Outcomes of Cardiac Screening in Adolescent Soccer Players
| Autor: | Michael Papadakis, Graham Stuart, Paul Clift, Harshil Dhutia, D R Ramsdale, Sabiha Gati, Aneil Malhotra, Dhrubo Rakhit, Kiran Patel, Zaheer Yousef, Leonard M. Shapiro, Ian Beasley, Guido E Pieles, Amanda Varnava, John Somauroo, Charlotte Cowie, Jamil Mayet, John R. Walsh, Gherardo Finocchiaro, David Oxborough, Maite Tome, Antoinette Kenny, Sanjay Sharma |
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| Rok vydání: | 2018 |
| Předmět: |
Male
Pediatrics Cardiomyopathy Autopsy 030204 cardiovascular system & hematology Sudden cardiac death RC1200 CARDIOVASCULAR-ABNORMALITIES Electrocardiography 0302 clinical medicine AMERICAN-HEART-ASSOCIATION Cause of Death Mass Screening 030212 general & internal medicine Cause of death biology HIGH-SCHOOL Incidence (epidemiology) Incidence General Medicine 11 Medical And Health Sciences BINDING PROTEIN-C Echocardiography Cohort cardiovascular system Female Cardiomyopathies Life Sciences & Biomedicine Heart Defects Congenital medicine.medical_specialty Adolescent Heart Diseases DISQUALIFICATION RECOMMENDATIONS 03 medical and health sciences Medicine General & Internal SUDDEN-DEATH LEFT-VENTRICULAR HYPERTROPHY General & Internal Medicine Soccer medicine Humans Diagnostic Errors Physical Examination Mass screening Science & Technology business.industry Athletes COLLEGE-OF-CARDIOLOGY medicine.disease biology.organism_classification United Kingdom SCIENTIFIC STATEMENT Death Sudden Cardiac business TASK-FORCE |
| Zdroj: | The New England journal of medicine. 379(6) |
| ISSN: | 1533-4406 |
| Popis: | BACKGROUND: Reports on the incidence and causes of sudden cardiac death among young athletes have relied largely on estimated rates of participation and varied methods of reporting. We sought to investigate the incidence and causes of sudden cardiac death among adolescent soccer players in the United Kingdom. METHODS: From 1996 through 2016, we screened 11,168 adolescent athletes with a mean (±SD) age of 16.4±1.2 years (95% of whom were male) in the English Football Association (FA) cardiac screening program, which consisted of a health questionnaire, physical examination, electrocardiography, and echocardiography. The FA registry was interrogated to identify sudden cardiac deaths, which were confirmed with autopsy reports. RESULTS: During screening, 42 athletes (0.38%) were found to have cardiac disorders that are associated with sudden cardiac death. A further 225 athletes (2%) with congenital or valvular abnormalities were identified. After screening, there were 23 deaths from any cause, of which 8 (35%) were sudden deaths attributed to cardiac disease. Cardiomyopathy accounted for 7 of 8 sudden cardiac deaths (88%). Six athletes (75%) with sudden cardiac death had had normal cardiac screening results. The mean time between screening and sudden cardiac death was 6.8 years. On the basis of a total of 118,351 person-years, the incidence of sudden cardiac death among previously screened adolescent soccer players was 1 per 14,794 person-years (6.8 per 100,000 athletes). CONCLUSIONS: Diseases that are associated with sudden cardiac death were identified in 0.38% of adolescent soccer players in a cohort that underwent cardiovascular screening. The incidence of sudden cardiac death was 1 per 14,794 person-years, or 6.8 per 100,000 athletes; most of these deaths were due to cardiomyopathies that had not been detected on screening. (Funded by the English Football Association and others.). |
| Databáze: | OpenAIRE |
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