IOC MANUAL OF SPORTS CARDIOLOGY

• PART 1 The Cardiovascular System 1
1 Anatomy and Physiology of the Heart 3
2 The Vascular System 13
3 Energy Production Pathways During Exercise 21
4 Cardiovascular Responses to Exercise 32
5 The Athlete’s Heart: Impact of Age, Sex, Ethnicity and Sporting Discipline 43
6 Physical Activity in the Prevention and Management of Atherosclerotic Disease 53
• PART 2 Preventing Sudden Cardiac Death in Athletes 63
7 Incidence and Aetiology of Sudden Cardiac Death in Athletes 65
8 Cardiovascular Screening for the Prevention of Sudden Cardiac Death in Athletes 74
9 Comparison of Pre ]participation Evaluations for Assessing Cardiovascular Risk in Athletes 82
10 Normal Electrocardiographic Findings in Athletes 95
11 Abnormal Electrocardiographic Findings in Athletes: Recognising Changes Suggestive of Cardiomyopathy 104
12 Abnormal Electrocardiographic Findings in Athletes: Recognising Changes Suggestive of Primary Electrical Disease 114
13 Effective Echocardiographic Assessment of the Athlete: Basic Examination to Advanced Imaging Techniques 128
14 Early Repolarisation in Athletes 147
15 Clinical (Laboratory) Exercise Testing 153
16 The Role of Cardiovascular Magnetic Resonance in the Assessment of Athletes 163
17 Genetic Testing for Cardiovascular Conditions Predisposing to Sudden Death 175
• PART 3 Cardiac Conditions Predisposing to Sudden Cardiac Death 187
Section 1: Introduction 189
18 Causes of Sudden Cardiac Death in Sport: The Importance of Autopsy and Specialist Examination of the Heart 191
Section 2: Inherited and Congenital Cardiovascular Pathologies 203
19 Hypertrophic Cardiomyopathy 205
20 Arrhythmogenic Right Ventricular Cardiomyopathy 217
21 Dilated Cardiomyopathy, Left Ventricular Hypertrabeculation and Noncompaction 231
22 Marfan Syndrome and Aortopathies 240
23 Valvular Disease 247
24 Congenital Heart Disease 263
25 Congenital Coronary Artery Anomalies 275

Section 3: Ion Channelopathies, Accessory Pathways and Electrical Disease 287
26 Long QT Syndrome 289
27 Brugada Syndrome 303
28 Wolff–Parkinson–White Syndrome 315
29 Catecholaminergic Polymorphic Ventricular Tachycardia 324
30 Idiopathic Ventricular Tachycardia/Ventricular Fibrillation 331
Section 4: Acquired Disorders 341
31 Commotio Cordis 343
32 Myocarditis 350
Section 5: Other Causes of Sudden Death 359
33 Alternative Noncardiac Medical Causes of Sudden Death: Sickle ]Cell Trait, Exertional Heatstroke, Exercise Rhabdomyolysis, Asthma and Extreme Environmental Conditions 361
• PART 4 Cardiovascular Management 371
34 Guidelines for Sports Practice in Athletes with Cardiovascular Disease 373
35 Management of the Symptomatic Athlete 385
36 Management of Abnormal Physical Examination Findings in Athletes 395
37 Management of Atrial Fibrillation in Athletes 406
38 Implantable Cardioverter ]Defibrillators in Athletes 415
39 Management of Hypertension in Athletes 427
• PART 5 Conundrums in Sports Cardiology 439
40 Distinguishing Physiological Left Ventricular Hypertrophy from Hypertrophic Cardiomyopathy in Athletes 441
41 Screening for Cardiovascular Disease in the Older Athlete 449
42 Is Ultra ]Endurance Exercise Damaging to the Right Ventricle? 457
43 Clinical Implications of Performance ]Enhancing Drugs for Cardiovascular Health 468
44 Cardiovascular Concerns in the Paralympic Athlete 475
• PART 6 Emergency Cardiac Care 483
45 Emergency Cardiac Care in the Athletic Setting: From School Sports to the Olympic Arena 485
• PART 7 Sports Cardiology Training 493
46 Recommendations for Sports Cardiology Training for the Sports Medicine Physician 495
Index, 503

For the practicing sports medicine physician at the front line of sports cardiology, this comprehensive and authoritative resource provides a centralized source of information which addresses this important topic in an accessible manner. This book recognises the broad role sports physicians play, from liaison between athlete, family, specialist, and coaching staff based on the identification of pathological heart disease, to being first to respond when an athlete collapses. The chapters include basic science of disease and disorders, pathophysiology, diagnosis, the effect or role of exercise, and clinical management guidance.

• Provides a comprehensive and authoritative overview on all aspects of sports cardiology
• Addresses cardiac abnormalities confronting Olympic athletes, Paralympic athletes, as well as athletes competing on all other levels of competition
• Endorsed by the Medical Commission of the International Olympic Committee (IOC)
• Written and edited by global thought leaders in sports medicine

Author Information
• Professor Mathew Wilson is Head of Athlete Health and Performance Research and is Lead Performance Physiologist at Aspetar (Qatar Orthopedic Sports Medicine Hospital, Qatar). He has led cardiovascular pre-participation screening programmes both within the United Kingdom and the Middle-East, and has been charged with the screening of over 15,000 high-level athletes at the Olympic Medical Institute (United Kingdom) and Aspetar (Qatar).
• Professor Jonathan Drezner is past-president of the American Medical Society for Sports Medicine, Director of the Center for Sports Cardiology and a sports medicine physician at the University of Washington, and team physician for the Seattle Seahawks NBA basketball team. Professor Drezner is a leading authority on the role of the automatic external defibrillator in preventing sudden cardiac death.
• Professor Sanjay Sharma is Medical Director of the Virgin London Marathon, Chair-Elect of the European Society of Cardiology (Sports Cardiology) nucleus group and leads the inherited cardiomyopathies and sports cardiology clinics at St George’s Hospital, London.