{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,17]],"date-time":"2026-05-17T07:36:49Z","timestamp":1779003409524,"version":"3.51.4"},"reference-count":31,"publisher":"S. Karger AG","issue":"4","license":[{"start":{"date-parts":[[2018,1,1]],"date-time":"2018-01-01T00:00:00Z","timestamp":1514764800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.karger.com\/Services\/SiteLicenses"},{"start":{"date-parts":[[2018,1,1]],"date-time":"2018-01-01T00:00:00Z","timestamp":1514764800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.karger.com\/Services\/SiteLicenses"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Cardiology"],"published-print":{"date-parts":[[2018]]},"abstract":"<jats:p>&lt;b&gt;&lt;i&gt;Objectives:&lt;\/i&gt;&lt;\/b&gt; Recommendations regarding sports restriction are lacking for middle-aged athletes with anomalous coronary arteries originating from the opposite sinus of Valsalva (ACAOS). &lt;b&gt;&lt;i&gt;Methods:&lt;\/i&gt;&lt;\/b&gt; Sixty-three patients with ACAOS were subdivided into ACAOS with (&lt;i&gt;n&lt;\/i&gt; = 38) or without (&lt;i&gt;n&lt;\/i&gt; = 25) an interarterial course (IAC). Sports behavior, either competitive (COMP) or recreational (REC), was evaluated at the time of diagnosis and after a median follow-up of 4.2 years. &lt;b&gt;&lt;i&gt;Results:&lt;\/i&gt;&lt;\/b&gt; Mean age was 56 \u00b1 11 years and 48 (76.2%) patients were engaged in sports. Three individuals (4.8%) were surgically corrected after diagnosis. Thirty-eight (60.3%) patients were aware of their diagnosis at follow-up and 12 (19.0%) were counseled by their physician about sports restrictions. Sports behavior at the time of diagnosis and at follow-up did not differ significantly, neither in patients engaged in COMP (17.5 vs. 12.7%, &lt;i&gt;p&lt;\/i&gt; = 0.619) nor those engaged in REC (58.7 vs. 61.9%, &lt;i&gt;p&lt;\/i&gt; = 0.856). Sport-related symptoms were not significantly different between ACAOS patients with and without IAC. No athlete had died at follow-up. &lt;b&gt;&lt;i&gt;Conclusions:&lt;\/i&gt;&lt;\/b&gt; The majority of middle-aged individuals with ACAOS were involved in sports activities at the time of diagnosis and at follow-up. Awareness and counseling about ACAOS diagnosis had no significant effect on sports behavior. IAC did not have an impact on sport-related symptoms, and outcomes were favorable in all athletes, regardless of surgical correction.<\/jats:p>","DOI":"10.1159\/000486707","type":"journal-article","created":{"date-parts":[[2018,2,27]],"date-time":"2018-02-27T22:01:29Z","timestamp":1519768889000},"page":"222-230","source":"Crossref","is-referenced-by-count":9,"title":["Sports Behavior in Middle-Aged Individuals with Anomalous Coronary Artery from the Opposite Sinus of Valsalva"],"prefix":"10.1159","volume":"139","author":[{"given":"Christoph","family":"Gr\u00e4ni","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dominik\u00a0C.","family":"Benz","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dominik\u00a0A.","family":"Steffen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andreas\u00a0A.","family":"Giannopoulos","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael","family":"Messerli","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aju\u00a0P.","family":"Pazhenkottil","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Oliver","family":"Gaemperli","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cath\u00e9rine","family":"Gebhard","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christian","family":"Schmied","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Philipp\u00a0A.","family":"Kaufmann","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ronny\u00a0R.","family":"Buechel","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"127","published-online":{"date-parts":[[2018,2,27]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1177\/1753944714546482"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.3810\/psm.2009.04.1686"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.4414\/smw.2016.14294"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.2459\/JCM.0b013e3282f27d30"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1007\/s00246-012-0168-0"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1111\/j.1540-8159.2009.02387.x"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCEP.113.001376"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports-2013-092195"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.108.804617"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.106.618082"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.1016\/S0735-1097(00)00566-0"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-141-11-200412070-00005"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.1148\/rg.262055068"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.1038\/nrcardio.2011.147"},{"key":"ref15","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehx046"},{"key":"ref16","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcct.2009.03.004"},{"key":"ref17","doi-asserted-by":"publisher","DOI":"10.1016\/j.acra.2016.03.015"},{"key":"ref18","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijcard.2017.05.083"},{"key":"ref19","doi-asserted-by":"publisher","DOI":"10.1007\/s10554-010-9594-3"},{"key":"ref20","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2015.02.031"},{"key":"ref21","doi-asserted-by":"publisher","DOI":"10.1007\/s10554-011-9936-9"},{"key":"ref22","doi-asserted-by":"publisher","DOI":"10.2214\/AJR.08.1177"},{"key":"ref23","doi-asserted-by":"publisher","DOI":"10.1001\/jama.296.13.1593"},{"key":"ref24","doi-asserted-by":"publisher","DOI":"10.1177\/2047487316632967"},{"key":"ref25","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports-2012-092067"},{"key":"ref26","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehi325"},{"key":"ref27","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2014-007442"},{"key":"ref28","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2015.09.036"},{"key":"ref29","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcmg.2017.02.004"},{"key":"ref30","doi-asserted-by":"publisher","DOI":"10.1007\/s12350-015-0342-x"},{"key":"ref31","doi-asserted-by":"publisher","DOI":"10.1111\/chd.12402"}],"container-title":["Cardiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/486707","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/486707","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,23]],"date-time":"2025-04-23T16:36:40Z","timestamp":1745426200000},"score":1,"resource":{"primary":{"URL":"https:\/\/karger.com\/article\/doi\/10.1159\/000486707"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018]]},"references-count":31,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2018,4,17]]},"published-print":{"date-parts":[[2018,4,17]]}},"URL":"https:\/\/doi.org\/10.1159\/000486707","archive":["Portico"],"relation":{},"ISSN":["0008-6312","1421-9751"],"issn-type":[{"value":"0008-6312","type":"print"},{"value":"1421-9751","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018]]}}}