Our mission is to become a worldwide reference for education in the field for all professionals involved in the process to disseminate knowledge & skills of Acute Cardiovascular Care.
Our mission is to promote excellence in clinical diagnosis, research, technical development, and education in cardiovascular imaging in Europe.
Our mission is to promote excellence in research, practice, education and policy in cardiovascular health, primary and secondary prevention.
Our mission is to reduce the burden of cardiovascular disease in Europe through percutaneous cardiovascular interventions.
Our mission is to improve the quality of life of the population by reducing the impact of cardiac rhythm disturbances and reduce sudden cardiac death.
Our mission is to improve quality of life and longevity, through better prevention, diagnosis and treatment of heart failure, including the establishment of networks for its management, education and research.
The ESC Working Groups' goal is to stimulate and disseminate scientific knowledge in different fields of cardiology.
The ESC Councils' goal is to share knowledge among medical professionals practising in specific cardiology domains.
OUR MISSION: TO REDUCE THE BURDEN OF CARDIOVASCULAR DISEASE
Dr. Erik Ekker Solberg,
Transient Myocardial Tissue and Function Changes During a Marathon in Less Fit Marathon RunnersV. Gaudreault et al.Canadian Journal of Cardiology 2013; 29 (10) :1269-1276
This in-depth study of fairly typical recreational marathon runners (1) showed that global left ventricular and right ventricular ejection fraction decreased in half of the runners as a response to marathon. These runners had poorer peak training distance, poorer training time, as well as a lower fitness level. Overall, 36% of cardiac segments developed edema, 53% decreased function and 59% decreased perfusion.Significant agreement was observed between segment decreasing function, decreasing perfusion and developing edema, suggesting myocardial tissue injury. Change in global left ventricular ejection fraction was associated with Vo2max. The myocardial changes were reversible at the scheduled three months post-race test.Completing a marathon, in consequence, may lead to signs of myocardial injuries occurring more extensively in less trained and less fit runners. These changes may potentially contribute to the transient increase in cardiac risk, reported during sustained exercise and also explain the biomarker changes after marathon. The findings may well represent “physiological” responses to longstanding exercise like marathon and does not allow categorical statement regarding possible long-term harm of marathon running. Studies, however, repeatedly show transient cardiac tissue injuries after marathon races. Although the clinical relevance is at present unclear, decreased perfusion (even transient) may potentially increase the risk of arrhythmias in runners with an underlying cardiovascular abnormality.A lesson to learn is to be healthy, well prepared and well trained when running a marathon, as the cardiac injury is most pronounced in the less trained cohort.(1) n=20; mean 52 years old, VO2max 53 ml*min-1*kg-1, exercising 8 hours per week, 62 km per week, running in 14 years, average marathon race time 232 min
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