Transcript Sports and cardiology: an explosive cocktail?

Sports and cardiology: an
explosive cocktail?
January 14th, 2016
16h-17h30
Which of the following proposition(s) is/are
correct?
A) When young, intensive sport practice leads to an increased
risk of sudden death as compared with a sedentary lifestyle
B) Systematic ECG screening in young athletes decreases the risk
of sudden death
C) In a young sportsman a really normal ECG should not be
repeated over time
D) In older patients, paroxysmal atrial fibrillation is a contraindication to sport practice
Which of the following proposition(s) is/are
correct?
A) When young, intensive sport practice leads to an increased
risk of sudden death as compared with a sedentary lifestyle
B) Systematic ECG screening in young athletes decreases the
risk of sudden death
C) In a young sportsman a really normal ECG should not be
repeated over time
D) In older patients, paroxysmal atrial fibrillation is a contraindication to sport practice
What checkup do you recommend in first instance in a 40year old man, with a sedentary lifestyle, no symptoms, no
personal or familial cardiac history, who desires to practice a
moderate to vigorous physicial activity?
A) Rest ECG
B) Rest ECG and Stress test
C) Rest ECG, Stress test and Myocardial scintigraphy
D) Rest ECG, Stress test, Myocardial scintigraphy and coronary
angiography
E) None since low-risk patient with no symptoms
What checkup do you recommend in first instance in a 40year old man, with a sedentary lifestyle, no symptoms, no
personal or familial cardiac history, who desires to practice a
moderate to vigorous physicial activity?
A) Rest ECG
B) Rest ECG and Stress test
C) Rest ECG, Stress test and Myocardial scintigraphy
D) Rest ECG, Stress test, Myocardial scintigraphy and coronary
angiography
E) None since low-risk patient with no symptoms
Which of the following proposition(s) about the
beneficial effects of regular moderate physical
activity practice is/are correct?
A) It decreases total, LDL and HDL cholesterol as well as
triglycerides
B) It decreases insulin resistance
C) It decreases arterial blood pressure (both systolic and
diastolic)
D) It has an anti-inflammatory effect
E) It improves endothelial dysfunction
Which of the following proposition(s) about the
beneficial effects of regular moderate physical
activity practice is/are correct?
A) It decreases total, LDL and HDL cholesterol as well as
triglycerides
B) It decreases insulin resistance
C) It decreases arterial blood pressure (both systolic and
diastolic)
D) It has an anti-inflammatory effect
E) It improves endothelial dysfunction
How do you evaluate the cardiovascular risk of a 45year old man who wants to practice a moderate to
intense physical activity?
A) Auto-evaluation with validated scales such as AHA
Preparticipation questionnaire, revised Physical Activity
Readiness Questionnaire
B) SCORE risk assessment
C) Before 50 years, the evaluation of cardiac risk is not
recommended
D) There are currently no european guidelines for cardiovascular
risk assessment
How do you evaluate the cardiovascular risk of a 45year old man who wants to practice a moderate to
intense physical activity?
A) Auto-evaluation with validated scales such as AHA
Preparticipation questionnaire, revised Physical Activity
Readiness Questionnaire
B) SCORE risk assessment
C) Before 50 years, the evaluation of cardiac risk is not
recommended
D) There are currently no european guidelines for cardiovascular
risk assessment
Which of the following proposition(s) may be found
during echocardiographic examination of endurance
athletes, without pathological implications?
A) Inferior vena cava dilation
B) Right ventricular dilation and hypertrophy
C) Atria dilation
D) Moderate and homogeneous dilation of cardiac chambers
E) Alteration in the global and longitudinal strain patterns
Which of the following proposition(s) may be found
during echocardiographic examination of endurance
athletes, without pathological implications?
A) Inferior vena cava dilation
B) Right ventricular dilation and hypertrophy
C) Atria dilation
D) Moderate and homogeneous dilation of cardiac chambers
E) Alteration in the global and longitudinal strain patterns
In case of parietal hypertrophy in a high-level athlete,
which of the following proposition(s) is/are in favour
of hypertrophic cardiomyopathy
A) An isolated dilation of the left atrium
B) An asymetrical hypertrophy, mostly in apical
C) Interventricular septum hypertrophy > 15 mm
D) A higher A mitral wave with E/E' < 8
E) A left ventricular end-diastolic diameter (LVEDD) < 45 mm
In case of parietal hypertrophy in a high-level athlete,
which of the following proposition(s) is/are in favour
of hypertrophic cardiomyopathy
A) An isolated dilation of the left atrium
B) An asymetrical hypertrophy, mostly in apical
C) Interventricular septum hypertrophy > 15 mm
D) A higher A mitral wave with E/E' < 8
E) A left ventricular end-diastolic diameter (LVEDD) < 45 mm
Mr X, 22 year-old caucasian professional swimmer, comes to your office.
He is asymptomatic and has adapted cardiac performance. One of his
brothers has died suddenly at 31 years but the cause of death is
unknown (no autopsy).
His cardiac echography results: LVEDD = 43 mm, IVS=16 mm, LVEF=65%
Among the following proposition(s), which one(s) is/are
correct?
A) The results are in favour of an athlete’s heart
B) The results are in favour of an hypertrophic cardiomyopathy
C) You prescribe no sport training during 6 months with
echocardiographic control at the end
D) You prescribe a cardiac MRI
E) You propose a genetic testing
Mr X, 22 year-old caucasian professional swimmer, comes to your office.
He is asymptomatic and has adapted cardiac performance. One of his
brothers has died suddenly at 31 years but the cause of death is
unknown (no autopsy).
His cardiac echography results: LVEDD = 43 mm, IVS=16 mm, LVEF=65%
Among the following proposition(s), which one(s) is/are
correct?
A) The results are in favour of an athlete’s heart
B) The results are in favour of an hypertrophic cardiomyopathy
C) You prescribe no sport training during 6 months with
echocardiographic control at the end
D) You prescribe a cardiac MRI
E) You propose a genetic testing