med. 2009, 12(6), 198; https://doi.org/10.4414/cvm.2009.01429 - 26 Jun 2009

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Abstract

Die Arbeitsgruppe Herzinsuffizienz verzeichnete im Berichtsjahr einen erfreulichen Zuwachs auf nun 144 Mitglieder. Gemäss unseren Statuten kam es turnusgemäss zum Wechsel im Präsidium. Hans-Peter Brunner amtiert nun als Pastpräsident, Fritz Widmer wurde Präsident und Giogio Moschovitis VizePräsident. Die Vertretung der Universitäten, der nicht-universitären [...] Read more.

Die Arbeitsgruppe Herzinsuffizienz verzeichnete im Berichtsjahr einen erfreulichen Zuwachs auf nun 144 Mitglieder. Gemäss unseren Statuten kam es turnusgemäss zum Wechsel im Präsidium. Hans-Peter Brunner amtiert nun als Pastpräsident, Fritz Widmer wurde Präsident und Giogio Moschovitis VizePräsident. Die Vertretung der Universitäten, der nicht-universitären Spitäler und praktizierenden Kardiologen sowie der Pflegenden blieben sich gleich. Im Berichtsjahr fanden drei Geschäftssitzungen der gesamten Arbeitsgruppe statt Full article

2 pages, 1129 KB

Open AccessInteresting Images

Extrapulmonale Tuberkulose

by Claudia Fritsche and Susanne Buchholz

Cardiovasc. Med. 2009, 12(6), 196; https://doi.org/10.4414/cvm.2009.01430 - 26 Jun 2009

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Abstract

Der wegen beidseitiger Achillodynie und Subfebrilität in Abklärung stehende 41-jährige Altenpfleger aus Sri Lanka gibt anamnestisch eine deutliche Leistungseinschränkung im Alltag an. Das Thoraxbild ist normal [...] Full article

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2 pages, 390 KB

Open AccessInteresting Images

Herzrasen beim Sport

by Laurent Roten and Etienne Delacrétaz

Cardiovasc. Med. 2009, 12(6), 194; https://doi.org/10.4414/cvm.2009.01427 - 26 Jun 2009

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Abstract

Ein 15-jähriger, sportlich sehr aktiver Patient berichtet über rezidivierende Palpitationen seit 3 Jahren, häufig durch sportliche Aktivitäten ausgelöst [...] Full article

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4 pages, 146 KB

Open AccessEditorial

Screening Before Engaging in Sports

by Andreas Hoffmann

Cardiovasc. Med. 2009, 12(6), 190; https://doi.org/10.4414/cvm.2009.01432 - 26 Jun 2009

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Abstract

Physical activity protects against premature manifestations of many degenerative and especially cardiovascular diseases. On the other hand there is a slightly increased risk of cardiac death during activity, predominantly in untrained persons but also in previously healthy and well trained athletes. Since cardiologists [...] Read more.

Physical activity protects against premature manifestations of many degenerative and especially cardiovascular diseases. On the other hand there is a slightly increased risk of cardiac death during activity, predominantly in untrained persons but also in previously healthy and well trained athletes. Since cardiologists advocate sports and physical activity they are called upon to recommend appropriate screening procedures to avoid some of these risks. Based on broad knowledge about the pathophysiology of sports related deaths a number of effective screening methods can be recommended which should be applied to individuals according to their level of activity and possible risk factors. We specifically recommend a thorough personal and family history on any person before taking up strenuous activity, searching for exercise related symptoms and cardiovascular risk factors as well as for cases of genetic heart disease or sudden death in families. Second a physical examination with blood pressure measurement and chest auscultation are mandatory to detect congenital abnormalities (outflow obstruction of the left ventricle such as aortic stenosis, hypertrophic cardiomyopathy, coarctation). Before engaging in competitive sports a resting 12-lead ECG is recommended to detect signs of cardiomyopathy or primary electrical disease. Any abnormal finding should be followed by detailed evaluation before clearing the athlete. For professional elite athletes it may be advisable to undertake a more detailed testing at the outset of a career involving high financial stakes in order to avoid economic consequences of later disqualification. Full article

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4 pages, 210 KB

Open AccessEditorial

No Sports Was Churchill Right After All?

by Ronald K. Binder and Jean-Paul Schmid

Cardiovasc. Med. 2009, 12(6), 186; https://doi.org/10.4414/cvm.2009.01433 - 26 Jun 2009

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Abstract

Up to ten percent of acute coronary syndromes occur during or shortly after physical exercise. In fact, physical exertion of more than 4 METs transiently increases the risk for myocardial infarction which remains elevated until an hour afterwards. The relative risk strongly depends [...] Read more.

Up to ten percent of acute coronary syndromes occur during or shortly after physical exercise. In fact, physical exertion of more than 4 METs transiently increases the risk for myocardial infarction which remains elevated until an hour afterwards. The relative risk strongly depends on the usual amount of regular physical exercise. Sedentary lifestyle is most at risk – up to a hundred fold –, while sportive persons face only a negligible risk increase. The pathophysiological mechanism comprises blood clot formation at the rupture site of an unstable inflammatory coronary plaque. This is caused amongst others by increased shear stress, inflammatory response, endothelial dysfunction, hyperviscosity and increased platelet aggregability. Despite this striking transient relative risk increase, the absolute risk remains low. Furthermore, the performance of regular physical exercise has beneficial and protective effects. On the long term it decreases the overall risk for myocardial infarction and may reduce total cardiovascular morbidity and mortality. Full article

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7 pages, 1624 KB

Open AccessReview

Sports and Sudden Cardiac Death

by Gaetano Thiene, Domenico Corrado and Cristina Basso

Cardiovasc. Med. 2009, 12(6), 179; https://doi.org/10.4414/cvm.2009.01426 - 26 Jun 2009

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Abstract

Cardiovascular diseases are the main cause of sudden death (SD) in athletes. Preparticipation screening for sports eligibility is able to detect apparently healthy subjects who are carriers of concealed cardiac defects which may cause SD during the practice of sport. Effort is a [...] Read more.

Cardiovascular diseases are the main cause of sudden death (SD) in athletes. Preparticipation screening for sports eligibility is able to detect apparently healthy subjects who are carriers of concealed cardiac defects which may cause SD during the practice of sport. Effort is a trigger of cardiac arrest in subjects with diseases of the aorta, coronary arteries, myocardium, valves, conduction system and ion channels. In young athletes the incidence of SD is 3-fold that in non-athletes. Disqualification from sports activities in young subjects with hidden diseases removes the “trigger” and is lifesaving. In the last decade the incidence of SD has declined in the Veneto Region of Italy, chiefly due to identification and sports disqualification of young athletes affected by hypertrophic cardiomyopathy and arrhythmogenic right ventricular cardiomyopathy. Nowadays clinicians are well aware of these morbid entities, and their diagnosis is possible even in apparently healthy people by use of the ECG and, if requested, echo or possibly MRI and CT. Use of non-invasive diagnostic tools for imaging of the coronary artery tree, plus genetic screening for inherited cardiomyopathies, will in the future contribute to improving early diagnosis and enhance the effectiveness of SD prevention. Full article

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2 pages, 177 KB

Open AccessEditorial

After a Game Is Before Another Game Sports Medicine and Cardiology Revisited

by Christian Schmied

Cardiovasc. Med. 2009, 12(6), 177; https://doi.org/10.4414/cvm.2009.01428 - 26 Jun 2009

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Abstract

“After a game is before another game” – When the famous German football national team coach Sepp Herberger once spoke these words he was probably not referring to pre-competition screening of athletes [...] Full article

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Cardiovasc. Med., Volume 12, Issue 6 (06 2009) – 7 articles

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