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Cardiac imaging to detect coronary artery disease in athletes aged 35 years and older. A scoping review.

Braber, TL; Reitsma, JB; Mosterd, A; Willemink, MJ; Prakken, NHJ; Halle, M; Sharma, S; Velthuis, BK (2018) Cardiac imaging to detect coronary artery disease in athletes aged 35 years and older. A scoping review. Scand J Med Sci Sports, 28 (3). pp. 1036-1047. ISSN 1600-0838 https://doi.org/10.1111/sms.12974
SGUL Authors: Sharma, Sanjay

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Abstract

Sudden cardiac death (SCD) is a devastating event in athletes. Screening efforts that were first directed at athletes younger than 35 years, are now focusing on the rapidly growing group of older sportspersons. Athletes aged ≥35 years have a 10-fold increased risk of exercise-related cardiac arrest, mostly due to coronary artery disease (CAD). Although cardiac imaging is pivotal in identifying CAD, the role of imaging modalities in screening asymptomatic older sportspersons remains unclear. We performed a scoping review to identify the role of cardiac imaging to detect CAD in older sportspersons and to identify gaps in the existing literature. We searched Medline, Embase and the Cochrane library for studies reporting data on cardiac imaging of CAD in sportspersons ≥35 years. The systematic search yielded 1737 articles and 14 were included in this scoping review. Imaging modalities included 2 echocardiography, 1 unenhanced Computed Tomography (CT) for coronary artery calcium scoring (CACS), 3 CACS and contrast-enhanced CT angiography (CCTA), 2 CACS and Cardiac Magnetic Resonance (CMR), 1 CCTA with CMR and echocardiography, 2 CCTA, 2 CMR, and 1 myocardial perfusion imaging article. The low number of relevant articles and the selection bias introduced by studying specific groups, like veteran marathon runners, indicate the need for future research. Cardiac CT (CACS and CCTA) probably has the highest potential for pre-participation screening, with high diagnostic value to detect CAD and low radiation dose. However, currently there is insufficient evidence for incorporating routine cardiac imaging in the pre-participation screening of asymptomatic sportspersons over 35 years.

Item Type: Article
Additional Information: This is the peer reviewed version of the following article: Braber TL, Reitsma JB, Mosterd A, et al. Cardiac imaging to detect coronary artery disease in athletes aged 35 years and older. A scoping review. Scand J Med Sci Sports. 2018;28:1036‐1047., which has been published in final form at http://doi.org/10.1111/sms.12974. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving.
Keywords: Sport Sciences, 1106 Human Movement And Sports Science
SGUL Research Institute / Research Centre: Academic Structure > Molecular and Clinical Sciences Research Institute (MCS)
Academic Structure > Molecular and Clinical Sciences Research Institute (MCS) > Cardiac (INCCCA)
Journal or Publication Title: Scand J Med Sci Sports
ISSN: 1600-0838
Language: eng
Dates:
DateEvent
26 February 2018Published
21 September 2017Published Online
17 August 2017Accepted
Publisher License: Publisher's own licence
PubMed ID: 28833626
Go to PubMed abstract
URI: https://openaccess.sgul.ac.uk/id/eprint/109095
Publisher's version: https://doi.org/10.1111/sms.12974

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