Luis Serratosa - Academia.edu (original) (raw)

Papers by Luis Serratosa

XIII Curso de Fisiopatología Carciovascular. Madrid, 13-14 diciembre, 2019Centro Nacional de Inve... more XIII Curso de Fisiopatología Carciovascular. Madrid, 13-14 diciembre, 2019Centro Nacional de Investigaciones Cardiovasculares; Sociedad Española de Cardiologí

Journal of applied physiology (Bethesda, Md. : 1985), 1996

The purpose of this investigation was to study the effects of endurance exercise on male reproduc... more The purpose of this investigation was to study the effects of endurance exercise on male reproductive function (sex hormones and seminograms). Professional cyclists [n = 12; mean age 24 +/- 2 (SD) yr], elite triathletes (n = 9; 26 +/- 3 yr), recreational marathon runners (n = 10; 32 +/- 6 yr), and sedentary subjects (control group; n = 9; 30 +/- 4 yr) were selected as subjects. for each group, the following parameters were measured three times during the sports season (training period: winter; competition period: spring; resting period: fall): percentage of body fat, hormonal profile (resting levels of follicle-stimulating hormone, luteinizing hormone, total and free testosterone, and cortisol), and seminograms (quantitative parameters sperm volume and sperm count; qualitative parameters: sperm motality and morphology). The following comparisons were made in the measured parameters: 1) within groups (longitudinal design) and 2) between groups in each of the three periods (cross-sect...

Journal of Sports Sciences, 2006

European Journal of Cardiovascular Prevention & Rehabilitation, 2006

A report by the Study Group On Sports Cardiology Of The European Association For Cardiovascular P... more A report by the Study Group On Sports Cardiology Of The European Association For Cardiovascular Prevention And Rehabilitation.

European Heart Journal, 2011

Mass gathering events in sports arenas create challenges regarding the cardiovascular safety of b... more Mass gathering events in sports arenas create challenges regarding the cardiovascular safety of both athletes and spectators. A comprehensive medical action plan, to ensure properly applied cardiopulmonary resuscitation, and wide availability and use of automated external defibrillators (AEDs), is essential to improving survival from sudden cardiac arrest at sporting events. This paper outlines minimum standards for cardiovascular care to assist in the planning of mass gathering sports events across Europe with the intention of local adaptation at individual sports arenas, to ensure the full implementation of the chain of survival.

British Journal of Sports Medicine, 1999

Objectives-To determine whether the heart rate (HR) response to exercise in 21 highly trained cyc... more Objectives-To determine whether the heart rate (HR) response to exercise in 21 highly trained cyclists (mean (SD) age 25 (3) years) was related to their heart dimensions. Methods-Before performing an incremental exercise test involving a ramp protocol with workload increases of 25 W/min, each subject underwent echocardiographic evaluation of the following variables: left ventricular end diastolic internal diameter (LVIDd), left ventricular posterior wall thickness at end diastole (LVPWTd), interventricular septal wall thickness at end diastole (IVSTd), left ventricular mass index (LVMI), left atrial dimension (LAD), longitudinal left atrial (LLAD) and right atrial (LRAD) dimensions, and the ratio of early to late (E/A) diastolic flow velocity. Results-The HR response showed a deflection point (HR d) at about 85% Ṽ O 2 MAX in 66.7% of subjects (D group; n = 14) and was linear in 33.3% (NoD group; n = 7). Several echocardiographic variables (LVMI, LAD, LLAD, LRAD) indicative of heart dimensions were similar in each group. However, mean LPWTd (p<0.01) and IVSTd (p<0.05) values were significantly higher in the D group. Finally, no significant diVerence between groups was found with respect to the E/A. Conclusions-The HR response is curvilinear during incremental exercise in a considerable number of highly trained endurance athletes-that is, top level cyclists. The departure of HR increase from linearity may predominantly occur in athletes with thicker heart walls.

European Heart Journal, 2010

European Heart Journal, Dec 14, 2018

Myocardial diseases are associated with an increased risk of potentially fatal cardiac arrhythmia... more Myocardial diseases are associated with an increased risk of potentially fatal cardiac arrhythmias and sudden cardiac death/cardiac arrest during exercise, including hypertrophic cardiomyopathy, dilated cardiomyopathy, left ventricular non-compaction, arrhythmogenic cardiomyopathy, and myo-pericarditis. Practicing cardiologists and sport physicians are required to identify high-risk individuals harbouring these cardiac diseases in a timely fashion in the setting of preparticipation screening or medical consultation and provide appropriate advice regarding the participation in competitive sport activities and/or regular exercise programmes. Many asymptomatic (or mildly symptomatic) patients with cardiomyopathies aspire to participate in leisure-time and amateur sport activities to take advantage of the multiple benefits of a physically active lifestyle. In 2005, The European Society of Cardiology (ESC) published recommendations for participation in competitive sport in athletes with ...

Apunts. Medicina De L'esport, 2017

Cardiac arrest during sport practice is a low-incidence event, however, as it is commonly seen wi... more Cardiac arrest during sport practice is a low-incidence event, however, as it is commonly seen witnessed to have a high survival rate compared to general non-hospital cardiac arrest. The objective of this review is to analyze the special characteristics, give recommendations for the installation of automatic external defibrillators and the elaboration of an adequate medical action plan for each sports center.

The cardiac-specific medical services plan, in and around a sports stadium or arena, should be ca... more The cardiac-specific medical services plan, in and around a sports stadium or arena, should be carefully undertaken and individualized, in order to ensure safe, effective, and coordinated management of any sudden cardiac arrest (SCA). This is ensured practically by tailoring the designated number and skills of on-duty health-care personnel and by having adequate and appropriate medical equipment, effective communication systems, and the emergency medical service transportation logistics required to initiate cardiopulmonary resuscitation (CPR) and defibrillation within the first 3–5 minutes after SCA, regardless of the size or type of sport environment. The planning should be written down in a medical action plan (MAP) which should be communicated to all relevant and appropriate officials, health-care personnel, and, where relevant, participants and spectators. Relevant contact information regarding activation of the necessary emergency medical services, listing the sport environment...

Revista Española de Cardiología

La muerte sú bita cardiaca es la principal causa de muerte durante la prá ctica deportiva. Difere... more La muerte sú bita cardiaca es la principal causa de muerte durante la prá ctica deportiva. Diferentes trastornos cardiacos-estructurales o elé ctricos-se asocian con la muerte sú bita cardiaca de los deportistas y la mayoría muestra alteraciones en el electrocardiograma (ECG) de reposo. Sin embargo, la interpretació n del ECG del deportista supone un reto, dado que las manifestaciones elé ctricas de la adaptació n fisioló gica al entrenamiento pueden dificultar su diferenciació n de algunas cardiopatías. Moduladores como la raza, la edad, el sexo, la modalidad deportiva, la historia deportiva y la intensidad del entrenamiento pueden dificultar aú n má s su interpretació n, por lo que son necesarios conocimientos específicos y experiencia en la interpretació n del ECG del deportista. Desde la publicació n de las primeras recomendaciones de la Sociedad Europea de Cardiología en 2005, los criterios de interpretació n del ECG del deportista han evolucionado rá pidamente gracias a la creciente evidencia científica, que ha permitido mejorar su especificidad y, por lo tanto, reducir significativamente el nú mero de falsos positivos sin afectar a la sensibilidad. Recientemente se ha publicado un nuevo documento de consenso internacional para la interpretació n del ECG del deportista. El documento, fruto del consenso de expertos en cardiología y medicina del deporte reunidos en febrero de 2015 en Seattle (Estados Unidos), supone un importante hito, ya que, ademá s de actualizar los criterios de interpretació n del ECG, incluye recomendaciones sobre la actuació n y la asistencia clínica al deportista con hallazgos anormales. En este artículo se exponen y se comentan los aspectos má s relevantes y novedosos del documento; no obstante, es recomendable la lectura completa del original.

Revista Española de Cardiología (English Edition)

Sudden cardiac death is the most common medical cause of death during the practice of sports. Sev... more Sudden cardiac death is the most common medical cause of death during the practice of sports. Several structural and electrical cardiac conditions are associated with sudden cardiac death in athletes, most of them showing abnormal findings on resting electrocardiogram (ECG). However, because of the similarity between some ECG findings associated with physiological adaptations to exercise training and those of certain cardiac conditions, ECG interpretation in athletes is often challenging. Other factors related to ECG findings are race, age, sex, sports discipline, training intensity, and athletic background. Specific training and experience in ECG interpretation in athletes are therefore necessary. Since 2005, when the first recommendations of the European Society of Cardiology were published, growing scientific evidence has increased the specificity of ECG standards, thus lowering the false-positive rate while maintaining sensitivity. New international consensus guidelines have recently been published on ECG interpretation in athletes, which are the result of consensus among a group of experts in cardiology and sports medicine who gathered for the first time in February 2015 in Seattle, in the United States. The document is an important milestone because, in addition to updating the standards for ECG interpretation, it includes recommendations on appropriate assessment of athletes with abnormal ECG findings. The present article reports and discusses the most novel and relevant aspects of the new standards. Nevertheless, a complete reading of the original consensus document is highly recommended.

Medicine & Science in Sports & Exercise, 2011

Mass gathering sports events have some unique characteristics that need to be considered when org... more Mass gathering sports events have some unique characteristics that need to be considered when organizing the emergency medical care for any arena. Sudden cardiac arrest represents the most challenging emergency for which mass gathering sports events organizers must be prepared, in order to provide a prompt and adequate response with cardiopulmonary resuscitation and defibrillation, to improve chances of survival, regardless of the size and specific characteristics of the venue and event. Organizing the emergency medical care in sports arenas requires a written detailed description of all medical resources needed and its use. This medical action plan should be specifically tailored for each venue and ideally adjusted for each event.

European Journal of Preventive Cardiology

This article provides an overview of the recommendations from the Sports Cardiology section of th... more This article provides an overview of the recommendations from the Sports Cardiology section of the European Association of Preventive Cardiology on sports participation in individuals with valvular heart disease (VHD). The aim of these recommendations is to encourage regular physical activity including sports participation, with reasonable precaution to ensure a high level of safety for all affected individuals. Valvular heart disease is usually an age-related degenerative process, predominantly affecting individuals in their fifth decade and onwards. However, there is an increasing group of younger individuals with valvular defects. The diagnosis of cardiac disorders during routine cardiac examination often raises questions about on-going participation in competitive sport with a high dynamic or static component and the level of permissible physical effort during recreational exercise. Although the natural history of several valvular diseases has been reported in the general popula...

European Journal of Preventive Cardiology

Regular exercise has multiple benefits for physical and mental health, including the body’s abili... more Regular exercise has multiple benefits for physical and mental health, including the body’s ability to combat infections. The current COVID-19 pandemic and the social distancing measures employed to curtail the impact of the infection are likely to reduce the amount of usual physical activity being performed by most individuals, including habitual exercisers. The uncertainties relating to the impact of the SARS-CoV-2 virus on the heart may cause increased anxiety, particularly in athletes who need to sustain a vigorous exercise regime in order to maintain their skills and fitness in preparation for return to competition after a short re-training period. The aim of this document is to provide practical answers to pertinent questions being posed by the sporting community, in an attempt to offer reassurance, promote safe participation in exercise during as well as after the COVID-19 pandemic and provide a framework of management for physicians caring for athletes.

European Journal of Preventive Cardiology

BMJ Open Sport & Exercise Medicine

IntroductionTransitioning out of professional football is a challenging time in most players’ liv... more IntroductionTransitioning out of professional football is a challenging time in most players’ lives. During these preretirement and postretirement years, professional footballers may struggle with their mental, musculoskeletal, neurocognitive and cardiovascular health. Currently, longitudinal data about these health conditions are lacking. This article presents the design of a prospective cohort study with the primary aim of gathering epidemiological evidence about the onset and course of mental, musculoskeletal, neurocognitive and cardiovascular health conditions in professional footballers during their preretirement and postretirement years and evaluating the associations between risk indicators and the health conditions under study in these players.Methods and analysisAn observational prospective cohort study with repeated measurements over a follow-up period of 10 years will be conducted among at least 200 professional footballers (male; 27 (±1) years old). Mental health will be...

XIII Curso de Fisiopatología Carciovascular. Madrid, 13-14 diciembre, 2019Centro Nacional de Inve... more XIII Curso de Fisiopatología Carciovascular. Madrid, 13-14 diciembre, 2019Centro Nacional de Investigaciones Cardiovasculares; Sociedad Española de Cardiologí

Journal of applied physiology (Bethesda, Md. : 1985), 1996

The purpose of this investigation was to study the effects of endurance exercise on male reproduc... more The purpose of this investigation was to study the effects of endurance exercise on male reproductive function (sex hormones and seminograms). Professional cyclists [n = 12; mean age 24 +/- 2 (SD) yr], elite triathletes (n = 9; 26 +/- 3 yr), recreational marathon runners (n = 10; 32 +/- 6 yr), and sedentary subjects (control group; n = 9; 30 +/- 4 yr) were selected as subjects. for each group, the following parameters were measured three times during the sports season (training period: winter; competition period: spring; resting period: fall): percentage of body fat, hormonal profile (resting levels of follicle-stimulating hormone, luteinizing hormone, total and free testosterone, and cortisol), and seminograms (quantitative parameters sperm volume and sperm count; qualitative parameters: sperm motality and morphology). The following comparisons were made in the measured parameters: 1) within groups (longitudinal design) and 2) between groups in each of the three periods (cross-sect...

Journal of Sports Sciences, 2006

European Journal of Cardiovascular Prevention & Rehabilitation, 2006

A report by the Study Group On Sports Cardiology Of The European Association For Cardiovascular P... more A report by the Study Group On Sports Cardiology Of The European Association For Cardiovascular Prevention And Rehabilitation.

European Heart Journal, 2011

Mass gathering events in sports arenas create challenges regarding the cardiovascular safety of b... more Mass gathering events in sports arenas create challenges regarding the cardiovascular safety of both athletes and spectators. A comprehensive medical action plan, to ensure properly applied cardiopulmonary resuscitation, and wide availability and use of automated external defibrillators (AEDs), is essential to improving survival from sudden cardiac arrest at sporting events. This paper outlines minimum standards for cardiovascular care to assist in the planning of mass gathering sports events across Europe with the intention of local adaptation at individual sports arenas, to ensure the full implementation of the chain of survival.

British Journal of Sports Medicine, 1999

Objectives-To determine whether the heart rate (HR) response to exercise in 21 highly trained cyc... more Objectives-To determine whether the heart rate (HR) response to exercise in 21 highly trained cyclists (mean (SD) age 25 (3) years) was related to their heart dimensions. Methods-Before performing an incremental exercise test involving a ramp protocol with workload increases of 25 W/min, each subject underwent echocardiographic evaluation of the following variables: left ventricular end diastolic internal diameter (LVIDd), left ventricular posterior wall thickness at end diastole (LVPWTd), interventricular septal wall thickness at end diastole (IVSTd), left ventricular mass index (LVMI), left atrial dimension (LAD), longitudinal left atrial (LLAD) and right atrial (LRAD) dimensions, and the ratio of early to late (E/A) diastolic flow velocity. Results-The HR response showed a deflection point (HR d) at about 85% Ṽ O 2 MAX in 66.7% of subjects (D group; n = 14) and was linear in 33.3% (NoD group; n = 7). Several echocardiographic variables (LVMI, LAD, LLAD, LRAD) indicative of heart dimensions were similar in each group. However, mean LPWTd (p<0.01) and IVSTd (p<0.05) values were significantly higher in the D group. Finally, no significant diVerence between groups was found with respect to the E/A. Conclusions-The HR response is curvilinear during incremental exercise in a considerable number of highly trained endurance athletes-that is, top level cyclists. The departure of HR increase from linearity may predominantly occur in athletes with thicker heart walls.

European Heart Journal, 2010

European Heart Journal, Dec 14, 2018

Myocardial diseases are associated with an increased risk of potentially fatal cardiac arrhythmia... more Myocardial diseases are associated with an increased risk of potentially fatal cardiac arrhythmias and sudden cardiac death/cardiac arrest during exercise, including hypertrophic cardiomyopathy, dilated cardiomyopathy, left ventricular non-compaction, arrhythmogenic cardiomyopathy, and myo-pericarditis. Practicing cardiologists and sport physicians are required to identify high-risk individuals harbouring these cardiac diseases in a timely fashion in the setting of preparticipation screening or medical consultation and provide appropriate advice regarding the participation in competitive sport activities and/or regular exercise programmes. Many asymptomatic (or mildly symptomatic) patients with cardiomyopathies aspire to participate in leisure-time and amateur sport activities to take advantage of the multiple benefits of a physically active lifestyle. In 2005, The European Society of Cardiology (ESC) published recommendations for participation in competitive sport in athletes with ...

Apunts. Medicina De L'esport, 2017

Cardiac arrest during sport practice is a low-incidence event, however, as it is commonly seen wi... more Cardiac arrest during sport practice is a low-incidence event, however, as it is commonly seen witnessed to have a high survival rate compared to general non-hospital cardiac arrest. The objective of this review is to analyze the special characteristics, give recommendations for the installation of automatic external defibrillators and the elaboration of an adequate medical action plan for each sports center.

The cardiac-specific medical services plan, in and around a sports stadium or arena, should be ca... more The cardiac-specific medical services plan, in and around a sports stadium or arena, should be carefully undertaken and individualized, in order to ensure safe, effective, and coordinated management of any sudden cardiac arrest (SCA). This is ensured practically by tailoring the designated number and skills of on-duty health-care personnel and by having adequate and appropriate medical equipment, effective communication systems, and the emergency medical service transportation logistics required to initiate cardiopulmonary resuscitation (CPR) and defibrillation within the first 3–5 minutes after SCA, regardless of the size or type of sport environment. The planning should be written down in a medical action plan (MAP) which should be communicated to all relevant and appropriate officials, health-care personnel, and, where relevant, participants and spectators. Relevant contact information regarding activation of the necessary emergency medical services, listing the sport environment...

Revista Española de Cardiología

La muerte sú bita cardiaca es la principal causa de muerte durante la prá ctica deportiva. Difere... more La muerte sú bita cardiaca es la principal causa de muerte durante la prá ctica deportiva. Diferentes trastornos cardiacos-estructurales o elé ctricos-se asocian con la muerte sú bita cardiaca de los deportistas y la mayoría muestra alteraciones en el electrocardiograma (ECG) de reposo. Sin embargo, la interpretació n del ECG del deportista supone un reto, dado que las manifestaciones elé ctricas de la adaptació n fisioló gica al entrenamiento pueden dificultar su diferenciació n de algunas cardiopatías. Moduladores como la raza, la edad, el sexo, la modalidad deportiva, la historia deportiva y la intensidad del entrenamiento pueden dificultar aú n má s su interpretació n, por lo que son necesarios conocimientos específicos y experiencia en la interpretació n del ECG del deportista. Desde la publicació n de las primeras recomendaciones de la Sociedad Europea de Cardiología en 2005, los criterios de interpretació n del ECG del deportista han evolucionado rá pidamente gracias a la creciente evidencia científica, que ha permitido mejorar su especificidad y, por lo tanto, reducir significativamente el nú mero de falsos positivos sin afectar a la sensibilidad. Recientemente se ha publicado un nuevo documento de consenso internacional para la interpretació n del ECG del deportista. El documento, fruto del consenso de expertos en cardiología y medicina del deporte reunidos en febrero de 2015 en Seattle (Estados Unidos), supone un importante hito, ya que, ademá s de actualizar los criterios de interpretació n del ECG, incluye recomendaciones sobre la actuació n y la asistencia clínica al deportista con hallazgos anormales. En este artículo se exponen y se comentan los aspectos má s relevantes y novedosos del documento; no obstante, es recomendable la lectura completa del original.

Revista Española de Cardiología (English Edition)

Sudden cardiac death is the most common medical cause of death during the practice of sports. Sev... more Sudden cardiac death is the most common medical cause of death during the practice of sports. Several structural and electrical cardiac conditions are associated with sudden cardiac death in athletes, most of them showing abnormal findings on resting electrocardiogram (ECG). However, because of the similarity between some ECG findings associated with physiological adaptations to exercise training and those of certain cardiac conditions, ECG interpretation in athletes is often challenging. Other factors related to ECG findings are race, age, sex, sports discipline, training intensity, and athletic background. Specific training and experience in ECG interpretation in athletes are therefore necessary. Since 2005, when the first recommendations of the European Society of Cardiology were published, growing scientific evidence has increased the specificity of ECG standards, thus lowering the false-positive rate while maintaining sensitivity. New international consensus guidelines have recently been published on ECG interpretation in athletes, which are the result of consensus among a group of experts in cardiology and sports medicine who gathered for the first time in February 2015 in Seattle, in the United States. The document is an important milestone because, in addition to updating the standards for ECG interpretation, it includes recommendations on appropriate assessment of athletes with abnormal ECG findings. The present article reports and discusses the most novel and relevant aspects of the new standards. Nevertheless, a complete reading of the original consensus document is highly recommended.

Medicine & Science in Sports & Exercise, 2011

Mass gathering sports events have some unique characteristics that need to be considered when org... more Mass gathering sports events have some unique characteristics that need to be considered when organizing the emergency medical care for any arena. Sudden cardiac arrest represents the most challenging emergency for which mass gathering sports events organizers must be prepared, in order to provide a prompt and adequate response with cardiopulmonary resuscitation and defibrillation, to improve chances of survival, regardless of the size and specific characteristics of the venue and event. Organizing the emergency medical care in sports arenas requires a written detailed description of all medical resources needed and its use. This medical action plan should be specifically tailored for each venue and ideally adjusted for each event.

European Journal of Preventive Cardiology

This article provides an overview of the recommendations from the Sports Cardiology section of th... more This article provides an overview of the recommendations from the Sports Cardiology section of the European Association of Preventive Cardiology on sports participation in individuals with valvular heart disease (VHD). The aim of these recommendations is to encourage regular physical activity including sports participation, with reasonable precaution to ensure a high level of safety for all affected individuals. Valvular heart disease is usually an age-related degenerative process, predominantly affecting individuals in their fifth decade and onwards. However, there is an increasing group of younger individuals with valvular defects. The diagnosis of cardiac disorders during routine cardiac examination often raises questions about on-going participation in competitive sport with a high dynamic or static component and the level of permissible physical effort during recreational exercise. Although the natural history of several valvular diseases has been reported in the general popula...

European Journal of Preventive Cardiology

Regular exercise has multiple benefits for physical and mental health, including the body’s abili... more Regular exercise has multiple benefits for physical and mental health, including the body’s ability to combat infections. The current COVID-19 pandemic and the social distancing measures employed to curtail the impact of the infection are likely to reduce the amount of usual physical activity being performed by most individuals, including habitual exercisers. The uncertainties relating to the impact of the SARS-CoV-2 virus on the heart may cause increased anxiety, particularly in athletes who need to sustain a vigorous exercise regime in order to maintain their skills and fitness in preparation for return to competition after a short re-training period. The aim of this document is to provide practical answers to pertinent questions being posed by the sporting community, in an attempt to offer reassurance, promote safe participation in exercise during as well as after the COVID-19 pandemic and provide a framework of management for physicians caring for athletes.

European Journal of Preventive Cardiology

BMJ Open Sport & Exercise Medicine

IntroductionTransitioning out of professional football is a challenging time in most players’ liv... more IntroductionTransitioning out of professional football is a challenging time in most players’ lives. During these preretirement and postretirement years, professional footballers may struggle with their mental, musculoskeletal, neurocognitive and cardiovascular health. Currently, longitudinal data about these health conditions are lacking. This article presents the design of a prospective cohort study with the primary aim of gathering epidemiological evidence about the onset and course of mental, musculoskeletal, neurocognitive and cardiovascular health conditions in professional footballers during their preretirement and postretirement years and evaluating the associations between risk indicators and the health conditions under study in these players.Methods and analysisAn observational prospective cohort study with repeated measurements over a follow-up period of 10 years will be conducted among at least 200 professional footballers (male; 27 (±1) years old). Mental health will be...