ArticleHigh blood pressure & cardiovascular prevention : the official journal of the Italian Society of Hypertension2025
Cardiovascular Pre-participation Evaluation of Athletes with an Impairment Recruited for Paris 2024 Paralympic Games.
Article in High blood pressure & cardiovascular prevention : the official journal of the Italian Society of Hypertension, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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2 citing papers in PubMed.
- Cardiac size-exercise coupling in Paralympic athletes with spinal cord injury: the role of lesion level.European journal of applied physiology · 2026Article
- Cardiovascular Pre-participation Evaluation of Athletes with an Impairment Recruited for Paris 2024 Paralympic Games.High blood pressure & cardiovascular prevention : the official journal of the Italian Society of Hypertension · 2025Article
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18 authors.
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Abstract
introductionParalympic athletes (PA) represent a special part of the athletic population and deserve a specialized functional and medical care. In view of the 2024 Paris Paralympic Games, a comprehensive sport medical screening was carried out in Italy. This pre-participation medical assessment included clinical, laboratory and instrumental tests including cardiopulmonary exercise test (CPET) and trans thoracic echocardiography (TTE).
aimTo assess prevalence and type of cardiovascular abnormalities in PA candidate to compete in 2024 Paralympic Games.
methodsWe enrolled 167 PA, 80 female and 87 male PA. All of them underwent a comprehensive, multidisciplinary evaluation, including a full panel of blood tests, resting ECG, TTE and CPET.
results74 PA (44%) showed one or more cardiovascular abnormalities. In details, 12 PA showed abnormal basal ECG findings, 7 abnormal TTE results, 1 uncontrolled hypertension, 30 exercise induced arrhythmias, 8 abnormal basal ECG findings in combination with exercise induced arrhythmias and 7 abnormal basal ECG finding and abnormal echocardiographic findings. Furthermore, 9 PA showed exercise test induced arrhythmias with abnormal echocardiographic findings.
conclusionsPA, despite their attitude high levels of performance, are not exempt from cardiovascular and metabolic abnormalities, including a small proportion of cardiac conditions at potential risk of sudden cardiac death. Comprehensive diagnostic tools, including CPET, echocardiography and full blood tests are important to identify hidden cardiovascular abnormalities potentially harmful to the athlete's health.
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