Article
Orthopedics
Jared Willard, Dany Jacob, Yuanyuan Tang, Philip Jones, Marcia McCoy, Anthony Magalski
Summary: This study examined preparticipation examination findings among 2954 American athletes, revealing that female athletes reported more symptoms but had lower prevalence of abnormal electrocardiogram, while college and older athletes reported fewer symptoms and had no difference in abnormal ECG prevalence compared to novice and younger athletes. Despite differences between groups, the prevalence of clinically important findings was similar.
CLINICAL JOURNAL OF SPORT MEDICINE
(2021)
Article
Cardiac & Cardiovascular Systems
Bogna Jiravska Godula, Otakar Jiravsky, Petra Pesova, Libor Jelinek, Marketa Sovova, Katarina Moravcova, Jaromir Ozana, Miroslav Hudec, Roman Miklik, Jan Hecko, Libor Sknouril, Eliska Sovova
Summary: The prevalence and predictors of positive family history (FH) of sudden cardiac death (SCD) and cardiovascular disease (CVD) in Czech athletes were assessed using four preparticipation screening (PPS) systems. It was found that the prevalence of positive FH was 1.28% and it was significantly associated with the maximum heart rate at the peak of the exercise test. The study also revealed differences in detection rates between PPS protocols, suggesting the need for further research to determine the optimal method of FH collection.
JOURNAL OF CARDIOVASCULAR DEVELOPMENT AND DISEASE
(2023)
Article
Pediatrics
Zane J. Blank, Robert L. Spicer, Jeffrey A. Robinson
Summary: This study investigated the utilization of screening elements for preparticipation physical evaluations (PPE) in US states before high school athletics. The results showed that only 27% of states included all 14 recommended screening elements by the American Heart Association, while others included varying numbers of screening elements.
Review
Pediatrics
Denis J. Donovan, Joanna E. Nelson, Michael A. Monaco
Summary: The purpose of this review is to discuss sudden cardiac death (SCD) in young athletes, the different preparticipation screening recommendations, and recent evidence and current practice. SCD in young athletes is primarily caused by underlying cardiac disease. There are various preparticipation screening recommendations globally with the goal of identifying at-risk youth and reducing SCD rates.
CURRENT OPINION IN PEDIATRICS
(2023)
Article
Orthopedics
Justin J. Conway, Jason Krystofiak, Kristina Quirolgico, Brenda Como, Anthony Altobelli, Margot Putukian
Summary: This study analyzed the results of 5 years of preparticipation cardiac screening among NCAA Division I athletes and found a low rate of significant cardiac pathology. The study also compared the rates of ECG screening abnormalities and false-positive rates among 3 different ECG screening criteria, and found that the International criteria had the lowest false-positive rate.
CLINICAL JOURNAL OF SPORT MEDICINE
(2022)
Article
Orthopedics
Roberta Dennison, Deanna L. Kerkhof, Trenton Honda, Renato Calatroni, Gianmichel D. Corrado
Summary: The study assessed the feasibility of conducting history and physical, limb-lead ECG, and preparticipation echocardiography simultaneously at one screening station. Results showed that using a single screening station and limb-lead ECG for comprehensive physical examinations can enhance efficiency.
CLINICAL JOURNAL OF SPORT MEDICINE
(2021)
Article
Medicine, General & Internal
Benji Lim, Baoying Lim, Fadzil Hamzah, Ang Tee Lim, Chung Sien Ng, Benedict Tan, Khim Leng Tong
Summary: Sudden cardiac death is rare in athletes, with the most common cause being hypertrophic cardiomyopathy. This study compared four different ECG criteria and found that the 2017 International Criteria performed the best in detecting cardiac abnormalities in athletes.
ANNALS ACADEMY OF MEDICINE SINGAPORE
(2023)
Article
Cardiac & Cardiovascular Systems
Gabrielle Norrish, Cristian Topriceanu, Chen Qu, Ella Field, Helen Walsh, Lidia Ziolkowska, Iacopo Olivotto, Silvia Passantino, Silvia Favilli, Aris Anastasakis, Vasiliki Vlagkouli, Robert Weintraub, Ingrid King, Elena Biagini, Luca Ragni, Terrence Prendiville, Sophie Duignan, Karen McLeod, Maria Ilina, Adrian Fernandez, Regina Bokenkamp, Anwar Baban, Fabrizio Drago, Peter Kubus, Piers E. F. Daubeney, Sian Chivers, Georgia Sarquella-Brugada, Sergi Cesar, Chiara Marrone, Constancio Medrano, Reyes Alvarez Garcia-Roves, Orhan Uzun, Ferran Gran, Fernandez J. Castro, Juan R. Gimeno, Roberto Barriales-Villa, Fernando Rueda, Satish Adwani, Jonathan Searle, Tara Bharucha, Ana Siles, Ana Usano, Torsten B. Rasmussen, Caroline B. Jones, Toru Kubo, Jens Mogensen, Zdenka Reinhardt, Elena Cervi, Perry M. Elliott, Rumana Z. Omar, Juan P. Kaski
Summary: This study aimed to describe the ECG phenotype of childhood HCM in a large, international, multi-centre cohort and investigate its role in risk prediction for arrhythmic events. The results showed that ECG abnormalities were common in childhood HCM, but none of them were associated with 5-year arrhythmic events, suggesting limited role of baseline ECG phenotype in improving risk stratification in childhood HCM.
EUROPEAN JOURNAL OF PREVENTIVE CARDIOLOGY
(2022)
Article
Cardiac & Cardiovascular Systems
Federica Donati, Claudio Guicciardi, Elisa Lodi, Fredrick Fernando, Stefano Palermi, Maria Grazia Modena, Alessandro Biffi
Summary: This study retrospectively analyzed data from a corporate wellness program database and compared two different preparticipation screening protocols. The results showed that echocardiography has additional value in detecting cardiovascular abnormalities.
JOURNAL OF CARDIOVASCULAR MEDICINE
(2023)
Article
Orthopedics
Gil Neuman, Anat Milman, Tomer Ziv-Baran, Gal Dubnov-Raz
Summary: The role of exercise testing during preparticipation examinations (PPEs) of middle-aged athletes is uncertain. This study found that the addition of an exercise test to the PPE of older athletes has limited value, and arrhythmias may be more significant than ST-T waveform changes.
CLINICAL JOURNAL OF SPORT MEDICINE
(2022)
Article
Mathematics, Interdisciplinary Applications
Rogelio Pina-Vega, Martin Valtierra-Rodriguez, Carlos A. Perez-Ramirez, Juan P. Amezquita-Sanchez
Summary: This paper introduces a new methodology for automatically predicting sudden cardiac death (SCD) events by combining fractal dimension (FD) algorithms and a fuzzy logic system. By evaluating the geometrical complexity of electrocardiogram signals, the FD-based methodology can predict an SCD event up to 60 minutes before onset with an accuracy of 91.54%.
FRACTALS-COMPLEX GEOMETRY PATTERNS AND SCALING IN NATURE AND SOCIETY
(2021)
Article
Pediatrics
Christa Miliaresis, Priya Misra, Deborah Friedman, Robin Altman, Michael Gewitz
Summary: This project examines the utilization of a 14-element physical evaluation in screening pediatric patients for sports participation. By employing quality improvement methodology, the utilization of the evaluation increased and the risk of sudden cardiac arrest was reduced.
Article
Cardiac & Cardiovascular Systems
Mark Abela, Kentaro Yamagata, Lisa Buttigieg, Sara Xuereb, John Bonello, Jeremy Fleri Soler, William Camilleri, Neil Grech, Rachel Xuereb, Karl Sapiano, Estelle Abela, Adrian Callus, Maria Farrugia, Tiziana Felice, Melanie Burg, Mark Sammut, Robert G. Xuereb, Victor Grech
Summary: This study investigated the national prevalence of anterior T wave inversion (TWI) in adolescents, as well as the ST segment morphology and factors predicting TWI persistence after the age of 16. The results showed that TWI is common in adolescents, especially in females and female athletes. Only 0.2% of cases persist after the age of 16. The study also found that chest wall anatomy in females may explain this phenomenon.
INTERNATIONAL JOURNAL OF CARDIOLOGY
(2023)
Article
Agriculture, Dairy & Animal Science
Laura Nath, Andrew Stent, Adrian Elliott, Andre La Gerche, Samantha Franklin
Summary: Understanding the causes of racehorse deaths is crucial for addressing welfare concerns. Catastrophic musculoskeletal injuries account for 75% of fatalities during racing, while sudden cardiac death is responsible for the remaining 25%. Risk factors for sudden cardiac death include dying during training, fewer lifetime starts, and being a castrated male.
Review
Sport Sciences
Nicole M. Panhuyzen-Goedkoop, Andre L. M. Verbeek, Rene J. Goedkoop, Arjan Malekzadeh, Arthur A. M. Wilde, Ron J. G. Peters, Harald T. Jorstad
Summary: Through a systematic review of 33 articles, the methodological quality and quality of evidence on athlete screening were found to be suboptimal, and the efficacy of screening could not be reliably established. The prevalence of screen detected HRCC was very low and the false positive rate was high. Given the limitations of the evidence, individual recommendations need to be prudent.
SCANDINAVIAN JOURNAL OF MEDICINE & SCIENCE IN SPORTS
(2023)