Exercise Testing in Elite Athletes - 14/11/24

Doi : 10.1016/j.hfc.2024.05.001

Eric Rudofker, MD ^a, Natalie Van Ochten, MD ^b, Justin Edward, MD ^a,^c, Hugh Parker, MD ^a, Kyla Wulff, BSN, RN ^d, Emmett Suckow, BS ^a, Lindsey Forbes, MD ^e, William K. Cornwell, MD, MSCS ^a,^d,^⁎
^a Department of Medicine-Cardiology, University of Colorado Anschutz Medical Campus, 12631 East 17th Avenue, Aurora 80045, USA
^b Department of Medicine, University of Colorado Anschutz Medical Campus, 12631 East 17th Avenue, Aurora 80045, USA
^c Department of Cardiology, Kaiser Permanente, 2045 Franklin Street, # 200, Denver, CO 80205, USA
^d Clinical Translational Research Center, University of Colorado Anschutz Medical Campus, 12401 East 17th Avenue Leprino Building, Aurora, CO, USA
^e Division of Pulmonary and Critical Care Medicine, Department of Medicine, University of Colorado Anschutz Medical Campus, 12631 East 17th Avenue, Aurora 80045, USA

^∗Corresponding author.

Résumé

Exercise testing is frequently incorporated into management of patients with cardiovascular and/or pulmonary disease. A lifelong commitment to exercise promotes cardiac remodeling, leading to changes in structure and function of the atria and ventricles, commonly referred to as the “athletic heart.” Stress testing is also incorporated into the management of athletes for a variety of reasons, such as identifying the cause of exertional symptoms, determining level of fitness and training zones, or assessing for acquired cardiomyopathies. Exercise testing should be tailored to the athlete, since performance may vary from other populations as a result of a commitment to exercise training.

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Keywords : Exercise testing, Athletes, Fitness, Cardiovascular disease