How to conduct pre-participation screening in athletes

5 November 2018
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In the endeavours to optimize effects of sports participation and training, unfortunate side-effects should be minimized. Indeed, the devastating impact of cardiac arrest (CA) or sudden death (SD) in athletes has shocked societies and sports spectators all over the world. Preventive measures, specifically pre-participation screening have been advocated by the European Society of Cardioloy (ESC) and have subsequently been implemented in some sporting communities. The EAPC Sports Cardiology section answers below our key questions on pre-participation screening.

References

A comprehensive list of literature, dealing with various aspects of pre-participation screening, is found on the website of the EAPC Sports Cardiology Section.

In particular, we recommend:
Screening of young athletes <35 years old
1) Cardiovascular pre-participation screening of young competitive athletes for prevention of sudden death: proposal for a common European protocol.
Corrado D, Pelliccia A, Bjørnstad H, Vanhees L, Biffi A, Børjesson M, Panhuyzen-Goedkoop N, Deligiannis A, Solberg E, Dugmore D, Melwig KP, D Assanelli D, P Delise, F van-Buuren, A Anastasakis, H Heidbuchel, E Hoffmann, R Fagard, SG Priori, C Basso, E Arbustini, C Blostrom-Lundquist, W McKenna, G Thiene.
Eur Heart J 2005; 26: 516-524.

Evaluation of master athletes >35-40 years old
2) Cardiovascular evaluation of middle-aged/senior individuals engaged in leisure-time sport activities: position stand from the sections of exercise physiology and sports cardiology of the European Association of Cardiovascular Prevention and Rehabilitation.
Borjesson M, Urhausen A, Kouidi E, Dugmore D, Sharma S, Halle M, Heidbuchel,H., Bjornstad,H.H., Gielen,S., Mezzani,A., Corrado,D., Pelliccia,A., Vanhees,L.
Eur J Cardiovasc Prev Rehabil 2011; 18:446-58.

Effects of screening
3) Trends in sudden cardiovascular death in young competitive athletes after implementation of a preparticipation screening program.
Corrado D, Basso C, Pavei A, Michieli P, Schiavon M, Thiene G.
JAMA 2006; 296:1593-601.

Evaluation of athletes’ ECG
4) Recommendations for interpretation of 12-lead electrocardiogram in the athlete.
Corrado,D.; Pelliccia,A.; Heidbuchel,H.; Sharma,S.; Link,M.; Basso,C.; Biffi,A.; Buja,G.; Delise,P.; Gussac,I.; Anastasakis,A.; Borjesson,M.; Bjornstad,H.H.; Carre,F.; Deligiannis,A.; Dugmore,D.; Fagard,R.; Hoogsteen,J.; Mellwig,K.P.; Panhuyzen-Goedkoop,N.; Solberg,E.; Vanhees,L.; Drezner,J.; Estes,N.A.,III; Iliceto,S.; Maron,B.J.; Peidro,R.; Schwartz,P.J.; Stein,R.; Thiene,G.; Zeppilli,P.; McKenna,W.J.
Eur Heart J, 2010;31:243-59.

 

 

 

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