{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,2]],"date-time":"2026-03-02T22:41:47Z","timestamp":1772491307476,"version":"3.50.1"},"reference-count":18,"publisher":"BMJ","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Br J Sports Med"],"accepted":{"date-parts":[[2011,6,16]]},"published-print":{"date-parts":[[2012,4]]},"abstract":"<jats:sec>\n                  <jats:title>Purpose<\/jats:title>\n                  <jats:p>To evaluate the prevalence of structural cardiac lesions using echocardiography in apparently healthy boys referred for pre-participation screening (PPS).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Subjects and methods<\/jats:title>\n                  <jats:p>3100 male soccer players were evaluated by echocardiography in addition to the standard PPS.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>In 56 subjects (1.8%), a structural cardiac lesion with potential future complication was detected. Specifically, hypertrophic cardiomyopathy (HCM) was found in two boys; bicuspid aortic valve (BAV) in 24; mitral valve prolapse in 10 and atrial septal defects (ASDs) in 20. Resting physical examination (PE) failed to identify any abnormalities in the majority of the subjects. All the boys presented an uncomplicated echocardiography, except two boys with HCM, one with BAV associated with aortic dilatation and one with a large ASD.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>Asymptomatic young athletes may have a structural cardiac alteration with the potential of present or future haemodynamic and arrhythmic consequences. A majority of mild cardiac lesions are difficult to diagnose or suspect by the current screening based on medical history, PE and ECG. Transthoracic echocardiography significantly improves the diagnostic power of screening in the detection of both mild and serious cardiac conditions in the athletic population.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1136\/bjsm.2011.085696","type":"journal-article","created":{"date-parts":[[2011,7,26]],"date-time":"2011-07-26T20:27:15Z","timestamp":1311712035000},"page":"371-373","source":"Crossref","is-referenced-by-count":46,"title":["Structural cardiac disease diagnosed by echocardiography in asymptomatic young male soccer players: implications for pre-participation screening"],"prefix":"10.1136","volume":"46","author":[{"given":"Marta","family":"Rizzo","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Antonio","family":"Spataro","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cristiano","family":"Cecchetelli","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Federico","family":"Quaranta","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Simona","family":"Livrieri","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fabio","family":"Sperandii","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Barbara","family":"Cifra","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paolo","family":"Borrione","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fabio","family":"Pigozzi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2011,7,26]]},"reference":[{"key":"2025080113004079000_46.5.371.1","doi-asserted-by":"publisher","DOI":"10.1016\/j.csm.2007.09.004"},{"key":"2025080113004079000_46.5.371.2","first-page":"101","article-title":"Pre-participation screening of young athletes to prevent sudden cardiac death","volume":"10","author":"Pigozzi","year":"2009","journal-title":"Int Sportmed J"},{"key":"2025080113004079000_46.5.371.3","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9149(99)80421-4"},{"key":"2025080113004079000_46.5.371.4","doi-asserted-by":"publisher","DOI":"10.1001\/jama.296.13.1593"},{"key":"2025080113004079000_46.5.371.5","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehl137"},{"key":"2025080113004079000_46.5.371.6","doi-asserted-by":"crossref","first-page":"259","DOI":"10.1007\/s00059-009-3236-3","article-title":"Sudden cardiac death in athletes: can it be prevented by screening?","volume":"34","author":"Corrado","year":"2009","journal-title":"Herz"},{"key":"2025080113004079000_46.5.371.7","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.102.3.278"},{"key":"2025080113004079000_46.5.371.8","first-page":"29","article-title":"The ratio of congenital heart disease and innocent murmur in children in Van city, the Eastern Turkey.","volume":"9","author":"Uner","year":"2009","journal-title":"Anadolu Kardiyol Derg"},{"key":"2025080113004079000_46.5.371.9","doi-asserted-by":"crossref","first-page":"340","DOI":"10.1017\/S104795110000963X","article-title":"The diagnosis of innocent murmurs in childhood.","volume":"10","author":"Advani","year":"2000","journal-title":"Cardiol Young"},{"key":"2025080113004079000_46.5.371.10","doi-asserted-by":"publisher","DOI":"10.1016\/j.echo.2009.03.023"},{"key":"2025080113004079000_46.5.371.11","doi-asserted-by":"crossref","first-page":"86","DOI":"10.1097\/00042752-199504000-00003","article-title":"Incorporation of screening echocardiography in the preparticipation exam.","volume":"5","author":"Weidenbener","year":"1995","journal-title":"Clin J Sport Med"},{"key":"2025080113004079000_46.5.371.12","doi-asserted-by":"crossref","first-page":"831","DOI":"10.1093\/milmed\/167.10.831","article-title":"The role of limited echocardiography and electrocardiography in screening physicals for amateur athletes.","volume":"167","author":"Shry","year":"2002","journal-title":"Mil Med"},{"key":"2025080113004079000_46.5.371.13","doi-asserted-by":"publisher","DOI":"10.1016\/j.echo.2007.11.013"},{"key":"2025080113004079000_46.5.371.14","doi-asserted-by":"publisher","DOI":"10.1136\/bjsm.2006.033530"},{"key":"2025080113004079000_46.5.371.15","doi-asserted-by":"publisher","DOI":"10.1016\/j.echo.2007.06.011"},{"key":"2025080113004079000_46.5.371.16","unstructured":"Casa Editrice Scientifica Internazionale, ed. Cardiologic Protocols for Competitive Sport's Qualification of the Italian Committee for the Competitive Sport's Qualification (ANCE-ANMCO-FMSI-SIC-SICSPORT). Casa Editrice Scientifica Internazionale 2009. Comitato organizzativo per l'idoneit\u00e0 allo sport (FMSI, SIC-sport, SIC, ANCE, AMCO). Protocolli cardiologici per il giudizio di idoneit\u00e0 allo sport agonistico 2009."},{"key":"2025080113004079000_46.5.371.17","doi-asserted-by":"crossref","first-page":"723","DOI":"10.1016\/S0002-8703(00)90055-3","article-title":"Aortic root dilatation among young competitive athletes: echocardiographic screening of 1929 athletes between 15 and 34 years of age.","volume":"139","author":"Kinoshita","year":"2000","journal-title":"Am Heart J"},{"key":"2025080113004079000_46.5.371.18","doi-asserted-by":"publisher","DOI":"10.1111\/j.1540-8175.2009.00945.x"}],"container-title":["British Journal of Sports Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bjsm.2011.085696","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,1]],"date-time":"2025-08-01T20:00:49Z","timestamp":1754078449000},"score":1,"resource":{"primary":{"URL":"https:\/\/bjsm.bmj.com\/lookup\/doi\/10.1136\/bjsm.2011.085696"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2011,7,26]]},"references-count":18,"journal-issue":{"issue":"5","published-online":{"date-parts":[[2012,3,22]]},"published-print":{"date-parts":[[2012,4]]}},"alternative-id":["10.1136\/bjsm.2011.085696"],"URL":"https:\/\/doi.org\/10.1136\/bjsm.2011.085696","relation":{},"ISSN":["0306-3674","1473-0480"],"issn-type":[{"value":"0306-3674","type":"print"},{"value":"1473-0480","type":"electronic"}],"subject":[],"published":{"date-parts":[[2011,7,26]]}}}