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- Title
Screening young athletes for prevention of sudden cardiac death: Practical recommendations for sports physicians.
- Authors
Chatard, J.‐C.; Mujika, I.; Goiriena, J. J.; Carré, F.
- Abstract
Regular intensive exercise in athletes increases the relative risk of sudden cardiac death ( SCD) compared with the relatively sedentary population. Most cases of SCD are due to silent cardiovascular diseases, and pre-participation screening of athletes at risk of SCD is thus of major importance. However, medical guidelines and recommendations differ widely between countries. In Italy, the National Health System recommends pre-participation screening for all competitive athletes including personal and family history, a physical examination, and a resting 12-lead electrocardiogram ( ECG). In the United States, the American College of Cardiology and the American Heart Association recommend a pre-participation screening program limited to the use of specific questionnaires and a clinical examination. The value of a 12-lead ECG is debated based on issues surrounding cost-efficiency and feasibility. The aim of this review was to focus on (i) the incidence rate of cardiac diseases in relation to SCD; (ii) the value of conducting a questionnaire and a physical examination; (iii) the value of a 12-lead resting ECG; (iv) the importance of other cardiac evaluations in the prevention of SCD; and (v) the best practice for pre-participation screening.
- Subjects
CARDIAC arrest prevention; ATHLETES; MEDICAL examinations of athletes; CARDIAC arrest; CARDIOPULMONARY system; ELECTROCARDIOGRAPHY; EXERCISE tests; MEDICAL history taking; PHYSICAL diagnosis; DISEASE incidence
- Publication
Scandinavian Journal of Medicine & Science in Sports, 2016, Vol 26, Issue 4, p362
- ISSN
0905-7188
- Publication type
Article
- DOI
10.1111/sms.12502