Document Detail

Sudden cardiac death in young athletes: time for a Nordic approach in screening?
MedLine Citation:
PMID:  18248545     Owner:  NLM     Status:  MEDLINE    
In 2005, the European Society of Cardiology published recommendations for cardiovascular screening in athletes. Discussion on whether screening is beneficial is ongoing. Recently, the first prospective results on effectiveness of screening in preventing sudden deaths were published from Italy. The results were supportive of screening, but did not provide conclusive evidence. Our suggestion for a Nordic approach on this issue is a directed cardiovascular examination initially involving elite athletes, because this is feasible with respect to the Nordic health care systems and the organization and logistics of elite competitive sports, but also because of the negative aspects of screening large populations. This directed cardiovascular examination would include personal and family history, clinical examination, and electrocardiography (ECG). Further examinations should thereafter be carried out in athletes with suggestive findings in the initial evaluation. The directed cardiovascular examination should be voluntary. It should be conducted at least once, with information on alarming symptoms (syncope, chest pain or dizziness during exercise) and heredity (sudden cardiac death or hereditary heart disease in near relatives) stressed to the athlete as indications for necessary check-ups in the future. The examination would also provide the athlete with an ECG recording, which is valuable as a reference at a later time.
M Hernelahti; O J Heinonen; J Karjalainen; E Nylander; M Börjesson
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Publication Detail:
Type:  Journal Article; Review     Date:  2008-02-02
Journal Detail:
Title:  Scandinavian journal of medicine & science in sports     Volume:  18     ISSN:  0905-7188     ISO Abbreviation:  Scand J Med Sci Sports     Publication Date:  2008 Apr 
Date Detail:
Created Date:  2008-03-27     Completed Date:  2008-09-16     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9111504     Medline TA:  Scand J Med Sci Sports     Country:  Denmark    
Other Details:
Languages:  eng     Pagination:  132-9     Citation Subset:  IM    
Department of Physiology, Paavo Nurmi Centre, Sports and Exercise Medicine Unit, University of Turku, Turku, Finland.
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MeSH Terms
Cardiovascular Diseases / diagnosis
Death, Sudden, Cardiac / epidemiology,  prevention & control*
Europe / epidemiology
Mass Screening / methods*

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