Document Detail

Acute cardiac emergencies in the injured athlete.
MedLine Citation:
PMID:  2663180     Owner:  NLM     Status:  MEDLINE    
In the previous discussion, emphasis has been placed on the detection of cardiac disorders that might lead to sudden death. Cardiac crises result from congenital structural defects in athletes aged 35 years or younger, and from acquired diseases in older individuals. Detection implies preparticipation screening, which, in order to be effective, requires considerable financial resources impractical for community-wide athletic programs. In young asymptomatic individuals, the prevalence of congenital heart disease is estimated at 0.5 per cent. Perhaps 1 per cent of these athletes has congenital lesions that could potentially result in sudden death and of these, only 10 per cent will, indeed, die suddenly. Identification of a group of 1000 athletes who have congenital cardiovascular disease of whom perhaps only one will die suddenly requires screening of 200,000 competitors. It is rather unlikely that any community would consider this type of undertaking economically feasible, especially considering that the most useful test for the younger age group, the echocardiogram, is also one of the most expensive. Noninvasive screening on an individual basis, in most instances, will identify those athletes at risk for sudden death if appropriate financial resources can be applied. History and physical examination, chest roentgenogram, 12-lead electrocardiogram, echocardiography, and exercise stress testing are useful tools in the recognition of those conditions associated with acute cardiac emergencies.
J E Frazier
Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Clinics in sports medicine     Volume:  8     ISSN:  0278-5919     ISO Abbreviation:  Clin Sports Med     Publication Date:  1989 Jan 
Date Detail:
Created Date:  1989-08-25     Completed Date:  1989-08-25     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  8112473     Medline TA:  Clin Sports Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  81-90     Citation Subset:  IM    
Division of Cardiology, Allegheny General Hospital, Pittsburgh, Pennsylvania.
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MeSH Terms
Acute Disease
Athletic Injuries*
Heart Diseases* / diagnosis,  therapy

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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