Is the stress test still part of the useful examinations in the detection of risk heart disease in sports subjects? Should we continue to use it as a surveillance examination in coronary sports patients?
The stress test, even inevitable, remains flawed in the detection of coronary artery disease in the asymptomatic athlete. However, it provides additional information on the condition of being maximal, and attaching importance to arrhythmias, the tensional profile and the maximum power developed in addition to the ST segment’s in the EKG.
Pre-participation Sport screening
Our protocol consist of a targeted personal history, family history, physical examination, and 12-lead electrocardiography. Other tests should be applied only if the screening indicates the presence of a cardiovascular disease.
Latest Updates in ultrasonography shows new evidence levels A, one for the hip (gluteal tendons tears), one for the knee (meniscal cysts), one for the ankle (ankle joint instability), and one for the foot (plantar plate tear). There was no level A evidence for elastography, although for Achilles tendinopathy and lateral epicondylitis evidence level was B with grade 3 indication.
Ultrasound Test – Echography
Full Sport performance blood test
With follow up every 3 month
Intratisular Percutaneous Electrolysis (EPI®) is an invasive physiotherapy technique that consists of the ultrasound guided application of a galvanic current through an acupuncture needle that produces a local inflammatory process allowing phagocytosis and repair of the affected soft tissue.
It is a local treatment at the site of the injury. With the help of ultrasound it is applied directly to the altered and / or degenerated tissue.
Indications of treatment with EPI
The application of this technique is carried out with the ultrasound guide and in aseptic conditions.
Our firm represents EPI in Romania and we are the main distributors and responsible for training in this technique.