2026-06-14T05:05:07Zhttps://repisalud.isciii.es/rest/oai/request

oai:repisalud.isciii.es:20.500.12105/99042024-09-27T08:15:35Zcom_20.500.12105_19604com_20.500.12105_2051col_20.500.12105_19605

00925njm 22002777a 4500 dc Boraita, Araceli author Morales-Acuna, Francisco author Marina-Breysse, Manuel author Heras, María-Eugenia author Canda, Alicia author Fuentes, María-Eugenia author Chacón, Antonio author Diaz-Gonzalez, Leonel author Rabadan, Manuel author Parra Laca, Begoña author Pérez de Isla, Leopoldo author Tuñón, José author 2019-07-01 AIMS: To determine the prevalence and characteristics of bicuspid aortic valve (BAV) among elite athletes and to analyse the effect of long-term exercise training on their aortas. METHODS AND RESULTS: Consecutive BAV and tricuspid aortic valve (TAV) elite athletes from a population of 5136 athletes evaluated at the Sports Medicine Center of the Spanish National Sports Council were identified using echocardiography. A total of 41 BAV elite athletes were matched with 41 TAV elite athletes, and 41 BAV non-athletic patients from three Spanish tertiary hospitals. Sixteen BAV elite athletes who had undergone at least two cardiac evaluations separated by more than 3 years were selected to assess their clinical course. The prevalence of BAV in elite athletes was 0.8%. The proximal ascending aorta was larger for both BAV groups in comparison to TAV athletes (P = 0.001). No differences in aortic diameters were found between BAV athletes and BAV non-athletes. In BAV elite athletes, the annual growth rates for aortic annulus, sinuses of Valsalva, sinotubular junction, and proximal ascending aorta were 0.04 ± 0.24, 0.11 ± 0.59, 0.14 ± 0.38, and 0.21 ± 0.44 mm/year, respectively. Aortic regurgitation was the only functional abnormality, but no significant progression was found. CONCLUSION: High-intensity training and sports competition may not aggravate BAV condition during elite athletes' careers. BAV elite athletes with mild-to-moderately dilated aortas may engage in high dynamic cardiovascular exercise without adverse consequences, although an echocardiographic follow-up is recommended. Eur Heart J Cardiovasc Imaging. 2019; 20(7):772-780 10.1093/ehjci/jez001 2047-2412 2047-2404 European heart journal cardiovascular Imaging 30715268 http://hdl.handle.net/20.500.12105/9904 Athletes heart Bicuspid aortic valve Echocardiography Bicuspid aortic valve behaviour in elite athletes