Journal
EUROPEAN JOURNAL OF PREVENTIVE CARDIOLOGY
Volume 23, Issue 6, Pages 657-667Publisher
SAGE PUBLICATIONS LTD
DOI: 10.1177/2047487315599891
Keywords
Sudden cardiac death; sudden cardiac arrest; sports; exercise; registry; athletes
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Funding
- Laerdal Foundation for Acute medicine
- National Institute for Health Research [CL-2011-16-501] Funding Source: researchfish
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There are large variations in the incidence, registration methods and reported causes of sudden cardiac arrest/sudden cardiac death (SCA/SCD) in competitive and recreational athletes. A crucial question is to which degree these variations are genuine or partly due to methodological incongruities. This paper discusses the uncertainties about available data and provides comprehensive suggestions for standard definitions and a guide for uniform registration parameters of SCA/SCD. The parameters include a definition of what constitutes an athlete', incidence calculations, enrolment of cases, the importance of gender, ethnicity and age of the athlete, as well as the type and level of sporting activity. A precise instruction for autopsy practice in the case of a SCD of athletes is given, including the role of molecular samples and evaluation of possible doping. Rational decisions about cardiac preparticipation screening and cardiac safety at sport facilities requires increased data quality concerning incidence, aetiology and management of SCA/SCD in sports. Uniform standard registration of SCA/SCD in athletes and leisure sportsmen would be a first step towards this goal.
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