2026-04-17T17:47:10.792Z http://ezaposleni.singidunum.ac.rs/rest/sciNaucniRezultati/oai

ezaposleni.singidunum.ac.rs/rest/sciNaucniRezultati/oai:1:7226 2024-06-29T21:34:54Z 1

ELIGIBILITY AND DISQUALIFICATION OF COMPETITIVE ATHLETES WITH AORTIC DISEASES – HOLISTIC APPROACH 2019 http://ezaposleni.singidunum.ac.rs/rest/sciNaucniRezultati/oai/record/1/7226 N. Dikić This is the case study of the 20 year old female competing in canoeing at international level. Risk stratification is done because of bicuspid aortic valve (BAV) identified the first time in 2004. The athlete had serial echocadiography and CMR (in 2015 and subsequently in 2018). The most recent CMR describes the presence of BAV, with sinus of Valsalva of 37x39 mm, ascending aorta of 25 mm and arch of 21 mm. The left ventricle (LV) is described as mildly enlarged, with normal EDV of 75 ml/m2 and LV systolic function. The echocardiography shows similar measurements (max sinus of Valsalva = 37 mm, ascending aorta 30 mm). Genetic analysis is not performed. During a training session in 2017 athlete got a short episode of palpitation, ECG showed a PSVT and RF ablation of the slow pathway is performed, with no subsequent episodes of palpitations. Athlete is sent on final consultation in Coni, Italy, since she passed all national instances without clear conclusion. After examination in Coni it is concluded that BAV does not to cause any hemodynamic imbalance, that aortic root dilation is remarkable regarding the age and the body size, which is a reasonable issue of concern, for further enlargement, especially because of the type and intensity of canoeing. Instead of conclusion athlete got advice to reduce the intensity and overall load of the canoeing training in the short medium period of time, and if possible shift to a different type of sport with low static and dynamic intensity. It is clear that current recommendations could not solve this kind of complicated cases without holistic approach which take in consideration fundamental interest of patient, not just diagnostics and measurements. conferenceObject ICE 2019 International Congress on Electrocardiology