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Biomedical subjects

D A Attinà

Publications and source records attributed to D A Attinà.

6 recordsLinked to original sources

Long-term follow-up in children without heart disease with ventricular premature beats.

In order to evaluate the significance of premature ventricular beats (PVBs) in childhood, 9 children (mean age 12.8 +/- 2.3 years) without clinical or in noninvasive investigational signs of heart disease, with occasional PVBs detected during early medical control, have been studied over periods ranging from 12 to 68 months. At the beginning and end of the follow-up period all children performed a step test, a maximal cycloergometric exercise test, 24-hour electrocardiographic monitoring, echocardiogram and routine laboratory examinations. While at first control complex PVBs were found in 4 children, at final control only 2 showed complex PVBs, 1 simple PVBs and 1 no PVB. Among the 5 children having simple PVBs at first control, only one showed complex PVBs at the end of the follow-up, with 3 simple PVBs and 1 no PVB. The disappearance of more dangerous PVBs (run of three or more) and also the large variability of arrhythmia (both for its presence and complexity) during the numerous tests, seem to demonstrate that in children with normal hearts the occurrence of PVBs can be considered as benign and free of adverse implications.

Adolescent↗

Ergometric evaluation of physical fitness of athletes affected by mitral valve prolapse: study of 80 cases.

Physical fitness of athletes affected by mitral valve prolapse (MVP) was examined, in order to evaluate the influence of sport activity on the natural history of the disease. Maximal workload, total workload, percentage efficiency (according to Hollmann's formula), double product of maximal cycloergometric stress test performed by 80 athletes (53 male, 27 female, mean age 23.8 yrs) with MVP were considered and compared with the same parameters obtained by 160 (120 male, 40 female) normal athletes (N) matched for age and weight. Moreover, the same ergometric data of two maximal exercise tests, performed by 30 subjects of the MVP group, a mean follow-up period of 2.5 years (range 1-6 years) were compared. No significant difference was found between MVP and N group ergometric data, except for double product, that was significantly lower in MVP group with respect to N group (P less than 0.001). Moreover, no difference was found between MVP with or without mitral regurgitation, and N. No difference was found between the first and the last ergometric test in the follow-up group. In conclusion, our results suggest that athletes with MVP have no reduction of physical fitness. Ergometric follow-up, almost in our cases, does not indicate a negative influence of physical activity on the natural history of the disease.

Adult↗

[Abnormal cardiovascular findings in elderly athletic subjects. Epidemiologic data].

The authors examined 1831 asymptomatic subjects, aged 40 to 70 years, practicing physical activity in leisure-time. Two groups were considered: the first one with 1443 subjects aged 40-49 and the second one with 388 subjects over 50 years old. Subgroups were obtained by considering length of sport activity, type of sport and degree of training. The incidence of arrhythmias, S-T segment changes, intraventricular conduction defects and hypertension was found to increase with age. In atrioventricular conduction defects and valvular diseases, the trend appeared to be reversed. Arrhythmias and S-T segment changes were prevalent in mixed sports, while atrio- and intraventricular conduction defects prevailed in aerobic sports; hypertension was practically the same in both groups. From the other variables examined it appeared that adequate training is of more evident benefit than athletic seniority. The authors underline the need for the aged to have a correct sport orientation as well as a right training.

Adult↗