keyword
https://read.qxmd.com/read/35110475/successful-management-of-a-young-athlete-with-type-2-long-qt-syndrome-by-genotype-specific-risk-stratification-and-bridging-therapy-with-a-wearable-cardioverter-defibrillator-a-case-report
#21
JOURNAL ARTICLE
Katsumi Kojima, Koichi Kato, Yusuke Fujii, Yusuke Okuyama, Seiko Ohno, Tomoya Ozawa, Minoru Horie, Yoshihisa Nakagawa
We herein report a 14-year-old boy with repetitive nocturnal syncope related to medication-refractory long QT syndrome (LQTS). Although the use of an implantable cardioverter-defibrillator (ICD) was inevitable to prevent sudden cardiac death, he refused immediate implantation in order to play in a baseball competition six weeks away. Given his genetic diagnosis of type 2 LQTS, which is associated with cardiac events unrelated to exercise, we prescribed a wearable cardioverter-defibrillator (WCD) to be donned at night, without limiting his exercise participation...
February 1, 2022: Internal Medicine
https://read.qxmd.com/read/34846970/direct-reimplantation-procedure-in-anomalous-aortic-origin-of-the-right-coronary-artery-long-term-single-center-outcomes
#22
JOURNAL ARTICLE
Daouda Amadou, Julia Mitchell, Christian Bulescu, Olivier Metton, Roland Henaine, Jean Ninet
BACKGROUND: Anomalous aortic origin of the right coronary artery is known to be a cause of sudden cardiac death in athletes. There are no specific guidelines concerning treatment strategy in the literature. The aim of this study is to describe and report our experience of direct reimplantation technique in the treatment of this anomaly. METHODS: This was a retrospective single center study of 30 patients who underwent surgery in the congenital heart disease unit of Louis Pradel Heart and Lung Hospital between January 2003 and December 2016...
November 2021: World Journal for Pediatric & Congenital Heart Surgery
https://read.qxmd.com/read/34829491/multidisciplinary-in-depth-investigation-in-a-young-athlete-suffering-from-syncope-caused-by-myocardial-bridge
#23
Mariarita Brancaccio, Cristina Mennitti, Arturo Cesaro, Emanuele Monda, Valeria D'Argenio, Giorgio Casaburi, Cristina Mazzaccara, Annaluisa Ranieri, Fabio Fimiani, Ferdinando Barretta, Fabiana Uomo, Martina Caiazza, Michele Lioncino, Giovanni D'Alicandro, Giuseppe Limongelli, Paolo Calabrò, Daniela Terracciano, Barbara Lombardo, Giulia Frisso, Olga Scudiero
Laboratory medicine, along with genetic investigations in sports medicine, is taking on an increasingly important role in monitoring athletes' health conditions. Acute or intense exercise can result in metabolic imbalances, muscle injuries or reveal cardiovascular disorders. This study aimed to monitor the health status of a basketball player with an integrated approach, including biochemical and genetic investigations and advanced imaging techniques, to shed light on the causes of recurrent syncope he experienced during exercise...
November 19, 2021: Diagnostics
https://read.qxmd.com/read/34796795/2021-paces-expert-consensus-statement-on-the-indications-and-management-of-cardiovascular-implantable-electronic-devices-in-pediatric-patients-executive-summary
#24
JOURNAL ARTICLE
Michael J Silka, Maully J Shah, Jennifer N Avari Silva, Seshadri Balaji, Cheyenne M Beach, Monica N Benjamin, Charles I Berul, Bryan Cannon, Frank Cecchin, Mitchell I Cohen, Aarti S Dalal, Brynn E Dechert, Anne Foster, Roman Gebauer, M Cecilia Gonzalez Corcia, Prince J Kannakeril, Peter P Karpawich, Jeffery J Kim, Mani Ram Krishna, Peter Kubuš, Martin J LaPage, Douglas Y Mah, Lindsey Malloy-Walton, Aya Miyazaki, Kara S Motonaga, Mary C Niu, Melissa Olen, Thomas Paul, Eric Rosenthal, Elizabeth V Saarel, Massimo Stefano Silvetti, Elizabeth A Stephenson, Reina B Tan, John Triedman, Nicholas H Von Bergen, Philip L Wackel
No abstract text is available yet for this article.
November 2021: Cardiology in the Young
https://read.qxmd.com/read/34794667/2021-paces-expert-consensus-statement-on-the-indications-and-management-of-cardiovascular-implantable-electronic-devices-in-pediatric-patients-developed-in-collaboration-with-and-endorsed-by-the-heart-rhythm-society-hrs-the-american-college-of-cardiology-acc
#25
Maully J Shah, Michael J Silka, Jennifer N Avari Silva, Seshadri Balaji, Cheyenne M Beach, Monica N Benjamin, Charles I Berul, Bryan Cannon, Frank Cecchin, Mitchell I Cohen, Aarti S Dalal, Brynn E Dechert, Anne Foster, Roman Gebauer, M Cecilia Gonzalez Corcia, Prince J Kannankeril, Peter P Karpawich, Jeffery J Kim, Mani Ram Krishna, Peter Kubuš, Martin J LaPage, Douglas Y Mah, Lindsey Malloy-Walton, Aya Miyazaki, Kara S Motonaga, Mary C Niu, Melissa Olen, Thomas Paul, Eric Rosenthal, Elizabeth V Saarel, Massimo Stefano Silvetti, Elizabeth A Stephenson, Reina B Tan, John Triedman, Nicholas H Von Bergen, Philip L Wackel
In view of the increasing complexity of both cardiovascular implantable electronic devices (CIEDs) and patients in the current era, practice guidelines, by necessity, have become increasingly specific. This document is an expert consensus statement that has been developed to update and further delineate indications and management of CIEDs in pediatric patients, defined as ≤21 years of age, and is intended to focus primarily on the indications for CIEDs in the setting of specific disease categories. The document also highlights variations between previously published adult and pediatric CIED recommendations and provides rationale for underlying important differences...
November 2021: JACC. Clinical Electrophysiology
https://read.qxmd.com/read/34794618/comparison-of-outcomes-of-catheter-ablation-in-asymptomatic-versus-symptomatic-preexcitation-to-guidelines-and-beyond
#26
COMPARATIVE STUDY
José M Rubio Campal, Ángel Miracle Blanco, Loreto Bravo Calero, Carla Lázaro Rivera, Camila Sofía García-Talavera, Abel Castellanos Olmedilla, José Tuñón Fernández
Management of asymptomatic subjects with preexcitation remains controversial. Our objective was to analyze the reasons an electrophysiological study (EPS) was performed in an asymptomatic population referred for the procedure, and compare the results of catheter ablation between asymptomatic and symptomatic patients. Patients ≥18 years of age with preexcitation referred for an EPS and ablation were grouped as either symptomatic or asymptomatic. We analyzed in both subsets for (1) reasons for the procedure, (2) EPS results (anterograde effective refractory period of the accessory pathway, tachycardia/atrial fibrillation inducibility, anatomical localization), (3) success of the procedure, and (4) incidence of complications...
December 15, 2021: American Journal of Cardiology
https://read.qxmd.com/read/34719841/sudden-cardiac-death-related-to-physical-exercise-in-the-young-a-nationwide-cohort-study-of-australia
#27
JOURNAL ARTICLE
Francis J Ha, Hui-Chen Han, Prashanthan Sanders, Andre La Gerche, Andrew W Teh, Omar Farouque, Han S Lim
BACKGROUND: Sudden cardiac death (SCD) during physical exercise is devastating. AIMS: To evaluate causes and circumstances of exercise-related SCD in the young in Australia. METHODS: We reviewed the National Coronial Information System database for deaths in Australia relating to cardiovascular disease in cases aged 10-35 years between 2000 and 2016. Cases who had undertaken physical exercise at the time of the event were included. We collected demographics, circumstances of death, type of physical exercise, bystander cardiopulmonary resuscitation (CPR) and automated external defibrillator (AED) use prior to ambulance arrival...
October 31, 2021: Internal Medicine Journal
https://read.qxmd.com/read/34568503/factors-affecting-incidence-rate-of-exertional-heat-illnesses-analysis-of-6-years-of-high-school-football-practices-in-north-central-florida
#28
JOURNAL ARTICLE
Brady L Tripp, Zachary K Winkelmann, Lindsey E Eberman, Michael Seth Smith
Background: Although experts have advocated for regionally specific heat safety guidelines for decades, guidelines have not been universally adopted. Purpose: To describe the rate and risk factors associated with exertional heat illness (EHI). Study Design: Descriptive epidemiology study. Methods: For a 3-month period (August-October) over 6 years (2013-2018), athletic trainers at 13 high schools in North Central Florida recorded varsity football practice time and length, wet-bulb globe temperature (WBGT), and incidences of EHI, including heat stroke, heat exhaustion, and heat syncope...
September 2021: Orthopaedic Journal of Sports Medicine
https://read.qxmd.com/read/34536590/ventricular-arrhythmias-in-athletes-role-of-a-comprehensive-diagnostic-workup
#29
JOURNAL ARTICLE
Antonio Dello Russo, Paolo Compagnucci, Michela Casella, Alessio Gasperetti, Stefania Riva, Maria Antonietta Dessanai, Francesca Pizzamiglio, Valentina Catto, Federico Guerra, Giulia Stronati, Daniele Andreini, Gianluca Pontone, Alice Bonomi, Stefania Rizzo, Luigi Di Biase, Alessandro Capucci, Andrea Natale, Cristina Basso, Cesare Fiorentini, Paolo Zeppilli, Claudio Tondo
BACKGROUND: Ventricular arrhythmias (VAs) represent a critical issue with regard to sports eligibility assessment in athletes. The ideal diagnostic evaluation of competitive and leisure-time athletes with complex VAs has not been clearly defined. OBJECTIVE: The purpose of this study was to assess the clinical implications of invasive electrophysiological assessments and endomyocardial biopsy (EMB) among athletes with VAs. METHODS: We evaluated 227 consecutive athletes who presented to our institutions after being disqualified from participating in sports because of VAs...
September 15, 2021: Heart Rhythm: the Official Journal of the Heart Rhythm Society
https://read.qxmd.com/read/34524192/a-video-enhanced-electronic-modality-for-preparticipation-examination-of-young-athletes
#30
JOURNAL ARTICLE
Gary Parizher, Dermot M Phelan, Colby Ayers, Russell Goodwin, Benjamin D Levine
We developed a video-enhanced preparticipation evaluation symptom questionnaire (the V-PPE), intended to help screen athletes for heart disease. We now report results of a pilot quality improvement study evaluating V-PPE's performance. In a prospective before-and-after study, approximately 5700 high-school athletes were prompted to voluntarily fill out the V-PPE questionnaire. We compared symptom frequencies on standard PPE to those on V-PPE. Of 5700 athletes, 46 (0.8%), 117 (2.0%), 33 (0.6%), and 101 (1.8%) reported syncope, angina, palpitations, and dyspnea, respectively on routine screening...
September 1, 2021: Current Sports Medicine Reports
https://read.qxmd.com/read/34458167/fatal-sickling-associated-microvascular-occlusive-crisis-in-a-young-with-sickle-cell-trait
#31
Deepti Mutreja, Benjith Paul K, Tilak Tvsvgk
Sickle cell trait (SCT), a heterozygous state characterized by hemoglobin AS, occurs commonly in sub-Saharan Africa, South America, Central America, India, and the Mediterranean countries. SCT is compatible with a normal lifespan and is not commonly regarded as a cause of morbid illness or death compared to its homozygous counterpart. We describe a case of fatal sickling-associated microvascular crisis, identified on post mortem evaluation in a previously undiagnosed 21-year-old military recruit with sickle cell trait...
2021: Autopsy & Case Reports
https://read.qxmd.com/read/34446650/rare-cause-of-syncope-in-an-athlete-matter-of-brain-and-heart-electricity
#32
JOURNAL ARTICLE
Dalya Navot-Mintzer, Dana Ekstein, Eyal Nof, Rami Fogelman, Roy Beinart, Asaf Honig, Naama Constantini
A 17-year-old elite triathlete presented with recurrent loss of consciousness events. Implantable loop recorder (ILR) documented sinus node asystoles of up to 21 seconds. She underwent cardiac neuromodulation ablation. After ablation, a generalized tonic-clonic seizure (GTCS) occurred, without concomitant asystole on the ILR. Temporal lobe seizures were diagnosed and supported by interictal epileptic activity on electroencephalogram. We assumed that the syncope episodes were ictal asystole (IA) and that the IA terminated the epileptic seizures early after their onset...
January 1, 2022: Clinical Journal of Sport Medicine
https://read.qxmd.com/read/34421654/association-between-arterial-oxygen-saturation-and-lung-ultrasound-b-lines-after-competitive-deep-breath-hold-diving
#33
JOURNAL ARTICLE
Alexander Patrician, Frank Pernett, Angelica Lodin-Sundström, Erika Schagatay
Breath-hold diving (freediving) is an underwater sport that is associated with elevated hydrostatic pressure, which has a compressive effect on the lungs that can lead to the development of pulmonary edema. Pulmonary edema reduces oxygen uptake and thereby the recovery from the hypoxia developed during freediving, and increases the risk of hypoxic syncope. We aimed to examine the efficacy of SpO2 , via pulse-oximetry, as a tool to detect pulmonary edema by comparing it to lung ultrasound B-line measurements after deep diving...
2021: Frontiers in Physiology
https://read.qxmd.com/read/34379354/high-risk-features-and-predictors-of-unexplained-syncope-in-the-young-scd-sos-cohort
#34
JOURNAL ARTICLE
Mafalda Carrington, João Pais, Diogo Brás, Antonio Creta, Rogério Teixeira, Lino Gonçalves, Rui Providência
INTRODUCTION: The Sudden Cardiac Death-Screening of Risk FactOrS survey included a 12-lead electrocardiogram (ECG) plus a digital-based questionnaire and aimed to screen for warning signs of diseases that may course with sudden cardiac death in children and young adults. We aimed to estimate the prevalence of unexplained syncope (US) and characterize its high-risk features and predictors in this cohort. METHODS AND RESULTS: We determined the most probable etiology of transient loss of consciousness (TLOC) episodes based on clinical criteria...
October 2021: Journal of Cardiovascular Electrophysiology
https://read.qxmd.com/read/34363988/2021-paces-expert-consensus-statement-on-the-indications-and-management-of-cardiovascular-implantable-electronic-devices-in-pediatric-patients
#35
JOURNAL ARTICLE
Maully J Shah, Michael J Silka, Jennifer N Avari Silva, Seshadri Balaji, Cheyenne M Beach, Monica N Benjamin, Charles I Berul, Bryan Cannon, Frank Cecchin, Mitchell I Cohen, Aarti S Dalal, Brynn E Dechert, Anne Foster, Roman Gebauer, M Cecilia Gonzalez Corcia, Prince J Kannankeril, Peter P Karpawich, Jeffery J Kim, Mani Ram Krishna, Peter Kubuš, Martin J LaPage, Douglas Y Mah, Lindsey Malloy-Walton, Aya Miyazaki, Kara S Motonaga, Mary C Niu, Melissa Olen, Thomas Paul, Eric Rosenthal, Elizabeth V Saarel, Massimo Stefano Silvetti, Elizabeth A Stephenson, Reina B Tan, John Triedman, Nicholas H Von Bergen, Philip L Wackel
In view of the increasing complexity of both cardiovascular implantable electronic devices (CIEDs) and patients in the current era, practice guidelines, by necessity, have become increasingly specific. This document is an expert consensus statement that has been developed to update and further delineate indications and management of CIEDs in pediatric patients, defined as ≤21 years of age, and is intended to focus primarily on the indications for CIEDs in the setting of specific disease categories. The document also highlights variations between previously published adult and pediatric CIED recommendations and provides rationale for underlying important differences...
November 2021: Heart Rhythm: the Official Journal of the Heart Rhythm Society
https://read.qxmd.com/read/34363987/2021-paces-expert-consensus-statement-on-the-indications-and-management-of-cardiovascular-implantable-electronic-devices-in-pediatric-patients-executive-summary
#36
COMMENT
Michael J Silka, Maully J Shah, Jennifer N Avari Silva, Seshadri Balaji, Cheyenne M Beach, Monica N Benjamin, Charles I Berul, Bryan Cannon, Frank Cecchin, Mitchell I Cohen, Aarti S Dalal, Brynn E Dechert, Anne Foster, Roman Gebauer, M Cecilia Gonzalez Corcia, Prince J Kannankeril, Peter P Karpawich, Jeffery J Kim, Mani Ram Krishna, Peter Kubuš, Martin J LaPage, Douglas Y Mah, Lindsey Malloy-Walton, Aya Miyazaki, Kara S Motonaga, Mary C Niu, Melissa Olen, Thomas Paul, Eric Rosenthal, Elizabeth V Saarel, Massimo Stefano Silvetti, Elizabeth A Stephenson, Reina B Tan, John Triedman, Nicholas H Von Bergen, Philip L Wackel
No abstract text is available yet for this article.
November 2021: Heart Rhythm: the Official Journal of the Heart Rhythm Society
https://read.qxmd.com/read/34338183/2021-paces-expert-consensus-statement-on-the-indications-and-management-of-cardiovascular-implantable-electronic-devices-in-pediatric-patients
#37
JOURNAL ARTICLE
Maully J Shah, Michael J Silka, Jennifer N Avari Silva, Seshadri Balaji, Cheyenne M Beach, Monica N Benjamin, Charles I Berul, Bryan Cannon, Frank Cecchin, Mitchell I Cohen, Aarti S Dalal, Brynn E Dechert, Anne Foster, Roman Gebauer, M Cecilia Gonzalez Corcia, Prince J Kannankeril, Peter P Karpawich, Jeffery J Kim, Mani Ram Krishna, Peter Kubuš, Martin J LaPage, Douglas Y Mah, Lindsey Malloy-Walton, Aya Miyazaki, Kara S Motonaga, Mary C Niu, Melissa Olen, Thomas Paul, Eric Rosenthal, Elizabeth V Saarel, Massimo Stefano Silvetti, Elizabeth A Stephenson, Reina B Tan, John Triedman, Nicholas H Von Bergen, Philip L Wackel
In view of the increasing complexity of both cardiovascular implantable electronic devices (CIEDs) and patients in the current era, practice guidelines, by necessity, have become increasingly specific. This document is an expert consensus statement that has been developed to update and further delineate indications and management of CIEDs in pediatric patients, defined as ≤21 years of age, and is intended to focus primarily on the indications for CIEDs in the setting of specific disease categories. The document also highlights variations between previously published adult and pediatric CIED recommendations and provides rationale for underlying important differences...
November 2021: Cardiology in the Young
https://read.qxmd.com/read/34333142/2021-paces-expert-consensus-statement-on-the-indications-and-management-of-cardiovascular-implantable-electronic-devices-in-pediatric-patients-executive-summary
#38
JOURNAL ARTICLE
Michael J Silka, Maully J Shah, Jennifer N Avari Silva, Seshadri Balaji, Cheyenne M Beach, Monica N Benjamin, Charles I Berul, Bryan Cannon, Frank Cecchin, Mitchell I Cohen, Aarti S Dalal, Brynn E Dechert, Anne Foster, Roman Gebauer, M Cecilia Gonzalez Corcia, Prince J Kannankeril, Peter P Karpawich, Jeffery J Kim, Mani Ram Krishna, Peter Kubuš, Martin J LaPage, Douglas Y Mah, Lindsey Malloy-Walton, Aya Miyazaki, Kara S Motonaga, Mary C Niu, Melissa Olen, Thomas Paul, Eric Rosenthal, Elizabeth V Saarel, Massimo Stefano Silvetti, Elizabeth A Stephenson, Reina B Tan, John Triedman, Nicholas H Von Bergen, Philip L Wackel
Guidelines for the implantation of cardiac implantable electronic devices (CIEDs) have evolved since publication of the initial ACC/AHA pacemaker guidelines in 1984 [1]. CIEDs have evolved to include novel forms of cardiac pacing, the development of implantable cardioverter defibrillators (ICDs) and the introduction of devices for long term monitoring of heart rhythm and other physiologic parameters. In view of the increasing complexity of both devices and patients, practice guidelines, by necessity, have become increasingly specific...
2021: Indian Pacing and Electrophysiology Journal
https://read.qxmd.com/read/34333141/2021-paces-expert-consensus-statement-on-the-indications-and-management-of-cardiovascular-implantable-electronic-devices-in-pediatric-patients
#39
JOURNAL ARTICLE
Maully J Shah, Michael J Silka, Jennifer N Avari Silva, Seshadri Balaji, Cheyenne M Beach, Monica N Benjamin, Charles I Berul, Bryan Cannon, Frank Cecchin, Mitchell I Cohen, Aarti S Dalal, Brynn E Dechert, Anne Foster, Roman Gebauer, M Cecilia Gonzalez Corcia, Prince J Kannankeril, Peter P Karpawich, Jeffery J Kim, Mani Ram Krishna, Peter Kubuš, Martin J LaPage, Douglas Y Mah, Lindsey Malloy-Walton, Aya Miyazaki, Kara S Motonaga, Mary C Niu, Melissa Olen, Thomas Paul, Eric Rosenthal, Elizabeth V Saarel, Massimo Stefano Silvetti, Elizabeth A Stephenson, Reina B Tan, John Triedman, Nicholas H Von Bergen, Philip L Wackel
In view of the increasing complexity of both cardiovascular implantable electronic devices (CIEDs) and patients in the current era, practice guidelines, by necessity, have become increasingly specific. This document is an expert consensus statement that has been developed to update and further delineate indications and management of CIEDs in pediatric patients, defined as ≤21 years of age, and is intended to focus primarily on the indications for CIEDs in the setting of specific disease categories. The document also highlights variations between previously published adult and pediatric CIED recommendations and provides rationale for underlying important differences...
November 2021: Indian Pacing and Electrophysiology Journal
https://read.qxmd.com/read/34079934/post-exercise-body-cooling-skin-blood-flow-venous-pooling-and-orthostatic-intolerance
#40
REVIEW
Afton D Seeley, Gabrielle E W Giersch, Nisha Charkoudian
Athletes and certain occupations (e.g., military, firefighters) must navigate unique heat challenges as they perform physical tasks during prolonged heat stress, at times while wearing protective clothing that hinders heat dissipation. Such environments and activities elicit physiological adjustments that prioritize thermoregulatory skin perfusion at the expense of arterial blood pressure and may result in decreases in cerebral blood flow. High levels of skin blood flow combined with an upright body position augment venous pooling and transcapillary fluid shifts in the lower extremities...
2021: Frontiers in sports and active living
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