Advancements in Diagnostic Innovations in Sports Cardiology

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Cardiology".

Deadline for manuscript submissions: 25 October 2025 | Viewed by 352

Special Issue Editors


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Guest Editor
1. Institute of Sports Medicine and Science, National Italian Olympic Committee, Largo Piero Gabrielli, 00197 Roma, Italy
2. Department of Movement, Human and Health Sciences, University of Rome “Foro Italico”, Piazza Lauro de Bosis, 00135 Roma, Italy
Interests: athlete’s heart; cardiomyopathies; dyslipidemia; hypertension; heart remodelling
Special Issues, Collections and Topics in MDPI journals

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Guest Editor
Department of Sports Medicine, Institute of Sports Medicine and Science, National Italian Olympic Committee, Largo Piero Gabrielli, 1, 00197 Rome, Italy
Interests: athlete’s heart; heart remodeling; athletes; exercise prescription; olympic
Special Issues, Collections and Topics in MDPI journals

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Guest Editor
Departmental Faculty of Medicine and Surgery, UniCamillus-Saint Camillus International University of Health Sciences, 00131 Rome, Italy
Interests: sports medicine; sports cardiology; pre-participation screening; sports injury rehabilitation; echocardiography; musculoskeletal ultrasound
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

Sports cardiology is a rapidly evolving field, driven by the increasing recognition of cardiovascular conditions in athletes. Over the past decade, innovations in diagnostic tools, imaging techniques, and risk stratification strategies have significantly advanced our understanding of cardiovascular health in sports contexts. These breakthroughs are essential in improving the detection, diagnosis, and management of cardiovascular conditions, ultimately enhancing athletic performance and safeguarding the health of athletes.

This Special Issue aims to provide an overview of the latest advancements in sports cardiology diagnostics. From cutting-edge imaging modalities to novel biomarkers and sophisticated risk assessment models, the contributions gathered here highlight the forefront of research that is reshaping clinical practice. As sports cardiology continues to grow, it is crucial that we stay ahead of emerging trends to ensure that athletes receive the most accurate, timely, and personalized care.

The aim of this Special Issue is to highlight advancements in non-invasive imaging, genetic screening, wearable technology, and the integration of artificial intelligence into clinical decision-making.

Dr. Giuseppe Di Gioia
Dr. Maria Rosaria Squeo
Dr. Stefano Palermi
Guest Editors

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Keywords

  • athletes
  • cardiovascular prevention
  • risk factors
  • sport cardiology
  • sudden cardiac death

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Published Papers (1 paper)

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Research

13 pages, 655 KiB  
Article
How to Evaluate Kidney Function in Elite Endurance Athletes: Pros and Cons of Different Creatinine-Based Formulas
by Giuseppe Di Gioia, Armando Ferrera, Andrea Serdoz, Alessandro Spinelli, Roberto Fiore, Lorenzo Buzzelli, Domenico Zampaglione and Maria Rosaria Squeo
J. Clin. Med. 2025, 14(9), 2955; https://doi.org/10.3390/jcm14092955 - 24 Apr 2025
Viewed by 232
Abstract
Background: Various creatinine-based equations are used to estimate the glomerular filtration rate (eGFR) in athletes, but each has limitations. The aim of our study was to identify the most suitable formula for use in athletes. Methods: We evaluated 490 Olympic athletes (27 ± [...] Read more.
Background: Various creatinine-based equations are used to estimate the glomerular filtration rate (eGFR) in athletes, but each has limitations. The aim of our study was to identify the most suitable formula for use in athletes. Methods: We evaluated 490 Olympic athletes (27 ± 5.3 yo) with normal values of serum creatinine and no history of kidney diseases. Athletes were divided into those practicing skills and endurance disciplines. The EGFR was calculated with Cockcroft–Gault (CG), MDRD, MCQE and CKD-EPI, and classified as stages G1–G5 according to the Kidney Disease Improving Global Outcomes (KDIGO) GFR categories. Results: Endurance athletes showed higher serum creatinine (0.91 ± 0.14 mg/dL vs. 0.88 ± 0.13 mg/dL in skills, p = 0.014). The eGFR calculated with the CKD-EPI and MCQE formulas showed no differences between the groups. The CG formula produced a lower eGFR for endurance athletes (113.6 ± 27 mL/min/1.73 m2) compared to skills athletes (122.6 ± 30.8, p = 0.008), while MDRD produced higher values for endurance athletes (129.3 ± 25.8 vs. 122.6 ± 24 mL/min/1.73 m2, p = 0.004). According to CKD-EPI, all athletes were in G1, while with MCQE, 0.5% of skills athletes and 1% of endurance athletes were in G2. With the CG formula, a significant percentage of athletes were in G2 (13.2% of skills athletes and 18.5% of endurance athletes, p = 0.125). With the MDRD formula, 29 athletes (5.9%) were in G2 (6% for skills athletes and 5.8% for endurance athletes, p = 0.927). Conclusions: CKD-EPI and MCQE showed better stability and reliability, making them the most suitable for kidney function evaluation in athletes. Full article
(This article belongs to the Special Issue Advancements in Diagnostic Innovations in Sports Cardiology)
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