Outcomes of Cardiac Screening in Adolescent Soccer Players
Aneil Malhotra,Harshil Dhutia,Harshil Dhutia,Gherardo Finocchiaro,Sabiha Gati,Ian Beasley,Paul Clift,Charlotte Cowie,Antoinette Kenny,Jamil Mayet,David Oxborough,Kiran Patel,Guido E Pieles,Dhrubo Rakhit,D R Ramsdale,Leonard M. Shapiro,John Somauroo,Graham Stuart,Amanda Varnava,John R. Walsh,Zaheer Yousef,Maite Tome,Michael Papadakis,Sanjay Sharma +23 more
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TLDR
The incidence of sudden cardiac death among previously screened adolescent soccer players was 1 per 14,794 person‐years, or 6.8 per 100,000 athletes; most of these deaths were due to cardiomyopathies that had not been detected on screening.Abstract:
BACKGROUND: Reports on the incidence and causes of sudden cardiac death among young athletes have relied largely on estimated rates of participation and varied methods of reporting. We sought to investigate the incidence and causes of sudden cardiac death among adolescent soccer players in the United Kingdom. METHODS: From 1996 through 2016, we screened 11,168 adolescent athletes with a mean (±SD) age of 16.4±1.2 years (95% of whom were male) in the English Football Association (FA) cardiac screening program, which consisted of a health questionnaire, physical examination, electrocardiography, and echocardiography. The FA registry was interrogated to identify sudden cardiac deaths, which were confirmed with autopsy reports. RESULTS: During screening, 42 athletes (0.38%) were found to have cardiac disorders that are associated with sudden cardiac death. A further 225 athletes (2%) with congenital or valvular abnormalities were identified. After screening, there were 23 deaths from any cause, of which 8 (35%) were sudden deaths attributed to cardiac disease. Cardiomyopathy accounted for 7 of 8 sudden cardiac deaths (88%). Six athletes (75%) with sudden cardiac death had had normal cardiac screening results. The mean time between screening and sudden cardiac death was 6.8 years. On the basis of a total of 118,351 person-years, the incidence of sudden cardiac death among previously screened adolescent soccer players was 1 per 14,794 person-years (6.8 per 100,000 athletes). CONCLUSIONS: Diseases that are associated with sudden cardiac death were identified in 0.38% of adolescent soccer players in a cohort that underwent cardiovascular screening. The incidence of sudden cardiac death was 1 per 14,794 person-years, or 6.8 per 100,000 athletes; most of these deaths were due to cardiomyopathies that had not been detected on screening. (Funded by the English Football Association and others.).read more
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2020 ESC Guidelines on sports cardiology and exercise in patients with cardiovascular disease.
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TL;DR: The European Resuscitation Council Advanced Life Support (ESCALS) guidelines as discussed by the authors are based on the 2020 International Consensus on Cardiopulmonary RESuscitation Science with Treatment Recommendations.
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Recommendations for participation in competitive and leisure time sport in athletes with cardiomyopathies, myocarditis, and pericarditis: position statement of the Sport Cardiology Section of the European Association of Preventive Cardiology (EAPC)
Antonio Pelliccia,Erik Ekker Solberg,Michael Papadakis,Paolo Emilio Adami,Alessandro Biffi,Stefano Caselli,Andre La Gerche,Josef Niebauer,Axel Pressler,Christian Schmied,Luis Serratosa,Martin Halle,Frank van Buuren,Mats Börjesson,Mats Börjesson,François Carré,Nicole M. Panhuyzen-Goedkoop,Hein Heidbuchel,Hein Heidbuchel,Iacopo Olivotto,Domenico Corrado,Gianfranco Sinagra,Sanjay Sharma +22 more
TL;DR: A comprehensive overview of the most updated recommendations for practicing cardiologists and sport physicians managing athletes with cardiomyopathies and myo-pericarditis is offered and pragmatic advice for safe participation in competitive sport at professional and amateur level, as well as in a variety of recreational physical activities is provided.
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