Longo Umile Giuseppe, Ahlbaumer Georg, Vannicelli Roberto, Gregorace Emanuele, Ortolina Davide, Nicodemi Guido, Altieri Daniele, Carnevale Arianna, Carucci Silvia, Colella Alessandra, Scalfaro Francesco, Lemme Erika
Fondazione Policlinico Universitario Campus Bio-Medico, Via Alvaro del Portillo, 200, 00128 Roma, Italy.
Research Unit of Orthopaedic and Trauma Surgery, Department of Medicine and Surgery, Università Campus Bio-Medico di Roma, Via Alvaro del Portillo, 21, 00128 Roma, Italy.
Healthcare (Basel). 2025 Aug 7;13(15):1932. doi: 10.3390/healthcare13151932.
Medical clearance for competitive sports is vital to safeguarding athletes' health, particularly in high-intensity disciplines like football. In Italy, fitness assessments follow stringent protocols set by the Commissione di Vigilanza per il controllo dell'Idoneità Sportiva (COCIS), with a strong focus on cardiovascular screening. The primary goal is to prevent sudden cardiac death (SCD), a rare but catastrophic event in athletes. This paper provides an in-depth narrative review of the 2023 COCIS guidelines, examining the cardiological screening process, required diagnostic tests, management of identified cardiovascular conditions, and the protocols' role in reducing SCD risk. Comparisons with international standards underscore the effectiveness of the Italian approach. The COCIS 2023 guidelines provide clear, evidence-based protocols for cardiovascular risk assessment, significantly enhancing athlete safety and reducing the incidence of SCD in high-intensity sports.
竞技体育的医学许可对于保障运动员的健康至关重要，尤其是在足球等高强度项目中。在意大利，体能评估遵循由体育适格性监督委员会（COCIS）制定的严格规程，特别注重心血管筛查。主要目标是预防心源性猝死（SCD），这在运动员中虽罕见但却是灾难性事件。本文对2023年COCIS指南进行了深入的叙述性综述，审视了心脏筛查过程、所需的诊断测试、已确诊心血管疾病的管理以及该规程在降低SCD风险方面的作用。与国际标准的比较凸显了意大利方法的有效性。2023年COCIS指南为心血管风险评估提供了清晰、基于证据的规程，显著提高了运动员的安全性并降低了高强度运动中心源性猝死的发生率。
