Preparticipation examination in young athletes with focus on resting electrocardiogram
Authors:
K. Slabý 1; M. Procházka 1; P. Kubuš 2
Authors place of work:
Oddělení tělovýchovného lékařství, Klinika rehabilitace a tělovýchovného lékařství 2. LF UK a FN Motol, Praha
primář doc. MUDr. J. Radvanský, CSc.
1; Dětské kardiocentrum 2. LF UK a FN Motol, Praha
přednosta prof. MUDr. J. Janoušek, Ph. D.
2
Published in the journal:
Čes-slov Pediat 2015; 70 (3): 161-165.
Category:
Reviews
Summary
One of the important purposes of preparticipation examination in athletes is prevention of sudden cardiac death. In the last decade there has been emerging debate on the role of resting electrocardiogram as part of preparticipation examination in competitive athletes, on the additive effect if added to history and physical examination and on the benefit-to-cost ratio. Universal answer to these questions is still missing and probably cannot be found due to different prevalence of causes of sudden death in different populations and due to other factors. Absolute risk of sudden cardiac death in school aged children is low, there are no recommendations for evaluation of resting ECG in this population and the disease often lacks full phenotype and can hardly be diagnosed.
It may be more effective to focus on ECG signs that are suspicious of pathology regardless of sports activity in this age group. On the other hand there are proposals of recommendations for evaluation of resting ECG in adolescent and young adult athletes.
Key words:
preparticipation examination, resting electrocardiogram, sudden death S.
Zdroje
1. Chaloupecký V, Reich O, Janoušek J, et al. Všeobecná doporučení pro pohybovou a sportovní aktivitu u dĕtí a mladistvých s kardiovaskulárním onemocnĕním. Med Sport Boh Slov 2011; 20 (4): 179–206.
2. Maron BJ, Doerer JJ, Haas TS, et al. Sudden deaths in young competitive athletes: analysis of 1866 deaths in the United States, 1980–2006. Circulation 2009 Mar 3; 119 (8): 1085–1092.
3. Roberts WO, Stovitz SD. Incidence of sudden cardiac death in Minnesota high school athletes 1993–2012 screened with a standardized pre-participation evaluation. J Am Coll Cardiol Elsevier Inc 2013 Oct 1; 62 (14): 1298–1301.
4. Harmon KG, Asif IM, Klossner D, et al. Incidence of sudden cardiac death in National Collegiate Athletic Association athletes. Circulation 2011 Apr 19; 123 (15): 1594–1600.
5. Maron BJ, Haas TS, Murphy CJ, et al. Incidence and causes of sudden death in U.S. college athletes. J Am Coll Cardiol 2014 Apr 29; 63 (16): 1636–1643.
6. Risgaard B, Winkel BG, Jabbari R, et al. Sports-related sudden cardiac death in a competitive and a noncompetitive athlete population aged 12 to 49 years: data from an unselected nationwide study in Denmark. Heart Rhythm 2014 Oct 23; 11 (10): 1673–1681.
7. De Wolf D, Matthys D. Sports preparticipation cardiac screening: what about children? Eur J Pediatr 2014 Jun 18; 173 (6): 711–719.
8. Adámková R, Tomášková I, Hrazdira L. Přínos klidového EKG při preventivní prohlídce sportovce. Med Sport Boh Slov 2013; 22 (3): 122–134.
9. Drezner JA, Ackerman MJ, Anderson J, et al. Electrocardiographic interpretation in athletes: the „Seattle criteria”. Br J Sports Med 2013 Feb; 47 (3): 122–124.
10. Chaitman BR. An electrocardiogram should not be included in routine preparticipation screening of young athletes. Circulation 2007 Nov 27; 116 (22): 2610–2614; discussion 2615.
11. Corrado D, Pelliccia A, Bjørnstad HH, et al. Cardiovascular pre-participation screening of young competitive athletes for prevention of sudden death: proposal for a common European protocol. Consensus Statement of the Study Group of Sport Cardiology of the Working Group of Cardiac Rehabilitation and Exercise Physiology and the Working Group of Myocardial and Pericardial Diseases of the European Society of Cardiology. Eur Heart J 2005 Mar; 26 (5): 516–524.
12. Corrado D, Basso C, Pavei A, et al. Trends in sudden cardiovascular death in young competitive athletes after implementation of a preparticipation screening program. JAMA 2006 Oct 4; 296 (13): 1593–1601.
13. Maron BJ, Friedman RA, Kligfield P, et al. Assessment of the 12-lead ECG as a screening test for detection of cardiovascular disease in healthy general populations of young people (12–25 years of age): A Scientific Statement From the American Heart Association and the American College of Cardiolog. Circulation 2014 Oct 7; 130 (15): 1303–1334.
Štítky
Neonatology Paediatrics General practitioner for children and adolescentsČlánok vyšiel v časopise
Czech-Slovak Pediatrics
2015 Číslo 3
- What Effect Can Be Expected from Limosilactobacillus reuteri in Mucositis and Peri-Implantitis?
- The Importance of Limosilactobacillus reuteri in Administration to Diabetics with Gingivitis
Najčítanejšie v tomto čísle
- Cervical lymphadenopathy from the perspective of an otolaryngologist
- Mild mental retardation in ambulance of general practitioner for child and adolescent – can you recognize it?
- Segmental dilatation of the intestine – case series of newborns with segmental dilatation of the small intestine and a literature review
- Preparticipation examination in young athletes with focus on resting electrocardiogram