Current Issue
Volume: 38
Number: 4
Index: December 2010
Clinical Focus:Respiratory Care
Editorial Calendar
December 2010
Clinical Focus: Respiratory Medicine
  • Asthma and the athlete
    • Vocal cord dysfunction
    • Exercise-induced asthma
    • Exercise-induced bronchospasm
  • COPD
    • Obesity and COPD
    • Relationship between COPD and nutrition intake
  • Treatment options for steroid-induced osteoporosis in men
  • Treatments for asthma
    • Bronchodilators, anticholinergics
    • Corticosteroids
    • Metered-dose vs other types of inhalers
  • Respiratory infections in winter sports athletes
  • Asthma in elite athletes
  • Pulmonary rehabilitation and physical activity
  • Fitness and long-term oxygen therapy/lung transplantation
  • Airflow function and the metabolic syndrome
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doi: 10.3810/psm.2021.12.577
The Physician and Sportsmedicine: Volume 30: No.12
Aortic Valvular Disease in Active Patients
Overcoming Diagnostic and Management Challenges
Paul D. Thompson, MD
Abstract: Valvular heart disease in physically active patients can present a diagnostic challenge, because adaptations to exercise may mimic abnormalities. Electrocardiograms may be used to follow asymptomatic or mildly symptomatic athletes but are not very useful for those with valve disorders. Moderate-to-severe aortic insufficiency requires careful follow-up and periodic echocardiograms to monitor changes. Athletes with mild aortic stenosis can participate in all sports if they are asymptomatic and have a normal exercise response. Those with moderate disease should be restricted to sports with low static and dynamic requirements. Symptoms of severe aortic stenosis include exercise-induced syncope, angina, heart attack, and, rarely, sudden death; these athletes should not compete and should have aortic valve replacement.


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