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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...

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Autores principales: Sollazzo, Fabrizio, Palmieri, Vincenzo, Gervasi, Salvatore Francesco, Cuccaro, Francesco, Modica, Gloria, Narducci, Maria Lucia, Pelargonio, Gemma, Zeppilli, Paolo, Bianco, Massimiliano
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
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.
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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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