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Book ; Online ; E-Book: Sport-related sudden cardiac death

Delise, Pietro / Zeppilli, Paolo

causes and prevention

2022

Author's details	edited by Pietro Delise and Paolo Zeppilli
Keywords	Heart/Diseases/Diagnosis ; Sudden death ; Heart failure
Subject code	616.12075
Language	English
Size	1 online resource (196 pages)
Publisher	Springer
Publishing place	Cham, Switzerland
Document type	Book ; Online ; E-Book
Remark	Zugriff für angemeldete ZB MED-Nutzerinnen und -Nutzer
ISBN	3-030-80447-X ; 3-030-80446-1 ; 978-3-030-80447-3 ; 978-3-030-80446-6
Database	ZB MED Catalogue: Medicine, Health, Nutrition, Environment, Agriculture

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Article ; Online: COVID-19, indications for professional football teams and referees training resumption.

Donadu, Matthew Gavino / Pizzi, Angelo Renato / Zeppilli, Paolo

Journal of infection in developing countries

2020 Volume 14, Issue 10, Page(s) 1084–1089

Abstract: These indications were drawn up by the Federal Medical-Scientific Commission (FIGC Commission), supplemented for the necessary time by some experts on the subject; currently they are intended to grant the highest achievable guarantee level to protect the ...

Abstract	These indications were drawn up by the Federal Medical-Scientific Commission (FIGC Commission), supplemented for the necessary time by some experts on the subject; currently they are intended to grant the highest achievable guarantee level to protect the health of players, referees and all professionals involved in case of resumption of collective training (Document dated 18 April 2020). They were designed to minimize the risk of contagion were thus based on the fact that during that phase of SARS-COV-2 virus pandemic (COVID-19) and in the absence of an effective vaccine, the zero-contagion risk did not exist and does not exist to date. Those guidelines have been updated on the basis of ongoing medical-scientific evidence, taking into account the indications given by the Technical-Scientific Committee and the opinion of the Italian Football Federation representatives, during a meeting that took place on May 7 and was transmitted to FIGC on May 11, 2020; these indications are to be considered stringent and binding for the purposes of sport training resumption.
MeSH term(s)	Betacoronavirus ; COVID-19 ; Coronavirus Infections/epidemiology ; Coronavirus Infections/prevention & control ; Decontamination ; Humans ; Italy ; Pandemics/prevention & control ; Pneumonia, Viral/epidemiology ; Pneumonia, Viral/prevention & control ; Return to Sport/standards ; SARS-CoV-2 ; Soccer ; Sports and Recreational Facilities/standards
Keywords	covid19
Language	English
Publishing date	2020-10-31
Publishing country	Italy
Document type	Journal Article
ZDB-ID	2394024-4
ISSN	1972-2680 ; 2036-6590
ISSN (online)	1972-2680
ISSN	2036-6590
DOI	10.3855/jidc.13436
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article: Introduzione.

Zeppilli, Paolo

Urologia

2010 Volume 77, Issue 2, Page(s) 88

Title translation	Introduction to focus on urology and sport.
MeSH term(s)	Athletic Injuries ; Cumulative Trauma Disorders/physiopathology ; Humans ; Kidney Diseases/etiology ; Muscular Diseases/etiology ; Muscular Diseases/physiopathology ; Sports ; Sports Medicine ; Urology
Language	Italian
Publishing date	2010-04
Publishing country	Italy
Document type	Introductory Journal Article
ZDB-ID	204043-8
ISSN	1724-6075 ; 0391-5603 ; 0376-0057
ISSN (online)	1724-6075
ISSN	0391-5603 ; 0376-0057
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Article: COVID-19, indications for professional football teams and referees training resumption

Donadu, Matthew Gavino / Pizzi, Angelo Renato / Zeppilli, Paolo

J Infect Dev Ctries

Abstract	These indications were drawn up by the Federal Medical-Scientific Commission (FIGC Commission), supplemented for the necessary time by some experts on the subject; currently they are intended to grant the highest achievable guarantee level to protect the health of players, referees and all professionals involved in case of resumption of collective training (Document dated 18 April 2020). They were designed to minimize the risk of contagion were thus based on the fact that during that phase of SARS-COV-2 virus pandemic (COVID-19) and in the absence of an effective vaccine, the zero-contagion risk did not exist and does not exist to date. Those guidelines have been updated on the basis of ongoing medical-scientific evidence, taking into account the indications given by the Technical-Scientific Committee and the opinion of the Italian Football Federation representatives, during a meeting that took place on May 7 and was transmitted to FIGC on May 11, 2020; these indications are to be considered stringent and binding for the purposes of sport training resumption.
Keywords	covid19
Publisher	WHO
Document type	Article
Note	WHO #Covidence: #918908
Database	COVID19

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Article ; Online: Bicuspid Aortic Valve and Premature Ventricular Beats in Athletes.

Modica, Gloria / Sollazzo, Fabrizio / Bianco, Massimiliano / Cammarano, Michela / Pella, Riccardo / Monti, Riccardo / Palmieri, Vincenzo / Zeppilli, Paolo

International journal of environmental research and public health

2022 Volume 19, Issue 19

Abstract: Background: The aim of this study was to identify a possible link between bicuspid aortic valve (BAV) and premature ventricular beats (PVBs), particularly from left and right ventricular outflow tracts, and to investigate possible associations between ... ...

Abstract	Background: The aim of this study was to identify a possible link between bicuspid aortic valve (BAV) and premature ventricular beats (PVBs), particularly from left and right ventricular outflow tracts, and to investigate possible associations between these arrhythmias and echocardiographic abnormalities. Methods: A comparison of sportspeople with and without BAV was performed to identify PVBs' occurrence in these two series. Then, subdividing the BAV group on the presence of cardiovascular complications due to BAV, we compared arrhythmic features between these two subgroups and echocardiographic findings between athletes with and without left and right outflow tract PVBs. Results: PVBs in 343 athletes with BAV were compared with 309 athletes without BAV, showing an increased frequency (29% vs. 11.8%, Conclusions: A possible causal link between BAV and PVBs was highlighted, but no association between PVBs and complicated BAV was emphasized.
MeSH term(s)	Aortic Valve/diagnostic imaging ; Athletes ; Bicuspid Aortic Valve Disease ; Echocardiography ; Humans ; Ventricular Premature Complexes/epidemiology
Language	English
Publishing date	2022-09-26
Publishing country	Switzerland
Document type	Journal Article
ZDB-ID	2175195-X
ISSN	1660-4601 ; 1661-7827
ISSN (online)	1660-4601
ISSN	1661-7827
DOI	10.3390/ijerph191912188
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Book: Manuale di medicina dello sport

Zeppilli, Paolo

con elementi di traumatologia e pronto soccorso : per il corso di laurea in scienze motorie

2006

Author's details	P. Zeppilli ... [et al.]
MeSH term(s)	Athletic Injuries ; Physical Exertion/physiology ; Secondary Prevention
Language	Italian
Size	x, 253 p. :, ill.
Edition	2. ed.
Publisher	Casa editrice scientifica internazionale
Publishing place	Roma
Document type	Book
ISBN	9788889590065 ; 8889590068
Database	Catalogue of the US National Library of Medicine (NLM)

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Article ; Online: Congenital coronary artery anomalies in sports medicine. Why to know them.

Zeppilli, Paolo / Bianco, Massimiliano / Gervasi, Salvatore F / Cammarano, Michela / Monti, Riccardo / Sollazzo, Fabrizio / Modica, Gloria / Morra, Lorenzo / Nifosì, Francesco M / Palmieri, Vincenzo

Clinical cardiology

2023 Volume 46, Issue 9, Page(s) 1038–1048

Abstract: The anomalous origin of a coronary artery (AOCA) is a challenging topic, due to its rarity, the complexity of the pathophysiological aspects, the clinical presentation (often silent), the difficulty of diagnosis, and the potential risk of causing acute ... ...

Abstract	The anomalous origin of a coronary artery (AOCA) is a challenging topic, due to its rarity, the complexity of the pathophysiological aspects, the clinical presentation (often silent), the difficulty of diagnosis, and the potential risk of causing acute cardiovascular events up to sudden cardiac death, particularly when triggered by heavy physical exercise or sport practice. Increasing interest in sport medical literature is being given to this topic. This paper reviews current knowledge of AOCAs in the specific context of the athletic setting addressing epidemiological and pathophysiological aspects, diagnostic work-up, sports participation, individual risk assessment, therapeutic options, and return to play decision after surgery.
MeSH term(s)	Humans ; Sports ; Sports Medicine ; Death, Sudden, Cardiac/epidemiology ; Death, Sudden, Cardiac/etiology ; Death, Sudden, Cardiac/prevention & control ; Coronary Vessel Anomalies/diagnosis ; Coronary Vessel Anomalies/epidemiology ; Coronary Vessel Anomalies/therapy
Language	English
Publishing date	2023-07-11
Publishing country	United States
Document type	Journal Article ; Review
ZDB-ID	391935-3
ISSN	1932-8737 ; 0160-9289
ISSN (online)	1932-8737
ISSN	0160-9289
DOI	10.1002/clc.24084
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Article ; Online: Anomalous origin of left circumflex artery from the right sinus of Valsalva: Clinical outcomes in a consecutive series of master athletes.

Ratti, Angelo / Prestini, Blanca / Conte, Edoardo / Marchetti, Davide / Schillaci, Matteo / Melotti, Eleonora / Belmonte, Marta / Mushtaq, Saima / Dessani, Maria Antonietta / Pizzamiglio, Francesca / Tundo, Fabrizio / Zeppilli, Paolo / Bartorelli, Antonio / Andreini, Daniele

Clinical cardiology

2023 Volume 46, Issue 9, Page(s) 1097–1105

Abstract: Background: Aim of the study was to collect and describe a case series of consecutive master athletes in whom an anomalous origin of left circumflex artery (LCx) from the right sinus of Valsalva (ALCx) was detected at a clinically indicated coronary ... ...

Abstract	Background: Aim of the study was to collect and describe a case series of consecutive master athletes in whom an anomalous origin of left circumflex artery (LCx) from the right sinus of Valsalva (ALCx) was detected at a clinically indicated coronary computed tomography angiography CCTA) to establish a focused clinical management and counseling about sport activity in those subjects. Methods: We analyzed a prospective registry of subjects referred to a clinically indicated CCTA. Information about the clinical status was obtained by previous clinical records and clinical evaluation at time of image acquisition; follow-up allowed to record symptoms, outcomes and downstream testing. Results: The study population consisted in 14 subjects, of which one competitive athlete and 13 recreational master athletes. Mean age was of 67.2 ± 10.6 years (71% of male); follow-up lasted 6.4 ± 2.6 years. The major high-risk anatomy features (inter-arterial course, intramural segment, high take-off and slit-like ostium) were absent. None had abnormal ostial morphology and all had full retroaortic course; three subjects (21%) presented an acute take-off angle. Coronary artery disease (CAD) was present in 10 patients (71%). Major outcomes (cardiac hospitalization, death for all causes) recorded were not related to the anomalous LCx. Symptoms were most related to atherosclerotic CAD in different vessels whereas two subjects without CAD exhibited cardiac symptoms, without hospitalization. Conclusions: Our study suggests that the diagnosis of ALCx, being usually associated to low-risk anatomical characteristics, could be considered a benign finding, with scarce or no implications for physically active individuals neither for recreational athletes.
Language	English
Publishing date	2023-09-21
Publishing country	United States
Document type	Journal Article
ZDB-ID	391935-3
ISSN	1932-8737 ; 0160-9289
ISSN (online)	1932-8737
ISSN	0160-9289
DOI	10.1002/clc.24120
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Italian return to play protocol after COVID-19 in young competitive and professional athletes: diagnostic yield and cost-benefit analysis.

Sollazzo, Fabrizio / Pengue, Luca / Monti, Riccardo / DI Murro, Emanuela / Cea, Giorgio / Modica, Gloria / Manes, Stefania / Cammarano, Michela / Pradella, Silvia / Bianco, Massimiliano / Zeppilli, Paolo / Palmieri, Vincenzo

Minerva cardiology and angiology

2023 Volume 71, Issue 3, Page(s) 233–241

Abstract: Background: Return to play (RTP) protocols have been proposed to early detect cardiovascular involvement due to COVID-19 and reduce the risk of sports-related sudden cardiac death. However, uncertainties remain about the true prevalence of COVID-19 ... ...

Abstract	Background: Return to play (RTP) protocols have been proposed to early detect cardiovascular involvement due to COVID-19 and reduce the risk of sports-related sudden cardiac death. However, uncertainties remain about the true prevalence of COVID-19 myopericarditis, the arrhythmic risk and the cost of this protocol. Methods: We collected data from 217 competitive and professional athletes of both genders who underwent RTP protocol (clinical history, resting and exercise ECG, and echocardiography). Holter monitoring and/or cardiac magnetic resonance (CMR) were performed in case of abnormalities. In 107 athletes, the RTP data were compared with those of preparticipation evaluation (PPE) performed prior to COVID-19 infection. Results: Out of 217 consecutive athletes evaluated with the RTP protocol, 7 underwent CMR: among these we found alterations compatible with myopericarditis in 3 (1.4%), with a cost per person of € 223.93 and a cost per diagnosis of € 16,197.53. Of the 107 athletes previously evaluated with PPE, 4 underwent RMC: we made a final diagnosis of myocarditis in 1 athlete (0.9%), whereas another athlete (0.9%) showed moderate pericardial effusion. The clinical presentation of both these athletes was characterized by the presence of ventricular arrhythmias newly detected during RTP. Compared to PPE, during RTP higher values were observed for shortness of breath, weight, heart rate and corrected QT interval, whereas lower values for sinus bradycardia and the E/A ratio of mitral flow. Conclusions: The prevalence of myopericarditis was similar to that reported in previous cross-sectional and case-control studies. The availability of data recorded before COVID-19 was important in the evaluation of athletes with arrhythmias. The RTP protocol has proven to be less cost effective than normal PPE.
MeSH term(s)	Humans ; Male ; Female ; Cost-Benefit Analysis ; Return to Sport ; Cross-Sectional Studies ; Physical Examination ; COVID-19/diagnosis ; COVID-19/epidemiology ; Athletes ; Arrhythmias, Cardiac/diagnosis ; Arrhythmias, Cardiac/epidemiology ; COVID-19 Testing
Language	English
Publishing date	2023-01-16
Publishing country	Italy
Document type	Journal Article
ZDB-ID	3059238-0
ISSN	2724-5772
ISSN (online)	2724-5772
DOI	10.23736/S2724-5683.22.06191-9
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Article ; Online: 'A bridge over troubled water': a case report.

D'Amario, Domenico / Cammarano, Michela / Quarta, Rossella / Casamassima, Fabio / Restivo, Attilio / Bianco, Massimiliano / Palmieri, Vincenzo / Zeppilli, Paolo

European heart journal. Case reports

2021 Volume 5, Issue 3, Page(s) ytab109

Abstract: Background: Myocardial bridge (MB) is the most common inborn coronary artery variant, in which a portion of myocardium overlies a major epicardial coronary artery segment. Myocardial bridge has been for long considered a benign condition, although it ... ...

Abstract	Background: Myocardial bridge (MB) is the most common inborn coronary artery variant, in which a portion of myocardium overlies a major epicardial coronary artery segment. Myocardial bridge has been for long considered a benign condition, although it has been shown to cause effort-related ischaemia. Case summary: We present the case of a 17-year-old female patient experiencing chest pain during physical activity. Since her symptoms became unbearable, electrocardiogram and echocardiography were performed together with a coronary computed tomography scan, revealing an MB on proximal-mid left anterior descending artery. In order to unequivocally unmask the ischaemic burden lent by MB, the patient underwent coronary angiography and physiological invasive test: instantaneous wave-free ratio (iFR) and fractional flow reserve (FFR) were calculated, both at baseline and after dobutamine infusion (5 µg/kg/min). At baseline, iFR value was borderline (= 0.89), whereas after dobutamine infusion and increase in the heart rate, the patient suffered chest pain. This symptom was associated with a decrease in the iFR value up to 0.77. Consistently, when FFR was performed, a value of 0.92 was observed at baseline, while after inotrope infusion the FFR reached the haemodynamic significance (= 0.79). Therefore, a medical treatment with bisoprolol was started. Discussion: Our clinical case shows the importance of a comprehensive non-invasive and invasive assessment of MB in young patients experiencing chest pain, with significant limitation in the daily life. The coronary functional indexes allow to detect the presence of MB-derived ischaemia, thus guiding the decision to undertake a medical/surgical therapy.
Language	English
Publishing date	2021-03-31
Publishing country	England
Document type	Case Reports
ISSN	2514-2119
ISSN (online)	2514-2119
DOI	10.1093/ehjcr/ytab109
Database	MEDical Literature Analysis and Retrieval System OnLINE

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