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https://read.qxmd.com/read/30679986/sudden-cardiac-death-in-football-players-towards-a-new-pre-participation-algorithm
#1
REVIEW
Sophie I Mavrogeni, Konstantinos Tsarouhas, Demetrios A Spandidos, Christina Kanaka-Gantenbein, Flora Bacopoulou
Athletic pre-participation screening is essential for minimizing the risk for sudden cardiac death (SCD) in athletes participating in either competitive or leisure sporting activities. The primary causes of SCD in young athletes (<35 years of age) include hypertrophic cardiomyopathy, congenital anomalies of the coronary artery and arrhythmogenic right ventricular cardiomyopathy. Other abnormalities, such as malignant arrhythmia due to blunt trauma to the chest (commotio cordis), myocarditis, valvular disease, aortic rupture (in Marfan syndrome) and ion channelopathies (catecholaminergic polymorphic ventricular tachycardia, Brugada syndrome, long or short QT syndrome), also contribute to a lesser degree to SCD...
February 2019: Experimental and Therapeutic Medicine
https://read.qxmd.com/read/30442719/cardiovascular-incidents-in-male-professional-football-players-with-negative-preparticipation-cardiac-screening-results-an-8-year-follow-up
#2
Hilde Moseby Berge, Thor Einar Andersen, Roald Bahr
BACKGROUND: Preparticipation cardiac screening of athletes aims to detect cardiovascular disease at an early stage to prevent sudden cardiac arrests and deaths. Few studies have described the cardiovascular outcomes in athletes classified as negative on screening. OBJECTIVE: To identify cardiovascular incidents in a cohort of male professional football players who were cleared to play after a negative screening result. METHODS: This is a retrospective 8-year follow-up study of 595 professional male football players in Norway who underwent preparticipation cardiac screening by experienced cardiologists, including electrocardiography (ECG) and echocardiography, in 2008...
November 15, 2018: British Journal of Sports Medicine
https://read.qxmd.com/read/30386490/overview-of-coronary-artery-variants-aberrations-and-anomalies
#3
REVIEW
Stylianos Kastellanos, Konstantinos Aznaouridis, Charalambos Vlachopoulos, Eleftherios Tsiamis, Evangelos Oikonomou, Dimitris Tousoulis
Coronary artery anomalies and variants are relatively uncommon congenital disorders of the coronary artery anatomy and constitute the second most common cause of sudden cardiac death in young competitive athletes. The rapid advancement of imaging techniques, including computed tomography, magnetic resonance imaging, intravascular ultrasound and optical coherence tomography, have provided us with a wealth of new information on the subject. Anomalous origin of a coronary artery from the contralateral sinus is the anomaly most frequently associated with sudden cardiac death, in particular if the anomalous coronary artery has a course between the aorta and the pulmonary artery...
October 26, 2018: World Journal of Cardiology
https://read.qxmd.com/read/30076820/pectus-excavatum-and-right-ventricular-compression-in-a-young-athlete-with-syncope
#4
Alejandro E De Feria, Navkaranbir S Bajaj, Donna M Polk, Akshay S Desai, Ron Blankstein, Muthiah Vaduganathan
No abstract text is available yet for this article.
November 2018: American Journal of Medicine
https://read.qxmd.com/read/30027014/ice-man-down-using-simulation-to-practice-the-safe-extrication-of-collapsed-hockey-players-in-a-confined-space
#5
Meryl Abrams, Dimitrios Papanagnou, Carlos Rodriguez, Joshua Rudner, Hyunjoo Lee, Simran Buttar, Ronald V Hall, Xiao Chi Zhang
Sporting event emergencies are common among both spectators and players, with unique sets of challenges associated with patient extrication in unfamiliar and chaotic environments. It is critical for sports physicians and trainers to deliberately train and prepare for emergent situations with limited resources during athletic events. One of the most difficult, yet commonly encountered challenges is determining when and how to safely remove an injured player's helmet and sporting equipment, particularly if a spinal injury is highly suspected...
May 14, 2018: Curēus
https://read.qxmd.com/read/29860439/aviator-s-heart-a-case-of-athlete-s-heart-in-an-active-duty-male-naval-aviator
#6
Ilya V Ryaboy, James A Watts, Megan L Barnwell
Athlete's heart is the condition of cardiac remodeling as a result of physiologic stress induced by regular strenuous physical activity by professional or elite amateur individuals. The literature describes several characteristics of the athletic heart, including left ventricular hypertrophy, increased left ventricular mass, right ventricular dilatation, atrial enlargement, electrocardiographic changes, and abnormalities on cardiac magnetic resonance imaging. We present a case of athletic heart in an exceptionally physically fit active duty naval aviator who experienced syncope and underwent extensive cardiac testing...
November 1, 2018: Military Medicine
https://read.qxmd.com/read/29622970/sudden-cardiac-death-with-triple-pathologies-a-case-report
#7
R Razuin, F Nurquin, M N Shahidan, M N Julina
Sudden cardiac death in young adults may be associated with rare cardiomyopathies such as left ventricular noncompaction (LVNC) and arrhythmogenic right ventricular (ARVC) cardiomyopathies. LVNC is characterised by hypertrabeculations and deep recesses of the left ventricle. ARVC presents with thin myocardium as a result of extensive fibro-fatty infiltrations. In both conditions, death may be due to arrhythmia, thromboembolic events or heart failure. We report a case of a 21-year old athletic young man who collapsed at the futsal court right after the game...
June 2017: The Egyptian heart journal: (EHJ): official bulletin of the Egyptian Society of Cardiology
https://read.qxmd.com/read/29605837/pathophysiology-of-noncardiac-syncope-in-athletes
#8
REVIEW
Georgios A Christou, Konstantinos A Christou, Dimitrios N Kiortsis
The most frequent cause of syncope in young athletes is noncardiac etiology. The mechanism of noncardiac syncope (NCS) in young athletes is neurally-mediated (reflex). NCS in athletes usually occurs either as orthostasis-induced, due to a gravity-mediated reduced venous return to the heart, or in the context of exercise. Exercise-related NCS typically occurs after the cessation of an exercise bout, while syncope occurring during exercise is highly indicative of the existence of a cardiac disorder. Postexercise NCS appears to result from hypotension due to impaired postexercise vasoconstriction, as well as from hypocapnia...
July 2018: Sports Medicine
https://read.qxmd.com/read/29202647/swallow-presyncope-in-an-athletic-patient-caused-by-third-degree-atrioventricular-block
#9
Axel Van Damme, Tine De Backer, Philippe Vanderheeren
Introduction Swallow syncope is a neurally mediated syncope. Multiple causes have been described in literature. A rare cause is arrhythmias. Only a limited amount of cases present the association of swallow syncope and third degree AV-block. Case presentation A 39-year-old man presented with episodes of presyncope while eating. Further medical history, physical examination, resting 12-lead ECG, cyclo-ergometry, transthoracic echocardiography and MRI of the heart were normal. 24 h Holter monitoring demonstrated high-grade third-degree atrioventricular (AV) block...
December 2018: Acta Clinica Belgica
https://read.qxmd.com/read/29196876/early-recognition-of-sudden-cardiac-arrest-in-athletes-during-sports-activity
#10
N M Panhuyzen-Goedkoop, H J Wellens, J J Piek
INTRODUCTION: Sudden cardiac arrest (SCA) in athletes is an unexpected life-threatening event, which is often not recognised early and cardiopulmonary resuscitation (CPR) is not always initiated immediately. We describe key features to rapidly recognise non-traumatic SCA in athletes during sports activity. METHODS: We reviewed videos and images of athletes suffering from non-traumatic SCA during sports activity. We searched Google images, Google videos and YouTube...
January 2018: Netherlands Heart Journal
https://read.qxmd.com/read/28804588/first-reported-case-of-arrhythmogenic-right-ventricular-cardiomyopathy-in-oman
#11
Hatim Al Lawati, Humoud Al Dhuhli
Arrhythmogenic right ventricular cardiomyopathy (ARVC) is a rare genetic disorder characterized by fatty degeneration of the right ventricular myocardium with variable involvement of the left ventricle. The condition is associated with exercise-mediated ventricular tachycardia and is one of the recognized causes of sudden cardiac death in the young and in athletes. Here, we report the first confirmed case of ARVC in Oman and present its electrocardiographic, echocardiographic features, and radiological findings on gated, contrast-enhanced cardiac computed tomography...
July 2017: Oman Medical Journal
https://read.qxmd.com/read/28683456/can-noncardiac-syncope-occur-during-exercise
#12
Georgios A Christou, Konstantinos A Christou, Evangelos A Christou, Dimitrios N Kiortsis
We describe the case of a 25-year-old athlete experiencing syncope during a 5-km running race. A thorough diagnostic workup reasonably excluded a cardiac disorder as the cause of syncope. The characterization of this episode of syncope as noncardiac appears to contradict the common belief that syncope during exercise has always a cardiac origin. Following a detailed history taking, it was revealed that the symptoms of the athlete started after a 180° turn of the route. This situation represents a setting relevant to a runner who stops suddenly after reaching the finish line and soon after experiences noncardiac syncope due to the abrupt cessation of muscle pump function of the lower limbs...
2017: Cardiology
https://read.qxmd.com/read/28621042/clinical-evaluation-of-anomalous-aortic-origin-of-a-coronary-artery-aaoca
#13
REVIEW
Silvana Molossi, Hitesh Agrawal
The clinical evaluation of patients with an anomalous aortic origin of a coronary artery (AAOCA), a congenital abnormality of the origin or course of a coronary artery that arises from the aorta, is challenging given its first presentation being sudden cardiac arrest in about half of the patients. Symptoms of chest pain, shortness of breath and syncope during exertion should be of concern in evaluating young athletes and nonathletes. The lack of abnormal signs on the physical exam and electrocardiogram further adds to the difficulty in establishing the diagnosis...
September 2017: Congenital Heart Disease
https://read.qxmd.com/read/28294749/-syncope-in-young-elite-athletes
#14
V N Komolyatova, L M Makarov, N N Fedina, I I Kiseleva, D A Besportochny
Syncope - one of the most common syndrome in the general population - may be a manifestation of diseases associated with risk of sudden death. OBJECTIVE: To evaluate the prevalence, pathogenesis particular syncope, near syncope in children involved in elite sport. MATERIAL AND METHODS: The study involved 500 young elite athletes aged 9-18 years (mean age 16.1+/-2.2 years), member of Russian national teams.
February 2016: Kardiologiia
https://read.qxmd.com/read/28266824/cardiovascular-disease-update-bradyarrhythmias
#15
REVIEW
Craig Barstow, Johnathan D McDivitt
Bradyarrhythmia (bradycardia) is a heart rate lower than 60 beats/min. It can be due to sinus, atrial, or junctional bradycardia or to a problem with the conduction system (eg, an atrioventricular block). Asymptomatic bradycardia is common, especially among trained athletes or during sleep. Bradycardia symptoms can include syncope, dizziness, chest pain, dyspnea, or fatigue. It is important to determine during the evaluation if bradycardia is the cause of the patient's symptoms. In the acute setting, symptomatic patients should be treated with atropine...
March 2017: FP Essentials
https://read.qxmd.com/read/28220574/selective-use-of-the-electrocardiogram-in-pediatric-preparticipation-athletic-examinations-among-pediatric-primary-care-providers
#16
Bradley C Clark, Joshua M Hayman, Charles I Berul, Kristin M Burns, Jonathan R Kaltman
OBJECTIVES: Recent literature examining insurance administrative data suggests that a selective approach, with concurrent history and physical exam (H&P), for obtaining an electrocardiogram (ECG) as a part of a preparticipation examination (PPE) for pediatric athletes is commonly used in the primary care setting demonstrating a high rate of disease detection. We sought to understand practice patterns of providers with regard to usage of ECG as a part of PPE. METHODS: Utilizing an online survey, we queried primary care providers regarding their practice patterns, rationale, and concerns regarding use of ECGs as a part of the PPE...
September 2017: Annals of Noninvasive Electrocardiology
https://read.qxmd.com/read/28084969/return-to-play-in-the-athlete-with-cardiac-disease-who-decides-and-what-is-the-protocol
#17
REVIEW
Michael J Silka
Improved public awareness and advances in medical diagnostics have resulted in the development of criteria to determine eligibility or disqualification for the athlete with cardiovascular abnormalities. Simultaneously, protocols have been developed for athletes with concussion or orthopaedic injuries to guide team physicians and consultants in return-to-play decisions. However, there are currently inadequate data to allow the development of such protocols for athletes with cardiovascular abnormalities who have undergone treatment...
January 2017: Cardiology in the Young
https://read.qxmd.com/read/27738530/aortic-dissection-in-a-healthy-male-athlete-a-unique-case-with-comprehensive-literature-review
#18
Balraj Singh, Jennifer M Treece, Ghulam Murtaza, Samit Bhatheja, Steven J Lavine, Timir K Paul
A young otherwise healthy 27-year-old male who has been using anabolic steroids for a long time developed Type I aortic dissection associated with heavy weightlifting. The patient did not have a recent history of trauma to the chest, no history of hypertension, and no illicit drug use. He presented with severe chest pain radiating to back and syncopal event with exertion. Initial vitals were significant for blood pressure of 80/50 mmHg, pulse of 80 beats per minute, respirations of 24 per minute, and oxygen saturation of 92% on room air...
2016: Case Reports in Cardiology
https://read.qxmd.com/read/27617087/arrhythmogenic-cardiomyopathy-electrical-and-structural-phenotypes
#19
Deniz Akdis, Corinna Brunckhorst, Firat Duru, Ardan M Saguner
This overview gives an update on the molecular mechanisms, clinical manifestations, diagnosis and therapy of arrhythmogenic cardiomyopathy (ACM). ACM is mostly hereditary and associated with mutations in genes encoding proteins of the intercalated disc. Three subtypes have been proposed: the classical right-dominant subtype generally referred to as ARVC/D, biventricular forms with early biventricular involvement and left-dominant subtypes with predominant LV involvement. Typical symptoms include palpitations, arrhythmic (pre)syncope and sudden cardiac arrest due to ventricular arrhythmias, which typically occur in athletes...
August 2016: Arrhythmia & Electrophysiology Review
https://read.qxmd.com/read/27606909/pathophysiological-mechanisms-of-noncardiac-syncope-in-athletes
#20
Georgios A Christou, Evangelia J Kouidi, Maria A Anifanti, Panagiota G Sotiriou, Nikolaos A Koutlianos, Asterios P Deligiannis
OBJECTIVE: The investigation of the differences in orthostatic responses of individuals with a history of noncardiac syncope(NCS) between athletes and nonathletes. METHODS: A passive tilt test for 30min was performed in 133 athletes (54 with NCS, 79 without NCS) and 48 nonathletes (15 with NCS, 33 without NCS). We performed measurement of haemodynamic, heart rate variability and baroreflex sensitivity parameters. All comparisons were adjusted for age, gender and body mass index(BMI)...
December 1, 2016: International Journal of Cardiology
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