Oral Presentations: Cardiovascular
Dr. Sydó, Nóra
Semmelweis University, Heart and Vascular Center
+36703741110
nora.sydo@gmail.com
Sports Cardiology and Exercise Physiology Screening of the Hungarian National Male and Female Waterpolo Teams before the Olympics
Nóra Sydó , Orsolya Kiss , Máté Babity , Hajnalka Vágó , Csilla Czimbalmos , Ibolya Csécs , Attila Kovács , Judit Skopál , Béla Merkely
Semmelweis University, Heart and Vascular Center
Oral Presentations: Cardiovascular
Doctoral School of Basic Medicine
1/1. Cardiovascular Disorders:
Physiology and Medicine of Ischaemic Circulatory Diseases
Research topic: Cardiovascular adaptations to physical training
Supervisor: Prof. Béla Merkely MD., Ph.D., D.Sc.
E-mail: nora.sydo@gmail.com
„ SUPPORTED BY THE ÚNKP-16-3 NEW NATIONAL EXCELLENCE PROGRAM OF THE MINISTRY OF HUMAN CAPACITIES”
Introduction: Cardiology screening and performance assessment before a championship is essential in elite athletes because of potential risk during extreme physical exertion and need to optimize performance. It is also important to the efficiency of their preparation for competition.
Aims: To perform sports cardiology screening of the Hungarian national male and female waterpolo teams and exercise physiology evaluation to help attain the best performance for the Olympics.
Method: We conducted detailed sports cardiology and exercise physiology screenings of the Olympic waterpolo teams. Screening questionnaire, physical exam, laboratory exam, ECG, echocardiography, and treadmill cardiopulmonary exercise test with 2-minutes lactate measurement were performed in all athletes. ABPM, Holter ECG and cardiac MR were also performed in selected cases.
Results: 44 female (23.0±4.8 years) and 17 male (28.3±4.6 years) waterpolo players were examined. Resting repolarisation ECG abnormalities were recognised in 9 cases. Laboratory tests showed anaemia in 6 cases, infection in 5 cases, and pathological lipid profile in 14 cases. All echocardiograms were essentially negative. Following ABPM measurements (n=5), treatment was initiated or optimized in 3 cases. Holter ECG (n=10) revealed the occurrence of nsVT-s in 2 athletes. No significant structural abnormalities were seen on cardiac MR. No significant ECG or blood pressure changes were registered on the exercise test. Training intensity zones were defined by heart rate profiles. Except one athlete, all players had good or excellent aerobic capacity, ventilation, and metabolic status. Results were discussed with the coach individually and by team role. We provided recommendations for the training program and playing strategy.
Conclusion: Detailed sports cardiology screening supports the safety of high intensity performance. Exercise physiology examinations assessing cardiopulmonary and metabolic status of athletes serves to optimize the training program to attain best performance. It can serve as a point of reference for future evaluations.
Szabad
nem rendelkezett róla
1149
Nóra Sydó , Orsolya Kiss , Máté Babity , Hajnalka Vágó , Csilla Czimbalmos , Ibolya Csécs , Attila Kovács , Judit Skopál , Béla Merkely
Semmelweis University, Heart and Vascular Center