1. Sports and cardiology: an explosive cocktail?
January 14th, 2016
16h-17h30

2. Which of the following proposition(s) is/are correct?
A) When young, intensive sport practice leads to an increased risk of sudden death as compared with a sedentary lifestyle B) Systematic ECG screening in young athletes decreases the risk of sudden death C) In a young sportsman a really normal ECG should not be repeated over time D) In older patients, paroxysmal atrial fibrillation is a contra-indication to sport practice

3. Which of the following proposition(s) is/are correct?
A) When young, intensive sport practice leads to an increased risk of sudden death as compared with a sedentary lifestyle B) Systematic ECG screening in young athletes decreases the risk of sudden death C) In a young sportsman a really normal ECG should not be repeated over time D) In older patients, paroxysmal atrial fibrillation is a contra-indication to sport practice

4. What checkup do you recommend in first instance in a 40-year old man, with a sedentary lifestyle, no symptoms, no personal or familial cardiac history, who desires to practice a moderate to vigorous physicial activity?
A) Rest ECG B) Rest ECG and Stress test C) Rest ECG, Stress test and Myocardial scintigraphy D) Rest ECG, Stress test, Myocardial scintigraphy and coronary angiography E) None since low-risk patient with no symptoms

5. What checkup do you recommend in first instance in a 40-year old man, with a sedentary lifestyle, no symptoms, no personal or familial cardiac history, who desires to practice a moderate to vigorous physicial activity?
A) Rest ECG B) Rest ECG and Stress test C) Rest ECG, Stress test and Myocardial scintigraphy D) Rest ECG, Stress test, Myocardial scintigraphy and coronary angiography E) None since low-risk patient with no symptoms

6. Which of the following proposition(s) about the beneficial effects of regular moderate physical activity practice is/are correct?
A) It decreases total, LDL and HDL cholesterol as well as triglycerides B) It decreases insulin resistance C) It decreases arterial blood pressure (both systolic and diastolic) D) It has an anti-inflammatory effect E) It improves endothelial dysfunction

7. Which of the following proposition(s) about the beneficial effects of regular moderate physical activity practice is/are correct?
A) It decreases total, LDL and HDL cholesterol as well as triglycerides B) It decreases insulin resistance C) It decreases arterial blood pressure (both systolic and diastolic) D) It has an anti-inflammatory effect E) It improves endothelial dysfunction

8. How do you evaluate the cardiovascular risk of a 45-year old man who wants to practice a moderate to intense physical activity?
A) Auto-evaluation with validated scales such as AHA Preparticipation questionnaire, revised Physical Activity Readiness Questionnaire B) SCORE risk assessment C) Before 50 years, the evaluation of cardiac risk is not recommended D) There are currently no european guidelines for cardiovascular risk assessment

9. How do you evaluate the cardiovascular risk of a 45-year old man who wants to practice a moderate to intense physical activity?
A) Auto-evaluation with validated scales such as AHA Preparticipation questionnaire, revised Physical Activity Readiness Questionnaire B) SCORE risk assessment C) Before 50 years, the evaluation of cardiac risk is not recommended D) There are currently no european guidelines for cardiovascular risk assessment

10. Which of the following proposition(s) may be found during echocardiographic examination of endurance athletes, without pathological implications?
A) Inferior vena cava dilation B) Right ventricular dilation and hypertrophy C) Atria dilation D) Moderate and homogeneous dilation of cardiac chambers E) Alteration in the global and longitudinal strain patterns

11. Which of the following proposition(s) may be found during echocardiographic examination of endurance athletes, without pathological implications?
A) Inferior vena cava dilation B) Right ventricular dilation and hypertrophy C) Atria dilation D) Moderate and homogeneous dilation of cardiac chambers E) Alteration in the global and longitudinal strain patterns

12. In case of parietal hypertrophy in a high-level athlete, which of the following proposition(s) is/are in favour of hypertrophic cardiomyopathy
A) An isolated dilation of the left atrium B) An asymetrical hypertrophy, mostly in apical C) Interventricular septum hypertrophy > 15 mm D) A higher A mitral wave with E/E' < 8 E) A left ventricular end-diastolic diameter (LVEDD) < 45 mm

13. In case of parietal hypertrophy in a high-level athlete, which of the following proposition(s) is/are in favour of hypertrophic cardiomyopathy
A) An isolated dilation of the left atrium B) An asymetrical hypertrophy, mostly in apical C) Interventricular septum hypertrophy > 15 mm D) A higher A mitral wave with E/E' < 8 E) A left ventricular end-diastolic diameter (LVEDD) < 45 mm

14. Mr X, 22 year-old caucasian professional swimmer, comes to your office
Mr X, 22 year-old caucasian professional swimmer, comes to your office. He is asymptomatic and has adapted cardiac performance. One of his brothers has died suddenly at 31 years but the cause of death is unknown (no autopsy). His cardiac echography results: LVEDD = 43 mm, IVS=16 mm, LVEF=65% Among the following proposition(s), which one(s) is/are correct?
A) The results are in favour of an athlete’s heart B) The results are in favour of an hypertrophic cardiomyopathy C) You prescribe no sport training during 6 months with echocardiographic control at the end D) You prescribe a cardiac MRI E) You propose a genetic testing

15. Mr X, 22 year-old caucasian professional swimmer, comes to your office
Mr X, 22 year-old caucasian professional swimmer, comes to your office. He is asymptomatic and has adapted cardiac performance. One of his brothers has died suddenly at 31 years but the cause of death is unknown (no autopsy). His cardiac echography results: LVEDD = 43 mm, IVS=16 mm, LVEF=65% Among the following proposition(s), which one(s) is/are correct?
A) The results are in favour of an athlete’s heart B) The results are in favour of an hypertrophic cardiomyopathy C) You prescribe no sport training during 6 months with echocardiographic control at the end D) You prescribe a cardiac MRI E) You propose a genetic testing