1,721,282 research outputs found
Outcomes in Athletes with Marked ECG Repolarization Abnormalities
No full textBACKGROUND: Young, trained athletes may have abnormal 12-lead electrocardiograms (ECGs) without evidence of structural cardiac disease. Whether such ECG patterns represent the initial expression of underlying cardiac disease with potential long-term adverse consequences remains unresolved. We assessed long-term clinical outcomes in athletes with ECGs characterized by marked repolarization abnormalities. METHODS: From a database of 12,550 trained athletes, we identified 81 with diffusely distributed and deeply inverted T waves ( or = 2 mm in at least three leads) who had no apparent cardiac disease and who had undergone serial clinical, ECG, and echocardiographic studies for a mean (+/-SD) of 9+/-7 years (range, 1 to 27). Comparisons were made with 229 matched control athletes with normal ECGs from the same database. RESULTS: Of the 81 athletes with abnormal ECGs, 5 (6%) ultimately proved to have cardiomyopathies, including one who died suddenly at the age of 24 years from clinically undetected arrhythmogenic right ventricular cardiomyopathy. Of the 80 surviving athletes, clinical and phenotypic features of hypertrophic cardiomyopathy developed in 3 after 12+/-5 years (at the ages of 27, 32, and 50 years), including 1 who had an aborted cardiac arrest. The fifth athlete demonstrated dilated cardiomyopathy after 9 years of follow-up. In contrast, none of the 229 athletes with normal ECGs had a cardiac event or received a diagnosis of cardiomyopathy 9+/-3 years after initial evaluation (P=0.001). CONCLUSIONS: Markedly abnormal ECGs in young and apparently healthy athletes may represent the initial expression of underlying cardiomyopathies that may not be evident until many years later and that may ultimately be associated with adverse outcomes. Athletes with such ECG patterns merit continued clinical surveillance
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
Tokyo 2020 summer Olympic and Paralympic Games. The games of innovation and resilience
No full textSince the ancient era, olympic Games represented a special event and opportunity to convey messages of peace, fairness, integration, and resilience. participating to the olympic and paralympic Games still represents the highest achievement for an athlete, that can only be outshined by winning a medal
General aspects of return to play after specific cardiovascular diseases
No full textNo abstract availabl
Anticonvulsant Drug Interferences On Perceptual-Motor And Attentive Functions In Childhood. A Review Of The Literature
No full text
- …
