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Cardiac sports arena

Peter Kokkinos, Leonard A Kaminsky, Ross Arena, Jiajia Zhang, Jonathan Myers
Background To develop a clinically applicable equation derived from direct assessment of maximal oxygen uptake (VO2max ) to predict VO2max assessed indirectly during cycle ergometry. Design VO2max was assessed by open-circuit spirometry during a graded maximal exercise test using cycle ergometry. Multivariable linear regression analysis was applied to identify the most relevant variables and construct the best prediction model for VO2max using a random sample of 70% from each of the following age categories: <40, 40-50, 50-70 and >70 years; the remaining 30% was used for validation...
January 1, 2018: European Journal of Preventive Cardiology
Cesare DE Gregorio, Ludovico Magaudda
INTRODUCTION: Commotion cordis and cardiac injuries are rare events usually following a chest blunt trauma during sports activities. EVIDENCE ACQUISITION AND SYNTHESIS: Various aetiologies have been identified to cause electrical (commotion cordis) and/or structural (contusion and further injuries) damage, but high-velocity tools such as baseballs or hockey pucks (also called projectiles) have been chiefly identified. Clinical consequences are challenging, varying from uncomplicated supraventricular arrhythmias to cardiac wall rupture...
September 29, 2017: Journal of Sports Medicine and Physical Fitness
Patrick T Gleason, Jonathan H Kim
The benefits of regular and moderate exercise training on cardiovascular outcomes have been well established. In addition, strenuous exercise training leads to corollary cardiac structural and functional adaptations that are sport-specific and facilitate athletic performance. In this review, the normal physiologic and hemodynamic changes that occur during exercise and the subsequent differential exercise-induced cardiac remodeling patterns that develop will be discussed. Paradoxically, recent data have raised concern about the long-term impact of higher doses of physical activity and exercise on mortality and cardiovascular health outcomes...
September 14, 2017: Current Treatment Options in Cardiovascular Medicine
Siobhan Statuta, Dilaawar J Mistry, Robert W Battle
This article is a commentary on the role of sports cardiologists in the athletic arena and the beneficial impact they offer sports medicine in the comprehensive care of competitive athletes. The focus is a dialogue on current recommendations for primary prevention of sudden cardiac arrest (SCA), incorporating elements of the preparticipation evaluation and continuing care of athletes with diagnosed heart disease (HD). The feasibility and potential advantages of implementing well-designed preparticipation cardiovascular screening programs and the role of sports cardiologists to educate primary care team physicians on secondary prevention of SCA and proper treatment of underlying HD are discussed...
July 2015: Clinics in Sports Medicine
T Luiz, T Preisegger, D Rombach, C Madler
BACKGROUND: Provision of medical care is an important element of safety precautions for visitors of sports arenas. The organizational requirements are especially high if cardiac arrest occurs; how this scenario is managed may thus serve as the ultimate indicator of the quality of stadium medical care. The objectives of this study were to analyze the structures and the resources available for the medical care of spectators in German professional soccer stadiums and to identify the frequency and the primary resuscitation success of cardiac arrest...
September 2014: Der Anaesthesist
C Schmied, M Borjesson
A 'paradox of sport' is that in addition to the undisputed health benefits of physical activity, vigorous exertion may transiently increase the risk of acute cardiac events. In general, the risk of sudden cardiac death (SCD) approximately doubles during physical activity and is 2- to 3-fold higher in athletes compared to nonathletes. The incidence of SCD in young athletes is in fact very low, at around 1-3 per 100,000, but attracts much public attention. Variations in incidence figures may be explained by the methodology used for data collection and more importantly by differences between subpopulations of athletes...
February 2014: Journal of Internal Medicine
Brett Toresdahl, Ron Courson, Mats Börjesson, Sanjay Sharma, Jonathan Drezner
Medical providers at sporting events must be well-trained in the care of cardiac emergencies. Optimal outcomes are most likely achieved through comprehensive emergency planning that ensures prompt and appropriate care. The diversity of athletic venues, as well as the age and competition level of different athlete populations, present challenges to the provision of appropriate emergency care in sport. An efficient and coordinated medical response to cardiac emergencies requires an established emergency action plan, training of potential first responders in cardiopulmonary resuscitation and use of an automated external defibrillator, coordinating communication and transportation systems, and ensuring access to appropriate medical equipment and supplies...
November 2012: British Journal of Sports Medicine
Franco Giada, Maurizio Santomauro, Alessandro Biffi, Maurizio Casasco
Sports-related cardiovascular events may occur in both young athletes and the general population, the latter having a higher absolute risk. In mass gathering sports events, the availability of an onsite emergency response plan including early access to automated external defibrillators by trained lay rescuers has been shown to improve survival among spectators and staff with out-of-hospital cardiac arrest and to reduce subsequent neurological deficit. In addition, in athletes experiencing cardiac arrest, the implementation of public access defibrillation programs demonstrated a favorable mortality trend, with survival rates comparable to those observed in adult sedentary subjects...
October 2012: Giornale Italiano di Cardiologia
(no author information available yet)
OBJECTIVE: The objectives were to identify the components of a program to deliver early defibrillation that optimizes the effectiveness of automated external defibrillators (AEDs) in out-of-hospital and hospital settings, to determine whether AEDs are cost-effective, and if cost-effectiveness was determined, to advise on how they should be distributed in Ontario. CLINICAL NEED: Survival in people who have had a cardiac arrest is low, especially in out-of-hospital settings...
2005: Ontario Health Technology Assessment Series
Timir S Baman, Sanjaya Gupta, Sharlene M Day
CONTEXT: An athlete's health may be endangered if he or she continues to compete after diagnosis of certain cardiovascular conditions. The most worrisome risk is sudden cardiac death; the annual rate in US athletes is 1 in 50 000 to 200 000. EVIDENCE ACQUISITION: Part 2 of this review highlights the current guidelines and controversies surrounding compatibility of participation with a variety of cardiac conditions in competitive and recreational athletics. Data sources were limited to peer-reviewed publications from 1984 to the April 2009...
January 2010: Sports Health
Mats Borjesson, Luis Serratosa, Francois Carre, Domenico Corrado, Jonathan Drezner, Dorian L Dugmore, Hein H Heidbuchel, Klaus-Peter Mellwig, Nicole M Panhuyzen-Goedkoop, Michael Papadakis, Hanne Rasmusen, Sanjay Sharma, Erik E Solberg, Frank van Buuren, Antonio Pelliccia
Mass gathering events in sports arenas create challenges regarding the cardiovascular safety of both athletes and spectators. A comprehensive medical action plan, to ensure properly applied cardiopulmonary resuscitation, and wide availability and use of automated external defibrillators (AEDs), is essential to improving survival from sudden cardiac arrest at sporting events. This paper outlines minimum standards for cardiovascular care to assist in the planning of mass gathering sports events across Europe with the intention of local adaptation at individual sports arenas, to ensure the full implementation of the chain of survival...
September 2011: European Heart Journal
Mats Borjesson, Dorian Dugmore, Klaus-Peter Mellwig, Frank van Buuren, Luis Serratosa, Erik E Solberg, Antonio Pelliccia
No abstract text is available yet for this article.
June 2010: European Heart Journal
Dirk Fritzsche, Andreas Fruend, Sören Schenk, Klaus-Peter Mellwig, Heinz Kleinöder, Jan Gummert, Dieter Horstkotte
BACKGROUND: Current guidelines concerning the treatment of patients with chronic congestive heart failure (CHF) include ergospirometry-directed dynamic exercises on a daily basis. Several prospective, randomized trials have confirmed its positive influence on clinical symptoms and prognosis of the disease. Patients with stable coronary artery disease (CAD) can benefit from a 27% reduction of mortality, as shown in meta-analyses of several studies. By contrast, patients with CHF have traditionally been discouraged from physical activities, which may have had detrimental consequences...
January 2010: Herz
J D Cantwell
At first glance, the idea of having automatic external defibrillators (AEDs) at sports events may seem curious, since spectator sports are the domain of young, healthy athletes. Yet athletes are not entirely free of cardiac risk. More important, there are many other people at sports events (officials, coaches, fans) who are at risk for cardiac arrest. In just one example, baseball umpire John McSherry suffered a fatal heart attack before a national TV audience during the Cincinnati Reds' home opener in April 1996...
December 1998: Physician and Sportsmedicine
Marco Guazzi, Ross Arena, Aniello Ascione, Massimo Piepoli, Maurizio D Guazzi
BACKGROUND: Increased slope of exercise ventilation to carbon dioxide production (VE/VCO2) is an established prognosticator in patients with heart failure. Recently, the occurrence of exercise oscillatory breathing (EOB) has emerged as an additional strong indicator of survival. OBJECTIVE: The aim of this study is to define the respective prognostic significance of these variables and whether excess risk may be identified when either respiratory disorder is present...
May 2007: American Heart Journal
H-J Trappe, M Nesslinger, O M Schrage, H Wissuwa, H-J Becker
The use of automated external defibrillator (AED) by persons other than paramedics and emergency medical technicians is advocated by several US- and European organizations. However, at the present time it is still unclear to identify public places with a high incidence of out-of-hospital cardiac arrest. There are few data on the potential impact of public access defibrillators on survival after out-of-hospital cardiac arrest in sporting arenas or water parks. Therefore, we studied prospectively incidence of out-of-hospital cardiac arrest in the LAGO-die Therme in Herne...
June 2005: Herzschrittmachertherapie & Elektrophysiologie
Tracy M Motyka, James E Winslow, Kelly Newton, Jane H Brice
OBJECTIVES: A method for determining the number of automatic external defibrillators (AEDs) required for a 3-min response at mass gatherings has been described previously. Our study sought to modify the method, replicate it, then validate the results. METHODS: Emergency medical technicians (EMTs) were timed walking defined courses in a football stadium. Velocities were obtained for a horizontal distance and ascending/descending upper and lower decks. This was replicated in a basketball arena...
June 2005: Resuscitation
S Dwayne Roberts, Marianne Mustafa, Marc Penrod, Donny N Bills
The increasing use of automated external defibrillators (AEDs), coupled with methods to improve cardiopulmonary resuscitation and implementation of early defibrillation, have significantly improved survival from sudden cardiac death (SCD) in the prehospital setting. This article reviews the evidence and principles of management of SCD in the sports setting. It is noted that ventricular fibrillation is the most common arrhythmia causing SCD in athletes. When it occurs, survival is reduced by 7% to 10% per minute pending defibrillation...
June 2002: Current Sports Medicine Reports
J M Kyle, J Leaman, G A Elkins
Fatalities during sports participation are usually cardiac in origin. Sudden Cardiac Arrest (SCA) from ventricular fibrillation has been reported in several sporting venues over the last decade. Successful treatment of stadium SCA requires a rapid response team equipped with defibrillator capabilities. The use of automated external defibrillators (AED) by responders in sports arenas is critical to help prevent catastrophic scholastic athlete and spectator cases of unexpected sudden cardiac death.
September 1999: West Virginia Medical Journal
R E Alexander
BACKGROUND: More than 350,000 adult Americans die each year of sudden cardiac arrest, or SCA. The event is unpredictable and can occur in patients with no history of cardiac disease or cardiac symptoms. Drugs and cardiopulmonary resuscitation, or CPR, save only a small percentage of victims. The necessary response is rapid application of electrical shock, and the chances of success are reduced 10 percent for every minute of delay. TYPES OF STUDIES REVIEWED: The author reviewed the literature on resuscitation of people who have undergone SCA, and examined the emerging technology of automated external defibrillators, or AEDs, for correcting cardiac ventricular fibrillation...
June 1999: Journal of the American Dental Association
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