IOC manual of sports cardiology:
Gespeichert in:
| Weitere Verfasser: | |
|---|---|
| Format: | Buch |
| Sprache: | English |
| Veröffentlicht: |
Chichester, West Sussex, UK
Wiley Blackwell
2017
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| Schriftenreihe: | An IOC Medical Commission publication
|
| Schlagworte: | |
| Online-Zugang: | Inhaltsverzeichnis Klappentext |
| Beschreibung: | xv, 511 Seiten Illustrationen, Diagramme |
| ISBN: | 9781119046868 |
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| 245 | 1 | 0 | |a IOC manual of sports cardiology |c edited by Mathew G. Wilson, Jonathan A. Drezner, Sanjay Sharma |
| 246 | 1 | 3 | |a Manual of sports cardiology |
| 264 | 1 | |a Chichester, West Sussex, UK |b Wiley Blackwell |c 2017 | |
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| 650 | 4 | |a Death, Sudden, Cardiac | |
| 650 | 4 | |a Athletes | |
| 650 | 4 | |a Cardiovascular Diseases | |
| 650 | 4 | |a Diagnostic Techniques, Cardiovascular | |
| 650 | 4 | |a Sports Medicine | |
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Datensatz im Suchindex
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|---|---|
| adam_text | Contents
Contributors, X
Foreword, xiii
Preface, xiv
PART 1 The Cardiovascular System 1
1 Anatomy and Physiology of the Heart 3
Keith P George and Nathan Riding
Introduction 3
Gross Cardiac Anatomy 3
Electrical Conduction in the Heart 6
Structure of the Cardiomyocyte 8
Cardiac Function 9
Intrinsic and Extrinsic Regulation of Cardiac
Function 10
Conclusion 12
2 The Vascular System 13
N. Tim Gable
Introduction 13
The Circulatory Systems 13
The Systemic Circulation 13
The Lymphatic System 15
Control of Blood Flow 15
Neural Regulation 16
Local Regulating Mechanisms 17
Nitric Oxide 17
Mechanisms that Mediate Vasodilator Function 18
Haemodynamics 19
Conclusion 20
3 Energy Production Pathways During Exercise 21
Sébastien Racinais and Stéphane Perrey
Introduction 21
Primary Sources of Energy in the Human Body 21
Interacting Energy Systems During Exercise 23
Measurement of Energy Sources 27
Training Effect 29
Conclusion 30
References 30
4 Cardiovascular Responses to Exercise 32
Julien D. Pénard
Introduction 32
Cardiovascular Responses to Aerobic Exercise 32
Cardiovascular Responses to Static Exercise 40
Conclusion 41
References 42
5 The Athlete’s Heart: Impact of Age, Sex,
Ethnicity and Sporting Discipline 43
Tracey Keteepe-Arachi and Nabeel Sheikh
Introduction 43
Electrical Remodelling in the Athlete’s Heart 43
Structural Remodelling in the Athlete’s Heart 43
The Influence of Age on the Athlete’s Heart 44
The Influence of Sex on the Athlete’s Heart 46
The Influence of Ethnicity on the Athlete’s
Heart 46
Influence of Sporting Discipline on the
Athlete’s Heart 50
Conclusion 50
References 51
6 Physical Activity in the Prevention and
Management of Atherosclerotic Disease S3
John P Buckley
Introduction 53
Definitions Encompassing Physical Activity 53
Preventing CVD:The Continuum of Human
Activity from Sedentary Behaviour
to Moderate- to Vigorous-Intensity
Physical Activity 53
Physical Activity within Rehabilitation
and Secondary Prevention 55
Early Commencement of Exercise
Rehabilitation 56
Reducing Risk of Exertion-Related Events 57
Post-surgery and Early Rehabilitation 58
Post-Angioplasty and Post-Myocardial Infarction 59
Conclusion 59
References 60
PART 2 Preventing Sudden Cardiac Death
in Athletes 63
7 Incidence and Aetiology of Sudden Cardiac
Death in Athletes 65
Kimberly G. Harmon
Introduction 65
Developing a Numerator and Denominator 65
The Incidence of SCD 67
Are Athletes at Greater Risk of SCD than
Non-athletes? 71
Relative Frequency of SCD 71
Aetiology of SCD 71
Conclusion 72
References 72
III
Contents
8 Cardiovascular Screening for the Prevention
of Sudden Cardiac Death in Athletes 74
Antonio Pelliccia and Domenico Corrado
Introduction 74
The Risk of Sudden Death in Athletes 74
Rationale for Screening Competitive Athletes 75
The Screening Programmes Implemented
in Italy 75
Rationale for Including a 12-Lead ECG
in the PPE 76
Efficacy of Screening to Identify Cardiac
Disease Risk 76
Impact of the Screening Programme on Cardiac
Mortality 77
Costs of Systematic Screening across Italy 78
Limitations of Screening Programmes 79
Conclusion 80
References 80
9 Comparison of Pre-participation Evaluations
for Assessing Cardiovascular Risk in Athletes 82
Ramy S. Abdelfattah and Mathew G. Wilson
Introduction 82
American Heart Association (AHA) 82
Pre-participation Physical Evaluation Monograph
4th Edition (4th Monograph) 83
European Society of Cardiology (ESC) 84
International Olympic Committee (IOC) 85
Federation Internationale de Football Association
(FIFA) 85
Comparison of the Five Protocols 85
Considerations 91
Conclusion 93
Acknowledgements 93
References 93
10 Normal Electrocardiographic Findings
in Athletes 95
Mathew G. Wilson andVictoriaWatt
11 Abnormal Electrocardiographic Findings
in Athletes: Recognising Changes Suggestive
of Cardiomyopathy 104
Gherardo Finoa liiaiv and A hJtac! Papadakis
Introduction 104
T-Wave Inversion 106
ST-Segment Depression ION
Pathological Q-Waves 108
Voltage Criterion for Left Ventricular Hypertrophy 108
Voltage Criterion for Right Ventricular
Hypertrophy 109
Intraventricular Conduction Abnormalities
and QRS Fragmentation loo
Voltage Criteria for QRS-Axis Deviation and Atrial
Enlargement 110
Premature Ventricular Contraction i 12
Other ECG Phenotypes Associated
with Cardiomyopathy 112
Conclusion 1 1 3
References 113
12 Abnormal Electrocardiographic Findings
In Athletes: Recognising Changes Suggestive
of Primary Electrical Disease 114
Jordan Prutkin
Introduction 114
Long QT Interval 114
Short QT Interval 117
Brugada Pattern 117
Wolff-Parkinson֊-White Pattern 119
Supraventricular Tachycardias 122
Premature Ventricular Contractions and Ventricular
Arrhythmias 122
Sinus Bradycardia 123
Heart Block 124
Sudden Death Syndromes with a Normal ECG 126
Conclusion 126
References 126
13 Effective Echocardiographie Assessment
of the Athlete: Basic Examination to Advanced
Imaging Techniques 128
David Oxborougk
Introduction 128
Stage T. Pre֊echocardiographic Information 128
Stage 2: Standard Echocardiographie
Examination 130
Stage 3: Novel Echocardiographie Indices 137
Stage 4:The Role of Exercise 143
Conclusion 144
References 144
Introduction 95
Normal ECG Findings in Athletes 95
Sinus Bradycardia 95
Sinus Arrhythmia 95
Junctional Escape Rhythm 96
Ectopic Atrial Rhythm 96
First-Degree Atrioventricular Block 96
Second-Degree Atrioventricular Block
(MobitzType I/Wenckebach Phenomenon) 96
Incomplete Right Bundle Branch Block 97
Early Repolarisation 98
QRS Voltage Criteria for Left Ventricular
Hypertrophy 100
Repolarisation Findings in Relation to Age
and Ethnicity 100 *4 Early Repolarisation in Athletes 147
Criteria for Interpretation of the Athletes’ ECGs 100 Greg Mcllor and Elijah R. Behr
Conclusion 102 Introduction 147
References 102 Early Repolarisation Syndrome 147
Contents
Defining ER 147
ER in the General Population 148
Prevalence of ER in Athletes 149
Prognosis of ER in Athletes 150
Conclusion 151
References 151
15 Clinical (Laboratory) Exercise Testing 153
Jonathan Myers and Victor Froelicher
Introduction 153
Basic Principles 153
Methods 154
ECG Recording 157
ECG Interpretation 160
Conclusion 161
References 162
16 The Role of Cardiovascular Magnetic
Resonance in the Assessment of Athletes 163
Rory O Hanlon
Introduction 163
The Athletes Heart 165
Who Should Have a CMR? 165
Hypertrophic Cardiomyopathy 165
Other causes ofLVH 167
Myocarditis 170
Cardiac Sarcoid 170
Coronary Artery Disease 172
Future Directions 172
Conclusion 173
Acknowledgements 173
References 173
17 Genetic Testing for Cardiovascular Conditions
Predisposing to Sudden Death 175
Colleen Caleshu and Euan Ashley
Introduction 175
Genetics of Inherited C VD 175
Genetic Testing for Inherited CVD 178
Genetic Testing in Sudden Death Risk Assessment 180
Genetic Testing in the Athlete 182
Conclusion 185
References 186
PART 3 Cardiac Conditions Predisposing
to Sudden Cardiac Death 187
Section 1: Introduction 189
18 Causes of Sudden Cardiac Death in Sport:
The Importance of Autopsy and Specialist
Examination of the Heart 191
Mary N. Sheppard
Introduction 191
Disorders of the Coronary Arteries 191
Disorders of the Heart Muscle 194
Cardiac Valve Disease 198
Morphologically Normal Heart 198
Conduction System 199
Aortic Dissection 199
Blunt Chest Trauma 200
Sickle-Cell Disease 200
Conclusion 201
References 201
Section 2: Inherited and Congenital
Cardiovascular Pathologies 203
19 Hypertrophic Cardiomyopathy 205
David S. Owens
Introduction 205
Epidemiology 205
Genetics 206
Diagnosis 206
Electrocardiogram Abnormalities 209
Left Ventricular Outflow Tract Obstruction 209
Differentiation from Athlete’s Heart 209
Natural History and Clinical Course 210
Management Considerations 211
Conclusion 215
References 215
20 Arrhythmogenic Right Ventricular
Cardiomyopathy 217
Alessandro Zorzi and Domenico Corrado
Introduction 217
Pathophysiology and Natural History 217
Diagnosis 219
Prevention of ARVC-Related Sudden Death 223
Clinical Management of Athletes with ARVC 226
Acknowledgments 229
References 229
21 Dilated Cardiomyopathy, Left Ventricular
Hypertrabeculation and Noncompaction 231
Sabiha Gati and Sanjay Sharma
Introduction 231
Dilated Cardiomyopathy 231
Left Ventricular Noncompaction 234
Conclusion 238
References 238
22 Marfan Syndrome and Aortopathies 240
Anne H. Child and Bethan Davies
What is Marfan Syndrome? 240
Salient Features 240
Diagnosis 241
Cardiac Problems 242
Impact on Physical Activity 242
Guidelines 243
Medication Impact on Physical Activity 244
Problems Encountered by Patients 244
Who Should be Aware? 245
What Advice is Needed? 245
v
Contents
After Surgery 245
Other Aortopathies 245
Conclusion 246
References 246
23 Valvular Disease 247
Kathleen E. Kearney and Catherine M. Otto
Basic Principles 247
Aortic Valvular Disease 253
Mitral Valvular Disease 257
Right Heart Valvular Disease 260
Prosthetic Valves 260
Conclusion 261
References 261
24 Congenital Heart Disease 263
Guido E. Pieles and A. Graham Stuart
Introduction 263
Epidemiology of CHD 263
Aetiology of CHD 263
CHD in the Athlete Population 264
Mortality Risks of Sudden Cardiac Death
in CHD 264
Activity and Sports in CHD 265
Assessment Tools in CHD 266
General Considerations in Athletes with CHD 267
Athletic Performance and Complications
in Common Specific Lesions 270
Conclusion 273
References 273
25 Congenital Coronary Artery Anomalies 275
Cristina Basso and Gaetano Thiene
Introduction 27 5
Anomalous Origin of a Coronary Artery
from the Pulmonary Trunk 275
Anomalous Coronary Artery Origin from a Wrong
Aortic Sinus 276
Other CCAAs from the Aorta: Variants of Uncertain
Significance 277
In Vivo Diagnosis of CCAA Carrying a Risk
of Sudden Death 280
Risk Stratification and Clinical Management 281
CCAA and Consensus Guidelines for Eligibility/
Disqualification 282
Conclusion 284
Acknowledgement 284
References 284
Section 3: Ion Channelopathies, Accessory
Pathways and Electrical Disease 287
26 Long QT Syndrome 289
David J. Tester and Michael J. Ackerman
Introduction 289
Clinical Presentation of Long QT Syndrome 289
Diagnostic Approach for an Athlete with Suspected
Long QT Syndrome 290
Genetic Basis for Long QT Syndrome 295
Risk Stratification in Long QT Syndrome 296
Disease Management in Long QT
Syndrome 298
Considerations in the Context of Exercise
and Physical Activity 290
References 301
27 Brugada Syndrome 303
Elena Arbelo andjosep Brugada
Concept and Epidemiology 303
Genetic Basis 303
Clinical Presentation 304
Diagnostic Criteria 308
Risk Stratification 309
Management 310
Exercise Considerations 311
Conclusion 313
References 313
28 Wolff-Parkinson-White Syndrome 315
Jack C. Salerno
Introduction 315
Epidemiology 315
Aetiology 315
Genetics 316
Associated Cardiac Abnormalities 316
ECG Criteria for Diagnosis 316
Clinical Presentation 316
Risk assessment ofWPW 318
Transcatheter Ablation 320
Management Summary 322
References 322
29 Catecholaminergic Polymorphic Ventricular
Tachycardia 324
Leonie C.H. Wong and Elijah R. Behr
Introduction 324
Genetics and Pathophysiology 324
Contribution to SCD 325
Evaluation of Suspected CPVT 326
Risk Stratification 327
Management 327
Future Directions 329
References 329
30 Idiopathic Ventricular Tachycardia/Ventricular
Fibrillation 331
André La Gerche
Definitions 331
Idiopathic Ventricular Tachycardia 331
Idiopathic Ventricular Fibrillation 337
References 338
VI
Contents
Section 4: Acquired Disorders 341
31 Commotio Cordis 343
Christopher Madias and Mark S. Link
introduction 343
Prevalence 343
Clinical Profile 343
Experimental Model 344
Prevention 346
Treatment 346
Conclusion 346
References 349
32 Myocarditis 350
Jeffrey A. Towhin
Introduction 350
Aetiology and Epidemiology 350
Clinical Manifestations 351
Pathophysiology 355
Myocarditis and Athletics 356
Long-Term Sequelae 356
Treatment 356
Conclusion 357
References 357
Section 5: Other Causes of Sudden Death 359
33 Alternative Noncardiac Medical Causes
of Sudden Death: Sickle-Cell Trait,
Exertional Heatstroke, Exercise
Rhabdomyolysis, Asthma and Extreme
Environmental Conditions 361
Juan Manuel Alonso and Paul Dijkstra
Introduction 361
Sickle-Cell Trait 361
Exertional Heatstroke 365
Other, Less Frequent Causes of Noncardiac
Sudden Death 367
References 368
PART 4 Cardiovascular Management 371
34 Guidelines for Sports Practice in Athletes
with Cardiovascular Disease 373
Andrew D Silva and Sanjay Sharma
Cardiomyopathies, Myocarditis
and Pericarditis 374
Primary Electrical Disease 377
Aortopathies, Coronary Artery Disease
and Hypertension 379
Valvular Heart Disease 383
Congenital Heart Disease 383
References 383
35 Management of the Symptomatic Athlete 385
Meagan M. Wasfy and Aaron L. Baggish
Introduction 385
General Considerations 385
Syncope 386
Palpitations 389
Chest Pain 390
Exertional Fatigue and Performance
Decline 393
Conclusion 393
References 394
36 Management of Abnormal Physical
Examination Findings in Athletes 395
Victoria Watt, Mats Borjesson and Mikael Dellborg
Introduction 395
General Inspection 395
Examination of the Hands 396
Assessment of Resting Blood
Pressure 397
Examination of the Face and Neck 399
Examination of the Thorax 399
Examination of the Heart 400
Examination of the Lungs 403
Examination of the Abdomen 403
Examination of the Lower
Limbs 403
Conclusion 404
References 404
3 7 Management of Atrial Fibrillation
in Athletes 406
Eduard Guasch and Lluis Mont
Introduction 406
Epidemiology and Relevance 407
Clinical Presentation 408
Pathology 408
Therapeutic Approach 409
Prevention 412
Conclusion 412
References 413
38 Implantable Cardioverter-Defibrillators
in Athletes 415
Victoria lVatt
Introduction 415
ICD Structure and Function 415
Subcutaneous ICDs 418
ICDs in Athletes: Underlying
Diagnosis 418
ICDs in Athletes: Implications for Return
to Play 421
How to Care for an Athlete with an ICD:
Practical Considerations 423
Medical Equipment that may Interfere
with an ICD 423
Conclusion 424
References 424
VII
Contents
39 Management of Hypertension in Athletes 427
Maria-Carmen Adamuz
Introduction and Epidemiology 427
Considerations Relating to Sports Participation
and Blood Pressure in Athletes 427
Definition and Classification of Arterial
Hypertension in Athletes 428
Challenges of Diagnosing Hypertension
in Athletes 428
How to Assess Blood Pressure in Athletes 429
Definition of EIAH at the Peak of Exercise 431
Definition of EIAH at Submaximal Exercise 431
Abnormal Blood Pressure Response in
Recovery 431
Diagnostic Evaluation of the Hypertensive
Athlete 432
Drugs Associated with Hypertension
in Athletes 433
Hypertension in Paralympic Athletes with Spinal
Cord Injuries 433
Physical Examination of the Hypertensive
Athlete 434
Cardiovascular Risk Stratification
of the Hypertensive Athlete 434
Cardiovascular Risk Factors 434
Target Organ Damage 434
Aetiology Assessment: Primary versus Secondary
Hypertension 435
Management of Hypertension in Athletes 435
Eligibility for Sports Participation in Hypertensive
Athletes 437
References 438
PART 5 Conundrums in Sports Cardiology 439
40 Distinguishing Physiological Left Ventricular
Hypertrophy from Hypertrophic
Cardiomyopathy in Athletes 441
Aneti Malhotra and Sanjay Sharma
Introduction 441
Establishing the ‘Grey Zone’ 441
History and Familial Evaluation 443
Echocardiography 443
Electrocardiography 444
Cardiac Magnetic Resonance 445
Cardiopulmonary Exercise Testing 446
Ambulatory ECG Monitoring 446
Genetics 446
De-training 447
Potential Role of Biomarkers 447
Conclusion 447
References 448
41 Screening for Cardiovascular Disease in
the Older Athlete 449
Mats Börjesson
Introduction 449
Risk-Benefit of Physical Activi ty 449
Coronary Artery Disease: Pathogenesis 450
SCD due to CAD in Senior Athletes 450
Clinical Presentation of CAD 45 J
Positive Effects of Physical Activity 451
Evaluation of Older Individuals before
Participation in Sports 451
Conclusion 455
References 455
42 Is Ultra-Endurance Exercise Damaging
to the RightVentricle? 457
Guido Claessen and Hein Hcidbuchel
Introduction 457
From Physiological to Pathological Remodelling
in Athletes: the Atrial Example 458
From Physiologic to Pathologic Remodelling
in Athletes: and the Ventricles? 459
Why is the RightVentricle Affected? 459
Genetic Predisposition? 462
Doping? 463
Who is at Risk? 463
Conclusion 466
References 466
43 Clinical Implications of Performance-
Enhancing Drugs for Cardiovascular Health 468
Peter J. Angell andYorck O. Schumacher
Introduction 468
Anabolic Agents 468
Peptide Hormones, Growth Factors and Related
Substances 471
Stimulants 472
Beta-2 Agonists 472
Masking Agents 473
Conclusion 473
References 473
44 Cardiovascular Concerns in the Paralympic
Athlete 475
Cindy J. Chang and Suzy Kim
Introduction 475
Cardiovascular Concerns in Athletes
with SCI 475
Other Important Considerations for the Team
Physician 480
Conclusion 482
References 482
viii
Contents
PART 6 Emergency Cardiac Care 483
45 Emergency Cardiac Care in the Athletic
Setting: From School Sports to the
Olympic Arena 485
Efraim Kramer and Martin Botha
Introduction 485
Epidemiology 485
Planning 486
Training 486
Personnel 486
Equipment 487
Communications 488
Onsite Emergency Cardiac Care Protocol 489
Transport 490
Definitive Cardiac Critical Care 490
Post-SCA Debrief 490
Conclusion 491
References 491
PART 7 Sports Cardiology Training 493
46 Recommendations for Sports Cardiology
Training for the Sports Medicine Physician 495
Irfan M. Asif and Jonathan A. Drezner
Introduction 495
Sports Cardiology Curriculum 496
Training Environment and Infrastructure 498
Strategies for Learning and Assessment 498
Conclusion 501
References 501
Index, 503
IX
IOC MANUAL OF SPORTS CARDIOLOGY
The sudden death of an athlete is a highly tragic and emotional event. Recent data suggest that death rales are greater than
previously reported and a screening strategy with the 12-lead electrocardiogram (HCC ) may help identify those athletes at risk,
One of the main concerns about cardiac testing in athletes is the high number of false positive rates because athletic conditioning
is associated with a number of electrical and structural modifications which occasionally overlap with disorders commonly
implicated in sudden cardiac death.
for the practicing sports medicine physician at the front line of sports cardiology, this comprehensive and authoritative resource
provides a centralized source of information which addresses this important topic in an accessible manner. This book recognises
the broad role sports physicians play, from liaison between athlete, family, specialist and coaching staff based on the identification
of pathological heart disease, to being first to respond when an athlete collapses, The chapters include basic science of disease and
disorders, pathophysiology, diagnosis, the effect or role of exercise and clinical management guidance,
The sewn sections of this book include information on: the basic science of cardiac function, the prevention of sudden death,
specific cardiac disorders predisposing individuals to sudden cardiac death, management and screening of athletes, and the
prov ision of emergency care.
Key Features
• Provides a comprehensive and authoritative overview of all aspects of sports cardiology
• Addresses cardiac abnormalities confronting Olympic athletes, Paralympic athletes, as well as athletes competing in all other
levels of competition
• Pndorsed by the Medical Commission of the International Olympic Committee (IOC)
• Written and edited by global thought leaders in sports medicine
An essential resource for sports medicine physicians, cardiologists, sports cardiologists, primary care physicians, HR physicians,
physical therapists, athletics trainers, nurse practitioners and physicians assistants.
Professor Mathew Wilson is Head of Athlete Health and Performance Research and is Lead Performance Physiologist at Aspetar
(Qatar Orthopedic Sports Medicine Hospital. Qatar). He has led cardiovascular pre-participation screening programmes both within
the UK and the Middle-Mast, and has been charged with the screening of over 15,000 high-level athletes at the Olympic Medical
Institute (UK) and Aspetar (Qatar).
Professor Jonathan Drezner is past-president of the American Medical Society for Sports Medicine, Director of the Center
for Sports Cardiology and a sports medicine physician at the University of Washington, and team physician for the Seattle
Seahawks NBA basketball team. He is a leading authority on the role of the automatic external defibrillator in preventing
sudden cardiac death.
Professor Sanjay Sharnia is Medical Director of the Virgin London Marathon, Chair-Hlect of the Huropean Society of
Cardiology (Sports Cardiology) nucleus group and leads the inherited cardiomyopathies and sports cardiology clinics at
St George s Hospital, London,
Other Titles in the Series
The IOC Manual of Spoils Injuries
Hdiled by Roald llahr
ISBN 9780 l l)(f l1( l
Tlx· l()C Manual of Hmeryeucy Sports Medicine
Hdiled by David McDonagh anil David Zideman
ISBN 97HlllH()lA(iH()
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| discipline | Sport Medizin |
| format | Book |
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| id | DE-604.BV044211544 |
| illustrated | Illustrated |
| indexdate | 2024-07-10T07:46:44Z |
| institution | BVB |
| institution_GND | (DE-588)210056-3 |
| isbn | 9781119046868 |
| language | English |
| lccn | 016017737 |
| oai_aleph_id | oai:aleph.bib-bvb.de:BVB01-029617797 |
| oclc_num | 1004338475 |
| open_access_boolean | |
| owner | DE-703 |
| owner_facet | DE-703 |
| physical | xv, 511 Seiten Illustrationen, Diagramme |
| publishDate | 2017 |
| publishDateSearch | 2017 |
| publishDateSort | 2017 |
| publisher | Wiley Blackwell |
| record_format | marc |
| series2 | An IOC Medical Commission publication |
| spelling | IOC manual of sports cardiology edited by Mathew G. Wilson, Jonathan A. Drezner, Sanjay Sharma Manual of sports cardiology Chichester, West Sussex, UK Wiley Blackwell 2017 xv, 511 Seiten Illustrationen, Diagramme txt rdacontent n rdamedia nc rdacarrier An IOC Medical Commission publication Death, Sudden, Cardiac Athletes Cardiovascular Diseases Diagnostic Techniques, Cardiovascular Sports Medicine Kardiovaskuläre Krankheit (DE-588)4024666-8 gnd rswk-swf Sportmedizin (DE-588)4056405-8 gnd rswk-swf Plötzlicher Tod (DE-588)4174922-4 gnd rswk-swf Sport (DE-588)4056366-2 gnd rswk-swf Kardiologie (DE-588)4114141-6 gnd rswk-swf Sport (DE-588)4056366-2 s Kardiologie (DE-588)4114141-6 s Plötzlicher Tod (DE-588)4174922-4 s Kardiovaskuläre Krankheit (DE-588)4024666-8 s DE-604 Sportmedizin (DE-588)4056405-8 s Wilson, Mathew (DE-588)1136326294 edt Internationales Olympisches Komitee (DE-588)210056-3 isb Erscheint auch als Online-Ausgabe, pdf 978-1-119-04688-2 Erscheint auch als Online-Ausgabe, epub 978-1-119-04687-5 Digitalisierung UB Bayreuth - ADAM Catalogue Enrichment application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=029617797&sequence=000001&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis Digitalisierung UB Bayreuth - ADAM Catalogue Enrichment application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=029617797&sequence=000002&line_number=0002&func_code=DB_RECORDS&service_type=MEDIA Klappentext |
| spellingShingle | IOC manual of sports cardiology Death, Sudden, Cardiac Athletes Cardiovascular Diseases Diagnostic Techniques, Cardiovascular Sports Medicine Kardiovaskuläre Krankheit (DE-588)4024666-8 gnd Sportmedizin (DE-588)4056405-8 gnd Plötzlicher Tod (DE-588)4174922-4 gnd Sport (DE-588)4056366-2 gnd Kardiologie (DE-588)4114141-6 gnd |
| subject_GND | (DE-588)4024666-8 (DE-588)4056405-8 (DE-588)4174922-4 (DE-588)4056366-2 (DE-588)4114141-6 |
| title | IOC manual of sports cardiology |
| title_alt | Manual of sports cardiology |
| title_auth | IOC manual of sports cardiology |
| title_exact_search | IOC manual of sports cardiology |
| title_full | IOC manual of sports cardiology edited by Mathew G. Wilson, Jonathan A. Drezner, Sanjay Sharma |
| title_fullStr | IOC manual of sports cardiology edited by Mathew G. Wilson, Jonathan A. Drezner, Sanjay Sharma |
| title_full_unstemmed | IOC manual of sports cardiology edited by Mathew G. Wilson, Jonathan A. Drezner, Sanjay Sharma |
| title_short | IOC manual of sports cardiology |
| title_sort | ioc manual of sports cardiology |
| topic | Death, Sudden, Cardiac Athletes Cardiovascular Diseases Diagnostic Techniques, Cardiovascular Sports Medicine Kardiovaskuläre Krankheit (DE-588)4024666-8 gnd Sportmedizin (DE-588)4056405-8 gnd Plötzlicher Tod (DE-588)4174922-4 gnd Sport (DE-588)4056366-2 gnd Kardiologie (DE-588)4114141-6 gnd |
| topic_facet | Death, Sudden, Cardiac Athletes Cardiovascular Diseases Diagnostic Techniques, Cardiovascular Sports Medicine Kardiovaskuläre Krankheit Sportmedizin Plötzlicher Tod Sport Kardiologie |
| url | http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=029617797&sequence=000001&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=029617797&sequence=000002&line_number=0002&func_code=DB_RECORDS&service_type=MEDIA |
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