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Collegiate Wrestler With a Bicuspid Aortic Valve and Aortic Dilation
Rahul Chhana1, Christopher Rymer2, Mahesh Vidula3
1Department of Medicine, Cardiovascular Division, Washington University School of Medicine, St. Louis, Missouri, USA.
JACC. Case Reports
|November 29, 2022
Summary
Athletes with mild bicuspid aortic valve disease and aortopathy may safely participate in sports. Shared decision-making is key for managing these conditions in athletes, balancing risks and benefits for continued participation.
Area of Science:
- Cardiology
- Sports Medicine
- Genetics
Background:
- Bicuspid aortic valve (BAV) and aortopathy are typically contraindications for isometric exercise due to risks of adverse cardiovascular events.
- Managing these conditions in athletes requires careful consideration of exercise type and risk stratification.
Observation:
- A case study involving a collegiate wrestler with diagnosed bicuspid aortic valve and aortopathy is presented.
- The athlete was assessed for risks associated with continued participation in high-intensity, isometric-predominant sports.
Findings:
- For athletes with mild bicuspid aortic valve disease and aortopathy at low risk, continued sports participation may be reasonable.
- A shared decision-making approach is a viable strategy for managing these athletes.
Implications:
- This approach allows for personalized management plans for athletes with bicuspid aortic valve and aortopathy.
- Shared decision-making can help athletes continue their sports careers safely while managing their cardiovascular condition.
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