1,721,500 research outputs found
Cardiac Sarcoidosis Mimicking Arrhythmogenic Right Ventricular Cardiomyopathy/Dysplasia: The Renaissance of Endomyocardial Biopsy ?
No full textSudden cardiac death in marathon runners: can it be prevented?
No full textWhile several studies have reported an acute
increase in the sudden death risk during running events, the benefits of regular exercise appear to outweigh the risks. Exercise test screening for middle-aged/senior leisure marathon runners has not proven to reduce SD; however, it appears to be prudent in the light of our current understanding of the cardiovascular risks and benefits of exercise in this age group. Competitors are recommended to take actions in order to avoid dehydration, sodium loss and the impact of heat on their body. Prompt defibrillation at the race by automated AED may be a valuable back-up for preventing unpredictable SD
Appropriate interpretation of the athlete's electrocardiogram saves lives as well as money
No full textIn the Italian screening protocol, the ECG is evaluated in light of the athlete's gender, age, race, family history of cardiovascular disease and/or sudden death, clinical symptoms, and physical examination. In asymptomatic athletes with a negative family history, ECG changes due to cardiac adaptation to physical exertion (Group 1) do not cause alarm and allow eligibility to participate in competitive sports without additional evaluation. Further diagnostic work-up is limited to the subset of athletes with ECG changes which potentially reflect underlying heart disease (Group 2), and/or those with a positive medical history or an abnormal physical examination, resulting in a considerable cost savings. This screening algorithm, which has been used for pre-participation evaluation of millions of Italian athletes over a 25-year period, has provided adequate sensitivity and specificity for detection of athletes affected by potentially dangerous cardiomyopathy or arrhythmia at risk of athletic field death and has led to a substantial reduction of mortality of young competitive athletes (by ∼90%), mostly by preventing sudden death from cardiomyopathy
Arrhythmogenic right ventricular cardiomyopathy/dysplasia - Clinical impact of molecular genetic studies
No full text
Electrocardiography and Preparticipation Screening of Competitive High School Athletes
No full textThe European Society of Cardiology has supported electrocardiography based screening for competitive athletes since 2005, and the International Olympic Committee endorsed a similar approach in a policy statement in 2009.1 2 These position statements have raised interest in the scientific community and general public, and fuelled the current debate regarding the efficacy of pre-participation electrocardiographic screening to detect the risk of cardiovascular diseases in young athletes and to reduce deaths
Is there evidence for recommending electrocardiogram as part of the pre-participation examination? Clin J Sport Med
No full textPubMed PMID: 21200166
Abstract
Sudden cardiac death (SCD) is the leading cause of death in young athletes on the playing field and typically the result of undiagnosed structural or electrical cardiovascular disease. Cardiovascular screening in athletes is routinely practiced and endorsed by most major sporting and medical associations, but universal agreement on a single screening strategy to identify athletes at risk for SCD remains a topic of tremendous debate. The pool of scientific evidence supporting the efficacy and cost-effectiveness of electrocardiogram (ECG) screening for athletes is growing. However, feasibility and practical concerns regarding false-positive results, cost-effectiveness, physician infrastructure, and health care resources for large-scale implementation of ECG screening still exist. This article examines the evidence related to ECG screening in athletes and presents a contemporary model for primary prevention of SCD in sport
Protagonist: Routine screening of all athletes prior to participation in competitive sports should be mandatory to prevent sudden cardiac death
No full text(IF JCR 2009=4.559
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