Boris Delpire (@DelpireBoris) profile picture

PhD Fellow in Sports Cardiology / Internal Medicine - Cardiology Resident / Sports enthusiast 🏃🏊‍♂️🚴 @UHasselt @KU_Leuven @UZLeuven @HartcentrumH

Joined February 2020
Photo by Boris Delpire (@DelpireBoris)Photo by Boris Delpire (@DelpireBoris)Photo by Boris Delpire (@DelpireBoris)Photo by Boris Delpire (@DelpireBoris)Photo by Boris Delpire (@DelpireBoris)Photo by Boris Delpire (@DelpireBoris)Photo by Boris Delpire (@DelpireBoris)Photo by Boris Delpire (@DelpireBoris)Photo by Boris Delpire (@DelpireBoris)Photo by Boris Delpire (@DelpireBoris)
Very interesting work from the team at @HartcentrumH in the rapidly evolving field of #Sportscardiology! 1 in 6 elite endurance athletes showing reduction in #LVEF or #RVEF. But is this part of the athletic phenotype spectrum or a marker of cardiac disease? Read all about it👇🤓
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🧵1/3 🩺 As with the pulmonary circulation, exercise BP needs context: an athlete and a patient with HFpEF may have the same peak SBP In 970 patients with hypertension, a steeper SBP/VO₂ slope was associated with worse outcomes, independent of peak SBP #CPETecho
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Pleased to have our work published in #EJPC 🫀 Exercise is associated with lower AF risk for most, but athletes training >6-7hr/wk show an increased association with AF. Sport should still be encouraged, but AF awareness in athletes is important. doi.org/10.1093/eurjpc/zwag5…
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Comparative performance of wearable ECG devices for rhythm monitoring in endurance athletes sciencedirect.com/science/ar… #exercise #Wearables #Arrhythmias #Sportscardiology
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Comparative performance of wearable ECG devices for rhythm monitoring in endurance athletes sciencedirect.com/science/ar… #exercise #Wearables #Arrhythmias #Sportscardiology
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New in @ESC_Journals - Cardiovascular Imaging Which patients with aortic stenosis (#AS) benefit most from exercise hemodynamics? 🧵1/8 We propose a simple stepwise approach: 📍Cardiac damage staging (@PhilGenereuxMD ) 📍Exercise hemodynamics in patients with early cardiac damage
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"You cannot be too fit to have a cardiac problem" - @guido_claessen This #MSMRL episode is one of the most important ones @inaki_delaparra and I have done. In it, we get right to the heart of the matter when it comes to endurance exercise and heart health 🫀 - How much is good? - How much is problematic? - What cardiac problems are athletes likely to face? - And just how bad are they? - Are certain training intensities better - or safer - than others? Let's not sugarcoat it - these are life or death questions! So, we sat down with two of the best in the world at understanding athletes’ hearts - Andre La Gerche (@ALaGerche) and Guido Claessen - to talk about the good, the bad, and the misunderstood. Essential listening for anyone with an endurance habit and a currently beating heart! Full pod below 👇
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High heart rate peaks from chest-strap recordings in athletes: Prevalence, characteristics, and clinical relevance academic.oup.com/eurjpc/adva… #wearable #heartratemonitor #Athletes #arrythmias #SportsCardiology
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Think troponin AB 👇 next time see elevated trop I in an athlete It's a cause of false positive or amplified trop levels Possibly caused be repetitive myocardial strain during competitive sport Great data 🎉
Troponin antibodies and macrotroponin: a common cause of troponin I elevation in elite endurance athletes 👇 #ESCPrev26 #EAPC_ESC @_sjrowe @EAPCPresident
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🚨 Fresh off the press: @JACCJournals Case Reports Special Issue on Sports Cardiology Just in time for #ACCAthleticHeart Preconference starting tomorrow, check out this issue filled with fascinating #SportsCardio cases 👏🏼 to @jonathankimmd & team 🔗: jacc.org/toc/case-reports/31…
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Welcome to our special SPORTS CARDIOLOGY March Madness (3/25) issue of #JACCCaseReports @JACCJournals! Thank you @ACCinTouch Sports Cardio Chair @jonathankimmd as our guest Editor-in-Chief jacc.org/journal/case-report… Full PDF here: jacc.org/doi/10.1016/S2666-0… @MinnowWalsh @hmkyale @Justine_Turco Editor's Page by @jonathankimmd Sports Cardiology Cases Second Edition: Raising the Roof jacc.org/doi/10.1016/j.jacca… Heart Failure and Cardiomyopathies Unexplained Syncope in Athletes: Unmasking Left Ventricular Outflow Tract Obstruction jacc.org/doi/10.1016/j.jacca… Arrhythmogenic Cardiomyopathy: Exercise and Divergent Phenotypes in a Family With a Pathogenic PKP2 Variant jacc.org/doi/10.1016/j.jacca… Adolescent Athlete With PRKAG2 Hypertrophic Cardiomyopathy: A Success Story With Shared Decision-Making jacc.org/doi/10.1016/j.jacca… Adolescent Athlete Returns to Competitive Basketball After Cardiac Arrest and Diagnosis of Probable Hypertrophic Cardiomyopathy jacc.org/doi/10.1016/j.jacca… Syncope in an Athlete With Apical Hypertrophic Cardiomyopathy: Ominous or Orthostatic? jacc.org/doi/10.1016/j.jacca… Resuscitated Cardiac Arrest From Cardiac Sarcoidosis in a Professional Basketball Player: A Slam Dunk Diagnosis? jacc.org/doi/10.1016/j.jacca… Testosterone-Induced Heart Failure in a Professional Dancer jacc.org/doi/10.1016/j.jacca… Arrhythmogenic Cardiomyopathy Versus Viral Myocarditis in a Professional Athlete jacc.org/doi/10.1016/j.jacca… Arrhythmogenic Cardiomyopathy Diagnosed Late in a Master Recreational Endurance Athlete jacc.org/doi/10.1016/j.jacca… 25-Year Evolution of Apical Hypertrophic Cardiomyopathy in a Professional Athlete jacc.org/doi/10.1016/j.jacca… Rhythm Disorders and Electrophysiology Electroanatomical Mapping May Identify Concealed Arrhythmogenic Cardiomyopathy in Endurance Athletes With Complex Ventricular Arrhythmias jacc.org/doi/10.1016/j.jacca… Multidisciplinary Management Enables Safe Return to Sports in a Pediatric Sudden Cardiac Death Survivor jacc.org/doi/10.1016/j.jacca… Myocardial Bridge Causing Ventricular Tachycardia in a Competitive Athlete jacc.org/doi/10.1016/j.jacca… Complete Heart Block Related to Bicuspid Aortic Valve Calcification in a Triathlete jacc.org/doi/10.1016/j.jacca… Cardiopulmonary Exercise Testing to Troubleshoot Rate-Responsive Pacing in an Athlete With Acquired Sinus Node Dysfunction jacc.org/doi/10.1016/j.jacca… Atrial Fibrillation in Athletes: Mechanisms, Management, and Future Directions jacc.org/doi/10.1016/j.jacca… Health Promotion and Preventive Cardiology Coronary Atherosclerosis in Former NFL Players: A Case Series From the GAMEFILM Registry jacc.org/doi/10.1016/j.jacca… Aortic Regurgitation and Progressive Left Ventricular Dilation in a Professional Hockey Player jacc.org/doi/10.1016/j.jacca… Unveiling Arrhythmogenic Cardiomyopathy Masquerading as Myocarditis in a Professional Athlete jacc.org/doi/10.1016/j.jacca… Nonanemic Iron Deficiency: Exercise Performance Recovery After Iron Repletion in Collegiate Athlete jacc.org/doi/10.1016/j.jacca… Bicuspid Aortic Valve Aortopathy in an Athlete: A Case Report and Mini-Review jacc.org/doi/10.1016/j.jacca… American-Style Football Players: A Novel Window Into the Brain-Heart Connection jacc.org/doi/10.1016/j.jacca… Imaging Clinical and Cardiovascular Magnetic Resonance Findings in Endurance Athletes With Symptomatic Stroke jacc.org/doi/10.1016/j.jacca… Swimming-Induced Pulmonary Edema with Concomitant Myocardial Injury: Case Report and Review of the Literature jacc.org/doi/10.1016/j.jacca… Aortic Root Dilation in a Masters Dressage Athlete With Familial TAAD jacc.org/doi/10.1016/j.jacca… Aortic Root Enlargement in a Young Athlete jacc.org/doi/10.1016/j.jacca… An Atypical “Hot-Phase” ARVC in a PKP2 Carrier jacc.org/doi/10.1016/j.jacca… Congenital Heart Disease Triathlete With Repaired D-Transposition of the Great Arteries and Anterior Left Anterior Descending Coronary Artery Takeoff jacc.org/doi/10.1016/j.jacca… Navigating the Intersection of Complex Anatomy and Extreme Physiology in Adult Congenital Heart Disease jacc.org/doi/10.1016/j.jacca… An 11-Year-Old Athlete With Dynamic Stenosis of Coronary Artery Anomaly With Normal FFR-Dobutamine But Abnormal iFR-Dobutamine jacc.org/doi/10.1016/j.jacca… When Fear Feels Like Fact: Cognitive Bias and Cardiac Risk Perception in Youth Sports jacc.org/doi/10.1016/j.jacca… Ischemic Heart Disease Coronary Artery Disease in Female Athletes jacc.org/doi/10.1016/j.jacca… Acute Plaque Rupture and an ST-Segment Elevation Myocardial Infarction in a Young Competitive Athlete jacc.org/doi/10.1016/j.jacca… Return-to-Sport Evaluation After ST-Segment Elevation Myocardial Infarction and Persistent Systolic Dysfunction in a Masters Athlete jacc.org/doi/10.1016/j.jacca… Genetics, Omics and Tissue Regeneration A High-Level Athlete With Tachycardia-Induced Cardiomyopathy: A Can’t Miss Diagnosis jacc.org/doi/10.1016/j.jacca… Cardiometabolic Syncope During Cycling jacc.org/doi/10.1016/j.jacca… Valvular Heart Disease Exertional Collapse in a Runner With Mixed Aortic Valve Disease: Return to Training After Ross Procedure jacc.org/doi/10.1016/j.jacca… Vascular Medicine Returning to Exercise After Valsalva-Induced Carotid Artery Dissection jacc.org/doi/10.1016/j.jacca… Basic and Translational Research Loss of Consciousness During Intense Exercise: Is It Hypotension or Not? jacc.org/doi/10.1016/j.jacca… @aronisMD @JACabreraCardio @MiChen__ @aabha_divya @sarano_maurice @Miho_Fukui_ @ErikaHuttce @Nishaki1 @ChrissyMD2000 @ACHDocTMoe @M_Pompeu_Sa_MD @jsaef1 @JTSaxon @AndreaScotti21 @Kentso987 @TagliariPaula @m_taramasso @SyedZaidMD
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🧵1/ 🫀 Big left atrium: athlete’s heart or early disease? In our new EHJ Cardiovascular Imaging paper, we introduce the LA:LV ratio to distinguish adaptive vs. maladaptive remodeling. ~0.5 = physiological ≥0.75 = suspect pathology 👉 doi.org/10.1093/ehjci/jeaf33… #SportsCardiology
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📢 New paper out in the @JCardFail! We show that a simple single-point mPAP/CO ratio during exercise can identify high-risk patients with unexplained dyspnea just as well as more complex methods & with better reproducibility. The future of #CPETecho looks bright.
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🎗️ New paper out! Step-count-based telerehabilitation during and after chemotherapy is feasible, acceptable and highly appreciated by patients 🏃‍♀️📱💪 👉 Thread below 👇 #CardioOncology #DigitalHealth #Rehab #BreastCancer #CPETecho
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1/ 🚨 Just published in Circulation @CircAHA! Exercise RV–PA coupling predicts adverse outcomes in primary mitral regurgitation (PMR) 💥 We showed that TAPSE/sPAP (measured at VT1; intermediate exercise) is: ✅ Feasible ✅ Prognostic ✅ Validated externally 🧵Thread:
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New paper from our Master@Heart study led by #RikPauwels in #EJPC Lp(a) is an independent predictor of coronary atherosclerosis on imaging in highly active, healthy men. ❤️ A key step toward better risk stratification in athletic populations. 👉 link: doi.org/10.1093/eurjpc/zwaf6…
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📢New Study Alert ‼️ 🚨 Engine–Chassis Mismatch in #HFpEF + Obesity lead by @S_FoulkesAEP, @_Sara_Ferreira and @mhaykows The engine is bigger… but not enough to carry the load. Obese HFpEF patients show higher absolute VO₂ & CO — yet lower indexed values. #CPETecho #GLP1
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Happy to share that our ACM case from #EAPC Milan was awarded Best Case in Sports Cardiology and published in EHJ-CR! 🎉 #ACM #Arrhythmias #SportsCardiology #athletesheart academic-oup-com.kuleuven.e-…
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2. Hot-phase ACM vs. Myocarditis: Inflammatory episodes mimicking myocarditis may represent the hot phase of ACM, driving myocardial injury and early phenotypic expression in susceptible athletes.
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3. RVOT Ventricular Tachycardia: VT from the right ventricular outflow tract isn’t always benign. What seems idiopathic may be the first sign of ACM. A multimodality approach (exercise testing 🏃‍♂️, CMR, genetics 🧬) is crucial to rule out underlying disease.
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