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RESEARCH PRODUCT

Bicuspid aortic valve and sports: From the echocardiographic evaluation to the eligibility for sports competition

Maurizio GalderisiGiovanni BenfariAntonello D'andreaGiovanni Di SalvoSergio MondilloCiro SantoroFrancesco BanderaRoberta EspositoLuna CavigliMatteo CameliFrancesca ValentiniGiulia Elena MandoliVincenzo EvolaFrancesca AnselmiFlavio D'ascenziAlessandro Malagoli

subject

Aortic valvemedicine.medical_specialtyCompetitive BehaviorEligibility DeterminationPhysical Therapy Sports Therapy and RehabilitationRegurgitation (circulation)030204 cardiovascular system & hematologyBicuspid Aortic Valve03 medical and health sciences0302 clinical medicineBicuspid aortic valveValvular diseaseBicuspid Aortic Valve DiseaseInternal medicinemedicineHumansOrthopedics and Sports MedicineEligibility DeterminationExerciseAortaAortic dilatationbiologybusiness.industryAthletes030229 sport sciencesbiology.organism_classificationmedicine.diseaseEchocardiography Dopplermedicine.anatomical_structureAortic valve stenosiscardiovascular systemCardiologybusinessDilatation PathologicPhysical Conditioning HumanSports

description

Bicuspid aortic valve (BAV) is the most common congenital heart defect in adults. Although a BAV may remain without clinical consequences for a lifetime, it can deteriorate in aortic valve stenosis and regurgitation and aortic dilatation. Unfortunately, the impact of regular training on patients with BAV and its natural course is not fully understood, although preliminary evidence suggests that the progression of valvular disease occurs primarily in an independent manner from sports practice. The current review aims to report how to perform a comprehensive echocardiographic examination in athletes with BAV and analyze the current literature on the influence of sports practice and how it impacts the aortic valve in athletes with BAV. The article also summarizes the current recommendations on sports eligibility and disqualification for competitive athletes with BAV.

http://hdl.handle.net/11577/3389450