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Cardiac Screening of Young Athletes: a Practical Approach to Sudden Cardiac Death Prevention

PURPOSE OF REVIEW: We aim to report on the current status of cardiovascular screening of athletes worldwide and review the up-to-date evidence for its efficacy in reducing sudden cardiac death in young athletes. RECENT FINDINGS: A large proportion of sudden cardiac death in young individuals and ath...

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Autores principales: Dhutia, Harshil, MacLachlan, Hamish
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer US 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6132782/
https://www.ncbi.nlm.nih.gov/pubmed/30155696
http://dx.doi.org/10.1007/s11936-018-0681-4
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author Dhutia, Harshil
MacLachlan, Hamish
author_facet Dhutia, Harshil
MacLachlan, Hamish
author_sort Dhutia, Harshil
collection PubMed
description PURPOSE OF REVIEW: We aim to report on the current status of cardiovascular screening of athletes worldwide and review the up-to-date evidence for its efficacy in reducing sudden cardiac death in young athletes. RECENT FINDINGS: A large proportion of sudden cardiac death in young individuals and athletes occurs during rest with sudden arrhythmic death syndrome being recognised as the leading cause. The international recommendations for ECG interpretation have reduced the false-positive ECG rate to 3% and reduced the cost of screening by 25% without compromising the sensitivity to identify serious disease. There are some quality control issues that have been recently identified including the necessity for further training to guide physicians involved in screening young athletes. SUMMARY: Improvements in our understanding of young sudden cardiac death and ECG interpretation guideline modification to further differentiate physiological ECG patterns from those that may represent underlying disease have significantly improved the efficacy of screening to levels that may make screening more attractive and feasible to sporting organisations as a complementary strategy to increased availability of automated external defibrillators to reduce the overall burden of young sudden cardiac death.
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spelling pubmed-61327822018-09-13 Cardiac Screening of Young Athletes: a Practical Approach to Sudden Cardiac Death Prevention Dhutia, Harshil MacLachlan, Hamish Curr Treat Options Cardiovasc Med Sports Cardiology (M Papadakis, Section Editor) PURPOSE OF REVIEW: We aim to report on the current status of cardiovascular screening of athletes worldwide and review the up-to-date evidence for its efficacy in reducing sudden cardiac death in young athletes. RECENT FINDINGS: A large proportion of sudden cardiac death in young individuals and athletes occurs during rest with sudden arrhythmic death syndrome being recognised as the leading cause. The international recommendations for ECG interpretation have reduced the false-positive ECG rate to 3% and reduced the cost of screening by 25% without compromising the sensitivity to identify serious disease. There are some quality control issues that have been recently identified including the necessity for further training to guide physicians involved in screening young athletes. SUMMARY: Improvements in our understanding of young sudden cardiac death and ECG interpretation guideline modification to further differentiate physiological ECG patterns from those that may represent underlying disease have significantly improved the efficacy of screening to levels that may make screening more attractive and feasible to sporting organisations as a complementary strategy to increased availability of automated external defibrillators to reduce the overall burden of young sudden cardiac death. Springer US 2018-08-28 2018 /pmc/articles/PMC6132782/ /pubmed/30155696 http://dx.doi.org/10.1007/s11936-018-0681-4 Text en © The Author(s) 2018 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
spellingShingle Sports Cardiology (M Papadakis, Section Editor)
Dhutia, Harshil
MacLachlan, Hamish
Cardiac Screening of Young Athletes: a Practical Approach to Sudden Cardiac Death Prevention
title Cardiac Screening of Young Athletes: a Practical Approach to Sudden Cardiac Death Prevention
title_full Cardiac Screening of Young Athletes: a Practical Approach to Sudden Cardiac Death Prevention
title_fullStr Cardiac Screening of Young Athletes: a Practical Approach to Sudden Cardiac Death Prevention
title_full_unstemmed Cardiac Screening of Young Athletes: a Practical Approach to Sudden Cardiac Death Prevention
title_short Cardiac Screening of Young Athletes: a Practical Approach to Sudden Cardiac Death Prevention
title_sort cardiac screening of young athletes: a practical approach to sudden cardiac death prevention
topic Sports Cardiology (M Papadakis, Section Editor)
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6132782/
https://www.ncbi.nlm.nih.gov/pubmed/30155696
http://dx.doi.org/10.1007/s11936-018-0681-4
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