Pre-participation cardiovascular evaluation for athletic participants to prevent sudden death: Position paper from the EHRA and the EACPR, branches of the ESC. Endorsed by APHRS, HRS, and SOLAECE.
Lluís Mont,Antonio Pelliccia,Sanjay Sharma,Alessandro Biffi,Mats Börjesson,Josep Brugada Terradellas,François Carré,Eduard Guasch,Hein Heidbuchel,Andre La Gerche,Rachel Lampert,William J. McKenna,Michail Papadakis,Silvia G. Priori,Mauricio Scanavacca,Paul D. Thompson,Christian Sticherling,Sami Viskin,Mathew G Wilson,Domenico Corrado,Gregory Y.H. Lip,Bulent Gorenek,Carina Blomström Lundqvist,Béla Merkely,Gerhard Hindricks,Antonio Hernández-Madrid,Deirdre A. Lane,G Boriani,Calambur Narasimhan,Manlio F. Márquez,David E. Haines,Judith Mackall,Pedro Marques-Vidal,Ugo Corrà,Martin Halle,Monica Tiberi,Josef Niebauer,Massimo F Piepoli +37 more
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TLDR
The role of pre-participation evaluation (PPE) in athletes as a feasible and efficient strategy to identify individuals at risk has remained controversial.Abstract:
AMI
: acute myocardial infarction
ARVC
: arrhythmogenic right ventricular cardiomyopathy
BrS
: Brugada syndrome
CACS
: coronary artery calcium score
CAD
: coronary artery disease
ChD
: Chagas heart disease
CMR
: cardiac magnetic resonance
CPVT
: catecholaminergic polymorphic ventricular tachycardia
CTCA
: computed tomography coronary angiography
CV
: cardiovascular
DCM
: dilated cardiomyopathy
EAPCR
: European Association for Cardiovascular Prevention and Rehabilitation
HCM
: hypertrophic cardiomyopathy
LGE
: late gadolinium enhancement
LQTS
: long QT syndrome
LV/RV
: left/right ventricle
LVH
: left ventricle hypertrophy
NSVT
: non-sustained ventricular tachycardia
PPE
: preparticipation evaluation
PVC
: premature ventricular contractions
SCA/SCD
: sudden cardiac arrest/death
TTE
: transthoracic echocardiography
VF
: ventricular fibrillation
VT
: ventricular tachycardia
Sudden cardiac death (SCD) associated with athletic activity is a rare but devastating event. Victims are usually young and apparently healthy, and while many of these deaths remain unexplained, a substantial number of victims harbour an underlying and potentially detectable cardiovascular (CV) disease.1–4 The vast majority of these events are due to malignant tachyarrhythmias, usually ventricular fibrillation (VF) or ventricular tachycardia (VT) degenerating into ventricular fibrillation (VF), occurring in individuals with arrhythmogenic disorders (e.g. hypertrophic cardiomyopathy, arrhythmogenic cardiomyopathy, channelopathies). Intensive exercise training and competitive sport participation is a trigger that may favour insurgence of ominous ventricular tachyarrhythmias in predisposed individuals.5 Consequently, there is a great interest in early identification of at-risk individuals for whom appropriate treatment, followed or not by physical activity adjustment, may be implemented to minimize the risk of SCD. However, the role of pre-participation evaluation (PPE) in athletes as a feasible and efficient strategy to identify individuals at risk has remained controversial. …read more
Citations
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Journal ArticleDOI
2020 ESC Guidelines on sports cardiology and exercise in patients with cardiovascular disease.
Antonio Pelliccia,Sanjay Sharma,Sabiha Gati,Maria Bäck,Mats Börjesson,Stefano Caselli,Jean-Philippe Collet,Domenico Corrado,Jonathan A Drezner,Martin Halle,Dominique Hansen,Hein Heidbuchel,Jonathan Myers,Josef Niebauer,Michael Papadakis,Massimo F. Piepoli,Eva Prescott,Jolien W. Roos-Hesselink,A Graham Stuart,Rod S Taylor,Paul D. Thompson,Monica Tiberi,Luc Vanhees,Matthias Wilhelm +23 more
Journal ArticleDOI
European Resuscitation Council Guidelines 2021: Cardiac arrest in special circumstances.
Carsten Lott,Anatolij Truhlář,A. Alfonzo,A. Barelli,Violeta González-Salvado,Jochen Hinkelbein,Jerry P. Nolan,Jerry P. Nolan,Peter Paal,Gavin D. Perkins,Gavin D. Perkins,Karl-Christian Thies,Joyce Yeung,Joyce Yeung,David Zideman,Jasmeet Soar,Gamal Eldin Abbas Khalifa,Efrén Álvarez,Roberta Barelli,Joost J.L.M. Bierens,Bernd Boettiger,Guttorm Brattebø,Douglas Browne,Hermann Brugger,Tomasz Darocha,Charles D. Deakin,Joel Dunning,Silvija Hunyadi-Anticevic,Rudolph W. Koster,David Lockey,Mathieu Pasquier,Jan Schmitz +31 more
TL;DR: These European Resuscitation Council (ERC) Cardiac Arrest in Special Circumstances guidelines are based on the 2020 International Consensus on Cardiopulmonary Resusitation Science with Treatment Recommendations as mentioned in this paper.
Journal ArticleDOI
Heart rate variability as predictive factor for sudden cardiac death.
Francesco Sessa,Valenzano Anna,Giovanni Messina,Giuseppe Cibelli,Vincenzo Monda,Gabriella Marsala,Maria Ruberto,Antonio Biondi,Orazio Cascio,Giuseppe Bertozzi,Daniela Pisanelli,Francesca Maglietta,Antonietta Messina,Maria Pina Mollica,Monica Salerno +14 more
TL;DR: The HRV evaluation could become an important tool for health status in risks population, even though the use of HRV alone for risk stratification of SCD is limited and further studies are needed.
Journal ArticleDOI
Cardiorespiratory considerations for return-to-play in elite athletes after COVID-19 infection: a practical guide for sport and exercise medicine physicians.
Mathew G Wilson,James H. Hull,John M. Rogers,Noel Pollock,Miranda Dodd,J Haines,Sally Harris,Mike Loosemore,Mike Loosemore,Aneil Malhotra,Guido E Pieles,Anand Shah,Lesley Taylor,Aashish Vyas,Fares S. Haddad,Sanjay Sharma +15 more
TL;DR: To support safe RTP, this work provides sport and exercise medicine physicians with practical recommendations on how to exclude cardiorespiratory complications of COVID-19 in elite athletes who place high demand on their cardiOREspiratory system.
Journal ArticleDOI
2020 APHRS/HRS expert consensus statement on the investigation of decedents with sudden unexplained death and patients with sudden cardiac arrest, and of their families.
Martin K. Stiles,Arthur A.M. Wilde,Dominic Abrams,Michael J. Ackerman,Christine M. Albert,Elijah R. Behr,Sumeet S. Chugh,Martina C. Cornel,Karen Gardner,Jodie Ingles,Cynthia A. James,Jyh-Ming Jimmy Juang,Stefan Kääb,Elizabeth S. Kaufman,Andrew D. Krahn,Steven A. Lubitz,Heather MacLeod,Carlos A. Morillo,Koonlawee Nademanee,Vincent Probst,Elizabeth V. Saarel,Luciana Sacilotto,Christopher Semsarian,Mary N. Sheppard,Wataru Shimizu,Jonathan R. Skinner,Jacob Tfelt-Hansen,Dao Wu Wang +27 more
TL;DR: This international multidisciplinary document intends to provide clinicians with evidence-based practical patient-centered recommendations for evaluating patients and decedents with (aborted) sudden cardiac arrest and their families.
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TL;DR: Modifications of the Task Force Criteria for the clinical diagnosis of arrhythmogenic right ventricular cardiomyopathy/dysplasia represent a working framework to improve the diagnosis and management of this condition.
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