CARDIOVASCULAR PRE-PARTECIPATION SCREENING OF YOUNG COMPETITIVE ATHLETES FOR PREVENTION OF SUDDEN DEATH: PROPOSAL FOR A COMMON EUROPEAN PROTOCOL.CONSENSUS STATEMENT OF 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
Articolo
Data di Pubblicazione:
2005
Abstract:
The 1996 American Heart Association consensus panel recommendations stated that
pre-participation cardiovascular screening for young competitive athletes is justifiable
and compelling on ethical, legal, and medical grounds. The present article represents
the consensus statement of the Study Group on Sports Cardiology of the
Working Group on Cardiac Rehabilitation and Exercise Physiology and the Working
Group on Myocardial and Pericardial diseases of the European Society of Cardiology,
which comprises cardiovascular specialists and other physicians from different
European countries with extensive clinical experience with young competitive
athletes, as well as with pathological substrates of sudden death. The document
takes note of the 25-year Italian experience on systematic pre-participation screening
of competitive athletes and focuses on relevant issues, mostly regarding the relative
risk, causes, and prevalence of sudden death in athletes; the efficacy, feasibility, and
cost-effectiveness of population-based pre-participation cardiovascular screening;
the key role of 12-lead ECG for identification of cardiovascular diseases such as cardiomyopathies
and channelopathies at risk of sudden death during sports; and the
potential of preventing fatal events. The main purpose of the consensus document
is to reinforce the principle of the need for pre-participation medical clearance of
all young athletes involved in organized sports programmes, on the basis of (i) the
proven efficacy of systematic screening by 12-lead ECG (in addition to history and
physical examination) to identify hypertrophic cardiomyopathy—the leading cause
of sports-related sudden death—and to prevent athletic field fatalities; (ii) the potential
screening ability in detecting other lethal cardiovascular diseases presenting
with ECG abnormalities. The consensus document recommends the implementation
of a common European screening protocol essentially based on 12-lead ECG.
pre-participation cardiovascular screening for young competitive athletes is justifiable
and compelling on ethical, legal, and medical grounds. The present article represents
the consensus statement of the Study Group on Sports Cardiology of the
Working Group on Cardiac Rehabilitation and Exercise Physiology and the Working
Group on Myocardial and Pericardial diseases of the European Society of Cardiology,
which comprises cardiovascular specialists and other physicians from different
European countries with extensive clinical experience with young competitive
athletes, as well as with pathological substrates of sudden death. The document
takes note of the 25-year Italian experience on systematic pre-participation screening
of competitive athletes and focuses on relevant issues, mostly regarding the relative
risk, causes, and prevalence of sudden death in athletes; the efficacy, feasibility, and
cost-effectiveness of population-based pre-participation cardiovascular screening;
the key role of 12-lead ECG for identification of cardiovascular diseases such as cardiomyopathies
and channelopathies at risk of sudden death during sports; and the
potential of preventing fatal events. The main purpose of the consensus document
is to reinforce the principle of the need for pre-participation medical clearance of
all young athletes involved in organized sports programmes, on the basis of (i) the
proven efficacy of systematic screening by 12-lead ECG (in addition to history and
physical examination) to identify hypertrophic cardiomyopathy—the leading cause
of sports-related sudden death—and to prevent athletic field fatalities; (ii) the potential
screening ability in detecting other lethal cardiovascular diseases presenting
with ECG abnormalities. The consensus document recommends the implementation
of a common European screening protocol essentially based on 12-lead ECG.
Tipologia CRIS:
1.1 Articolo in rivista
Keywords:
Athletes; electrocardiogram; screening; sudden death
Elenco autori:
Corrado, D; Pelliccia, A; Bjornstad, H; Vanhees, L; Biffi, A; Borjesson, M; PANHUYZEN GOEDKOOP, N; Deligiannis, A; Solberg, E; Dugmore, D; Mellwig, K; Assanelli, Deodato; Delise, P; VAN BUURREN, F; Anastasakis, A; Heidbuchel, H; Hoffmann, E; Fagard, R; Priori, S; Basso, C; Arbustini, E; BLOMSTROM LUNDQVIST, C; Mckenna, W; Thiene, G.
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