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Coronary artery anomalies and the role of echocardiography in pre-participation screening of athletes: a practical guide

Bhatia, RT, Forster, J, Ackrill, M, Chatrath, N, Finocchiaro, G, Fyyaz, S, MacLachlan, H, Malhotra, A, Marwaha, S, Papadakis, M, Ring, L, Sharma, S, Oxborough, D and Rakhit, D (2024) Coronary artery anomalies and the role of echocardiography in pre-participation screening of athletes: a practical guide. Echo Research and Practice, 11 (1). ISSN 2055-0464

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Transthoracic echocardiography is an essential and widely available diagnostic tool for assessing individuals reporting cardiovascular symptoms, monitoring those with established cardiac conditions and for preparticipation screening of athletes. While its use is well-defined in hospital and clinic settings, echocardiography is increasingly being utilised in the community, including in the rapidly expanding sub-speciality of sports cardiology. There is, however, a knowledge and practical gap in the challenging area of the assessment of coronary artery anomalies, which is an important cause of sudden cardiac death, often in asymptomatic athletic individuals. To address this, we present a step-by-step guide to facilitate the recognition and assessment of anomalous coronary arteries using transthoracic echocardiography at the bedside; whilst recognising the importance of performing dedicated cross-sectional imaging, specifically coronary computed tomography (CTCA) where clinically indicated on a case-by-case basis. This guide is intended to be useful for echocardiographers and physicians in their routine clinical practice whilst recognising that echocardiography remains a highly skill-dependent technique that relies on expertise at the bedside.

Item Type: Article
Uncontrolled Keywords: Anomalous; Coronary artery anomalies; Echocardiography; Pre-participation screening; Prevention; Screening; Sports cardiology; Sudden cardiac death
Subjects: R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
R Medicine > RC Internal medicine > RC1200 Sports Medicine
Divisions: Sport & Exercise Sciences
Publisher: BioScientifica
SWORD Depositor: A Symplectic
Date Deposited: 29 Feb 2024 10:33
Last Modified: 29 Feb 2024 10:45
DOI or ID number: 10.1186/s44156-024-00041-4
URI: https://researchonline.ljmu.ac.uk/id/eprint/22714
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