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Sudden Cardiac Death in Athletes in Italy during 2019: Internet-Based Epidemiological Research
Background and objectives: An Italian nationwide pre-participation screening approach for prevention of sudden cardiac death in athletes (SCD-A) in competitive sportspeople showed promising results but did not achieve international consensus, due to cost-effectiveness and the shortfall of a monitori...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7827560/ https://www.ncbi.nlm.nih.gov/pubmed/33445447 http://dx.doi.org/10.3390/medicina57010061 |
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author | Sollazzo, Fabrizio Palmieri, Vincenzo Gervasi, Salvatore Francesco Cuccaro, Francesco Modica, Gloria Narducci, Maria Lucia Pelargonio, Gemma Zeppilli, Paolo Bianco, Massimiliano |
author_facet | Sollazzo, Fabrizio Palmieri, Vincenzo Gervasi, Salvatore Francesco Cuccaro, Francesco Modica, Gloria Narducci, Maria Lucia Pelargonio, Gemma Zeppilli, Paolo Bianco, Massimiliano |
author_sort | Sollazzo, Fabrizio |
collection | PubMed |
description | Background and objectives: An Italian nationwide pre-participation screening approach for prevention of sudden cardiac death in athletes (SCD-A) in competitive sportspeople showed promising results but did not achieve international consensus, due to cost-effectiveness and the shortfall of a monitoring plan. From this perspective, we tried to provide an epidemiological update of SCD-A in Italy through a year-long internet-based search. Materials and Methods: One year-long Google search was performed using mandatory and non-mandatory keywords. Data were collected according to prevalent SCD-A definition and matched with sport-related figures from Italian National Institute of Statistics (ISTAT) and Italian National Olympic Committee (CONI). Results: Ninety-eight cases of SCD-A in 2019 were identified (48.0% competitive, 52.0% non-competitive athletes). Male/female ratio was 13:1. The most common sports were soccer (33.7%), athletics (15.3%) and fitness (13.3%). A conclusive diagnosis was achieved only in 37 cases (33 of cardiac origin), with the leading diagnosis being coronary artery disease in 27 and a notably higher occurrence among master athletes. Combining these findings with ISTAT and CONI data, the SCD-A incidence rate in the whole Italian sport population was found to be 0.47/100,000 persons per year (1.00/100,000 in the competitive and 0.32/100,000 in the non-competitive population). The relative risk of SCD-A is 3.1 (CI 2.1–4.7; p < 0.0001) for competitive compared to non-competitive athletes; 9.9 for male (CI 4.6–21.4; p < 0.0001) with respect to female. Conclusions: We provided an updated incidence rate of SCD-A in both competitive and non-competitive sport in Italy. A higher risk of SCD-A among competitive and male athletes was confirmed, thus corroborating the value of Italian pre-participation screening in this population. |
format | Online Article Text |
id | pubmed-7827560 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-78275602021-01-25 Sudden Cardiac Death in Athletes in Italy during 2019: Internet-Based Epidemiological Research Sollazzo, Fabrizio Palmieri, Vincenzo Gervasi, Salvatore Francesco Cuccaro, Francesco Modica, Gloria Narducci, Maria Lucia Pelargonio, Gemma Zeppilli, Paolo Bianco, Massimiliano Medicina (Kaunas) Article Background and objectives: An Italian nationwide pre-participation screening approach for prevention of sudden cardiac death in athletes (SCD-A) in competitive sportspeople showed promising results but did not achieve international consensus, due to cost-effectiveness and the shortfall of a monitoring plan. From this perspective, we tried to provide an epidemiological update of SCD-A in Italy through a year-long internet-based search. Materials and Methods: One year-long Google search was performed using mandatory and non-mandatory keywords. Data were collected according to prevalent SCD-A definition and matched with sport-related figures from Italian National Institute of Statistics (ISTAT) and Italian National Olympic Committee (CONI). Results: Ninety-eight cases of SCD-A in 2019 were identified (48.0% competitive, 52.0% non-competitive athletes). Male/female ratio was 13:1. The most common sports were soccer (33.7%), athletics (15.3%) and fitness (13.3%). A conclusive diagnosis was achieved only in 37 cases (33 of cardiac origin), with the leading diagnosis being coronary artery disease in 27 and a notably higher occurrence among master athletes. Combining these findings with ISTAT and CONI data, the SCD-A incidence rate in the whole Italian sport population was found to be 0.47/100,000 persons per year (1.00/100,000 in the competitive and 0.32/100,000 in the non-competitive population). The relative risk of SCD-A is 3.1 (CI 2.1–4.7; p < 0.0001) for competitive compared to non-competitive athletes; 9.9 for male (CI 4.6–21.4; p < 0.0001) with respect to female. Conclusions: We provided an updated incidence rate of SCD-A in both competitive and non-competitive sport in Italy. A higher risk of SCD-A among competitive and male athletes was confirmed, thus corroborating the value of Italian pre-participation screening in this population. MDPI 2021-01-12 /pmc/articles/PMC7827560/ /pubmed/33445447 http://dx.doi.org/10.3390/medicina57010061 Text en © 2021 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Sollazzo, Fabrizio Palmieri, Vincenzo Gervasi, Salvatore Francesco Cuccaro, Francesco Modica, Gloria Narducci, Maria Lucia Pelargonio, Gemma Zeppilli, Paolo Bianco, Massimiliano Sudden Cardiac Death in Athletes in Italy during 2019: Internet-Based Epidemiological Research |
title | Sudden Cardiac Death in Athletes in Italy during 2019: Internet-Based Epidemiological Research |
title_full | Sudden Cardiac Death in Athletes in Italy during 2019: Internet-Based Epidemiological Research |
title_fullStr | Sudden Cardiac Death in Athletes in Italy during 2019: Internet-Based Epidemiological Research |
title_full_unstemmed | Sudden Cardiac Death in Athletes in Italy during 2019: Internet-Based Epidemiological Research |
title_short | Sudden Cardiac Death in Athletes in Italy during 2019: Internet-Based Epidemiological Research |
title_sort | sudden cardiac death in athletes in italy during 2019: internet-based epidemiological research |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7827560/ https://www.ncbi.nlm.nih.gov/pubmed/33445447 http://dx.doi.org/10.3390/medicina57010061 |
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