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Article

Effect of Sport Activity on Uncomplicated Bicuspid Aortic Valve: Long-Term Longitudinal Echocardiographic Study

by
Massimiliano Bianco
1,
Fabrizio Sollazzo
1,
Gloria Modica
2,*,
Isabella Carlotta Zovatto
1,
Rachele Di Mario
1,
Riccardo Monti
1,
Michela Cammarano
1,
Vincenzo Palmieri
1,† and
Paolo Zeppilli
1,†
1
Unità Operativa Complessa di Medicina dello Sport e Rieducazione Funzionale, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Università Cattolica del Sacro Cuore, 00168 Rome, Italy
2
Dipartimento di Neuroscienze, Università Cattolica del Sacro Cuore, Largo Agostino Gemelli 8, 00168 Rome, Italy
*
Author to whom correspondence should be addressed.
†
These authors contributed equally to this work.
J. Cardiovasc. Dev. Dis. 2024, 11(9), 285; https://doi.org/10.3390/jcdd11090285
Submission received: 31 July 2024 / Revised: 28 August 2024 / Accepted: 7 September 2024 / Published: 10 September 2024
(This article belongs to the Section Cardiovascular Clinical Research)
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Abstract

Background: The bicuspid aortic valve (BAV) is a congenital heart defect that can lead to certain complications (aortic stenosis, regurgitation, dilatation and endocarditis), the diagnosis and clinical monitoring of which are effectively entrusted to transthoracic echocardiography (TTE). The impact of training on the natural history of the disease remains unclear. Methods: A retrospective cohort of athletes with uncomplicated BAV aged 18–50 years, who underwent at least 2 TTEs with a minimum follow-up of 5 years, subdivided according to the level of physical activity during follow-up into ‘’untrained’’ and ‘’trained’’, was collected. RESULTS: 47 athletes (87.3% male, median 21.0, (18.0; 33.0) years) were included. Median follow-up was 11.6 (8.4; 16.3) years. No statistically significant difference in the growing rate of aorta, left ventricle, nor a significant worsening of aortic stenosis and regurgitation was found. Moreover, there was no significant correlation between weekly training minutes during follow-up and the echocardiographic parameters related to heart size and function. Conclusions: In BAV without major complications, high training volumes do not correspond to a more rapid and significant deterioration in valve function nor to a more rapid increase in aortic or cardiac chamber size.
Keywords: sport; athlete; bicuspid aortic valve; echocardiography; follow-up; pre-participation screening sport; athlete; bicuspid aortic valve; echocardiography; follow-up; pre-participation screening

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MDPI and ACS Style

Bianco, M.; Sollazzo, F.; Modica, G.; Zovatto, I.C.; Di Mario, R.; Monti, R.; Cammarano, M.; Palmieri, V.; Zeppilli, P. Effect of Sport Activity on Uncomplicated Bicuspid Aortic Valve: Long-Term Longitudinal Echocardiographic Study. J. Cardiovasc. Dev. Dis. 2024, 11, 285. https://doi.org/10.3390/jcdd11090285

AMA Style

Bianco M, Sollazzo F, Modica G, Zovatto IC, Di Mario R, Monti R, Cammarano M, Palmieri V, Zeppilli P. Effect of Sport Activity on Uncomplicated Bicuspid Aortic Valve: Long-Term Longitudinal Echocardiographic Study. Journal of Cardiovascular Development and Disease. 2024; 11(9):285. https://doi.org/10.3390/jcdd11090285

Chicago/Turabian Style

Bianco, Massimiliano, Fabrizio Sollazzo, Gloria Modica, Isabella Carlotta Zovatto, Rachele Di Mario, Riccardo Monti, Michela Cammarano, Vincenzo Palmieri, and Paolo Zeppilli. 2024. "Effect of Sport Activity on Uncomplicated Bicuspid Aortic Valve: Long-Term Longitudinal Echocardiographic Study" Journal of Cardiovascular Development and Disease 11, no. 9: 285. https://doi.org/10.3390/jcdd11090285

APA Style

Bianco, M., Sollazzo, F., Modica, G., Zovatto, I. C., Di Mario, R., Monti, R., Cammarano, M., Palmieri, V., & Zeppilli, P. (2024). Effect of Sport Activity on Uncomplicated Bicuspid Aortic Valve: Long-Term Longitudinal Echocardiographic Study. Journal of Cardiovascular Development and Disease, 11(9), 285. https://doi.org/10.3390/jcdd11090285

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