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Heart Failure Prediction in Athletic Heart Remodeling among Long Distance Runners

World Journal of Cardiovascular Diseases 2022年第1期12卷 1-10页

作者： Hossam Abdel Aleem Shaheen Manal Ahmed Mohamed Fatma Hasan Abdel Basset Mostafa Hamed Rashed Neethu Betty Theruvan soad A. mosbah Department of Cardiac Technology College of Applied Medical Sciences Imam Abdulrahman Bin Faisal University Dammam City Kingdom of Saudi Arabia Department of Biochemistry National Heart Institute Giza Egypt Department of Physical Sport Sohar University Sohar Oman

Background: Physical activity has a cardinal role in preventing and treating cardiovascular diseases. Understanding the changes that occur to the cardiac muscle in athletes is still doubtful whether it is only an adaptation to exercise or a concealed pathological condition. Most of these changes are well documented in apparently healthy heart and characterized by cardiac enlargement with Brady-arrhythmias specially individuals participating in long distance runners with exercise capacity without signs of cardiovascular disease. Methods: The study searched the subclinical myocardial necrosis by comparing two groups of young marathon runners, both groups were chosen from Al Gizera youth center in January 2018. First group included adults above the age of 18 years and ran for 12 km. and the second was under 18 years and ran for about 8 km. Both groups were volunteered for this study. They are monitored carefully with blood pressure, heart rate and respiratory rate and their blood samples were collected pre- and post-race immediately for assessment of cardiac markers NTproBNP, Galectin-3 and cTnI. Results: All cardiac markers were elevated post exercise compared to that achieved in pre-exercise regardless age of athletes. Also, pre-exercise adult results were higher in galectin-3 and cTnI but not in proBNP while there is no difference in the acute response in both groups. These results revealed micro cardiac necrosis due to long run exercise with possible bad prognosis. Conclusions: It is important to develop risk assessment and prediction methods for screening the young athletes and consider the term athletic heart as a subclinical disorder rather than physiological adaptation.

关键词： Athletes Exercise Phidippides Cardiomyopathy Remodeling

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Cardiac Rehabilitation: Future of Heart Health in Saudi Arabia, a Perceptual View

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World Journal of Cardiovascular Diseases 2020年第9期10卷 666-677页

作者： Mostafa Rashed Neethu Theruvan Ahmed Gad Hussam Shaheen soad mosbah Imam Abdulrahman Bin Faisal University Dammam Saudi Arabia

Objective: Having a heart healthy life is one of the most rewarding gifts that you can own yourself in the modern lifestyle practices. Cardiac rehabilitation (CR) is the next step to recover and reverse the limitations experienced by patients who have undergone all the adverse pathophysiological and psychological consequences of cardiac events. Design: This is a review article. The need for cardiacrehabilitation: CR describes all the methods and measures used to prevent recurrent cardiac attaches and to return people with heart diseases to an active and a satisfying lifestyle. CR services should be offered by all health professionals who are in direct contact with the patient, like cardiac specialist, general practitioner, and other health care providers. The success rate of the CR program improves dramatically when it comes in parallel with limiting modifiable risk factors of cardiovascular diseases. The CR programs not only manage episodes of cardiac events, but also it is a comprehensive tool for preventing future heart problems and improving the patients’ life standard. Goals of Cardiacrehabilitation (CR): CR program has been evolved with a wide range of indications that aims to regain autonomy and maximize the physical, psychological and social activities. This makes people with cardiac diseases more confident and inspires behaviors that may minimize risk of further cardiac events. Thevision to improve CR in Saudi Arabia: This article will focus on the methods and parameters that will lead to an improvement in the CR services in the Kingdom of Saudi Arabia.

关键词： Cardiac Rehabilitation Preventive Cardiology Lifestyle Change

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