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Related Experiment Video

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Author Spotlight: Assessing the Cardiovascular Profile of Patients with Metabolic Syndrome

Published on: September 27, 2024

Cardiovascular Risk Assessment in the Older Athlete.

Alec J Moorman¹, Larry S Dean¹, Eugene Yang¹

¹Department of Medicine, Division of Cardiology, University of Washington, Seattle, Washington.

|March 18, 2021

Summary

This summary is machine-generated.

Cardiovascular screening for older athletes (≥35 years) is crucial due to risks like coronary artery disease (CAD). A comprehensive assessment combining risk factors, ECG, and coronary artery calcium (CAC) scoring improves cardiovascular risk stratification.

Keywords:

cardiovascular disease coronary artery disease prevention

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Published on: June 16, 2014

Area of Science:

Cardiology
Sports Medicine
Preventive Cardiology

Background:

Limited data exist for cardiovascular screening in adult or masters athletes (≥35 years).
Atherosclerotic coronary artery disease (CAD) is a primary cause of sudden cardiac death in older athletes.
Many athletes experiencing cardiac events lack warning symptoms.

Purpose of the Study:

To provide recommendations for cardiovascular risk assessment in older athletes.
To outline a comprehensive approach to identify and manage cardiovascular risks in this population.

Main Methods:

A clinical review of guidelines, investigations, and PubMed searches (1990-2020).
Utilized existing risk calculators for atherosclerotic cardiovascular disease (ASCVD) 10-year risk stratification.
Incorporated coronary artery calcium (CAC) scoring for subclinical CAD detection.

Main Results:

ASCVD risk is stratified into low (≤10%), intermediate (10-20%), and high (≥20%) categories.
CAC scoring is a noninvasive measure of subclinical CAD, independently associated with future events.
Statin therapy is recommended for primary prevention with ASCVD risk ≥10% or elevated CAC scores.

Conclusions:

A comprehensive risk assessment integrating conventional/novel factors, ECG, and CAC scoring is proposed for older athletes.
Risk calculators offer 10-year ASCVD risk estimates for targeted management.
CAC scoring refines risk assessment, aiding decisions on pharmacological therapy initiation.