By I. Bekaert (auth.), R. H. Fagard, I. E. Bekaert (eds.)

Participation in athletics at either the leisure and aggressive degrees has grown tremendously over the past decade, and now consists of a considerable phase of the inhabitants of many nations, really these in Europe and North the USA. this modification within the life style of a lot of persons has been observed via the need and necessity at the a part of physicians to outline the results of power athletic education and festival to the player. Coincident with the of public curiosity in carrying pageant has been the evolution and development improvement of recent non-invasive applied sciences in cardiology (such as M-mode and two-dimensional echocardiography and radionuclide angiography) that have authorised investigators to check at once and extra exactly the morphology and serve as of the center and cardiovascular process. accordingly, over the last a number of years our wisdom has been vastly superior in regards to the beneficial properties of the traditional 'athlete center' and the connection of athletic conditioning to preexistent heart problems, in addition to the explanations of unexpected loss of life in athletes. the current treatise on 'Sports cardiology: workout in healthiness and aerobic­ vascular sickness' is a magnificent reference record that's additionally well timed. It fulfills a big function in summarizing many of the on hand information that has been collected during the last 10 years in lots of athletes partaking in quite a few assorted activities. Drs. I. Bekaert and R.

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Am Heart J 90: 426,1975 9. Northcote RJ, Ballantyne 0: Sudden death and sport. 1984 10. linuma N. Nagashima K. Akabane T: Vasovagal reactions in blood donors. Transfusion 20: 679, 1979 11. Rasmussen V. Hauso S. Skagen K: Cerebral attacks due to excessive vagal tone in heavily trained persons. Acta Med Scand 204: 401. 1978 12. Sapire OW. Casta A. Safley W. O'Riordan AC. Balsara RK: Vasovagal syncope in children requiring pacemaker implantation. Am Heart J 106: 1406. 1983 13. Schlesinger Z: Life-threatening 'vagal reaction' to physical fitness test.

Furlanello F, Bettini R. Cozzi F, Del Favero A. Discrtori M, Vergara G, Durante GB, Guarnerio M. Inama G, Thiene G: Ventricular arrhythmias and sudden death in athletes. 1984 5. Graybiel A. McFarland RA. Gates DC. Webster FA: Analysis of the electrocardiogram obtained from 1000 healthy aviators. Am Heart 1 27: 524. 1944 6. Grossman M: Second degree heart block with Wenckebach phenomenon: its occurrence over a period of several years in a young healthy adult. Am Heart 1 56: 607, 1958 7. Hiss RG.

This feature was not seen by Parker et al. [14] in their study of 12 long-distance runners. By contrast, Ikaheimo et ai. [8] reported a 70% incidence in sprinters and 33% incidence in endurance runners. In this latter study, right bundle branch block was not seen in any of the 13 control subjects contrasting with the report of Van Ganse et al. [21] who found a 20% incidence of the phenomenon in their control population. Population Normal female population Sobotka et a/. [I<)J Abbreviations: see Table I.

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