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Medicina dello Sport 2007 March;60(1):87-99


language: Italian

Epidemiologic study on a population of young athletes of an entire Italian region. Preliminary results of the “osservatorio regionale di Medicina dello Sport della Regione Campania

Limongelli F. M. 1, D’Aponte A. 1, Limongelli G. 1, Sarubbi B. 1, Capozzi G. 1, Brancaccio P. 1, D’Andrea A. 1, Canonico R. 1, Monda M. 1, Calabrò R. 1, Marzullo M. 2, Palumbo G. 3, Salvi F. 4, Barbati G. 5, Briganti C. 5, Capone F. 5, Cerullo F. 5, Chiacchio A. 5, Dell’Unto U. 5, Di Franco G. 5, Granata V. 5, Lauro C. 5, La Vecchia M. 5, Salati A. 5, Savino V. 5, Siciliano A. 5, Viggiano M. R. 5

1 Seconda Università degli Studi di Napoli Servizio di Medicina dello Sport E Cattedra di Cardiologia 2 Università degli Studi Federico II, Napoli 3 AO Moscati Avellino 4 AO Cardarelli, NApoli 5 Aziende Sanitarie Locali - Regione Campania


Aim. The purpose of the present study was to analyze, by the data of the “Osservatorio Epidemiologico della Medicina dello Sport della Regione Campania”, the prevalence of cardiovascular diseases that cause non-eligibility and disqualification from agonistic sport activity in the year 2004.
Methods. Athletes (mean age 17 years old; range 14-24) practicing agonistic sport underwent the italian pre-partecipation physical examination program in order to receive a specific sport eligibility (the so called: Visita di Idoneità Medico Sportiva, VIMS). All the public Centers of Sport Medicine in Campania were involved in the study. Data collection was made by a specific form including all the variables examined (personal characteristic, cardiovascular and non cardiovascular diseases) and filled out by every single specialist in Sport Medicine of the Centers participating at the study. The tertiary referred center of cardiology was the Chair of Cardiology of the Second University of Naples at the Monaldi Hospital (Naples, Italy).
Results. A total of 20172 athletes were evaluated (they represent 2.5% of the population in Campania for the year 2004 and the age-range considered; 75,6% were male). About 50% of the athletes underwent the VIMS for the first time. Cardiac murmur and palpitations were the more frequently described symptoms and/or signs. Arrhytmias (68%), valve disease (18%), and congenital heart disease (6%) represented the more common cardiovascular abnormalities observed. Among arrhythmias, bradi-arrhythmias were frequent, while tachi-arrhythmias were less commonly described. MItral valve was often involved, including mainly mitrale regurgitation and/or prolapse. Among congenital heart diseases, atrial septal defect was the commonest defect. Coronary artery disease (4 patients) and cardiomyopathies (5 patients) were sporadically described. Among extracardiac reasons for sport disqualification, visual problems and osteoarticular defects were frequent. In conclusion, agonistic sport eligibility was conceded to 17084 athletes, non agonistic to 1384 athelets, while 138 atheltes were disqualified from sport activities.
Conclusion. A strict link between Sport Medicine and Cardiology Centers represents the solid basis for an active “network” capable of producing an effective screening and ensuring that athletes practice sports safely.

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