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https://www.readbyqxmd.com/read/27910804/sudden-cardiac-death-a-nationwide-cohort-study-among-the-young
#1
Bjarke Risgaard
Sudden cardiac death (SCD) is a tragic event affecting millions of individuals worldwide. Although several studies have investigated the epidemiology of SCD, these studies may have been affected by reporting and referral biases, which are reflected in the very different incidence rates and causes of deaths that have previously been reported. Among SCD victims aged < 36 years, inherited cardiac diseases are well known to play an important role. However, the extent to which inherited cardiac diseases also play a role in SCD victims aged < 50 years has not been completely described...
December 2016: Danish Medical Journal
https://www.readbyqxmd.com/read/27881009/late-cardiac-effect-of-anthracycline-therapy-in-physically-active-breast-cancer-survivors-a-prospective-study
#2
A C Nagy, P GulAcsi-BArdos, Z CserEp, L Hangody, T Forster
The late-onset cardiotoxic effect of anthracycline is known, however the early detection and prevention of subclinical myocardial damage has not been fully understood yet. Besides medical therapy regular physical activities may also play a role in the prevention and reduction of side effects of chemotherapy. The aim of our present study was to detect the effect of regular physical activities on the diastolic function and on the symptoms of late heart failure in case of anthracycline chemotherapy. The prospective study included 55 female patients (age 31-65 year, average 49...
November 24, 2016: Neoplasma
https://www.readbyqxmd.com/read/27857048/myocardial-scarring-after-repair-of-anomalous-origin-of-the-left-coronary-artery-from-pulmonary-artery
#3
(no author information available yet)
OBJECTIVES: Prognosis of patients with anomalous origin of the left coronary artery from pulmonary artery has dramatically improved as a result of both, early diagnosis and improvements in surgical techniques. Post surgical complications are rare and most patients show quick improvement of the left ventricular performance after repair with complete functional recovery within one year after surgery. Exercise-induced electrocardiographic changes have been found in patients postoperatively and scars and perfusion deficits of the left ventricle may not be detected by standard echocardiographic evaluation...
September 18, 2016: Neuro Endocrinology Letters
https://www.readbyqxmd.com/read/27847992/-esc-guidelines-on-atrial-fibrillation-2016-summary-of-the-most-relevant-recommendations-and-modifications
#4
L Eckardt, K G Häusler, U Ravens, M Borggrefe, P Kirchhof
The first European Society of Cardiology (ESC) guidelines on atrial fibrillation (AF) developed in collaboration with the European Association for Cardio-Thoracic Surgery (EACTS) were published in August 2016. These guidelines replace the revised guidelines from 2012 and contain some interesting new aspects. The topics range from the pathophysiology through diagnostics, therapy and stroke prevention up to special clinical situations, such as atrial fibrillation in cardiopathy, sport and pregnancy. Early screening, patient informed consent, individualized therapy and the modification of factors promoting atrial fibrillation are of particular importance...
December 2016: Herz
https://www.readbyqxmd.com/read/27692229/sports-cardiology-comprehensive-clinical-care-for-athletes-and-highly-active-individuals
#5
Aaron Baggish, André La Gerche
No abstract text is available yet for this article.
November 2016: Cardiology Clinics
https://www.readbyqxmd.com/read/27692226/congenital-heart-disease-and-the-athlete-what-we-know-and-what-we-do-not-know
#6
Peter N Dean, Robert W Battle
Since outcomes for patients with congenital heart disease (CHD) have greatly improved, most patients with CHD are surviving into adulthood and creating dilemmas for practitioners with regard to competitive sports participation. Much time, effort, and expertise have gone into developing the new American Heart Association/American College of Cardiology's guidelines and the European Society of Cardiology's guidelines. Practitioners should consult the guidelines but also be aware of gaps in the literature and should individualize recommendations for each patient...
November 2016: Cardiology Clinics
https://www.readbyqxmd.com/read/27660369/amssm-position-statement-on-cardiovascular-preparticipation-screening-in-athletes-current-evidence-knowledge-gaps-recommendations-and-future-directions
#7
Jonathan A Drezner, Francis G O'Connor, Kimberly G Harmon, Karl B Fields, Chad A Asplund, Irfan M Asif, David E Price, Robert J Dimeff, David T Bernhardt, William O Roberts
Cardiovascular screening in young athletes is widely recommended and routinely performed prior to participation in competitive sports. While there is general agreement that early detection of cardiac conditions at risk for sudden cardiac arrest and death (SCA/D) is an important objective, the optimal strategy for cardiovascular screening in athletes remains an issue of considerable debate. At the centre of the controversy is the addition of a resting ECG to the standard preparticipation evaluation using history and physical examination...
September 22, 2016: British Journal of Sports Medicine
https://www.readbyqxmd.com/read/27618246/amssm-position-statement-on-cardiovascular-preparticipation-screening-in-athletes-current-evidence-knowledge-gaps-recommendations-and-future-directions
#8
Jonathan A Drezner, Francis G O'Connor, Kimberly G Harmon, Karl B Fields, Chad A Asplund, Irfan M Asif, David E Price, Robert J Dimeff, David T Bernhardt, William O Roberts
Cardiovascular screening in young athletes is widely recommended and routinely performed prior to participation in competitive sports. While there is general agreement that early detection of cardiac conditions at risk for sudden cardiac arrest and death (SCA/D) is an important objective, the optimal strategy for cardiovascular screening in athletes remains an issue of considerable debate. At the center of the controversy is the addition of a resting electrocardiogram (ECG) to the standard preparticipation evaluation using history and physical examination...
September 2016: Current Sports Medicine Reports
https://www.readbyqxmd.com/read/27598018/amssm-position-statement-on-cardiovascular-preparticipation-screening-in-athletes-current-evidence-knowledge-gaps-recommendations-and-future-directions
#9
Jonathan A Drezner, Francis G OʼConnor, Kimberly G Harmon, Karl B Fields, Chad A Asplund, Irfan M Asif, David E Price, Robert J Dimeff, David T Bernhardt, William O Roberts
Cardiovascular (CV) screening in young athletes is widely recommended and routinely performed before participation in competitive sports. While there is general agreement that early detection of cardiac conditions at risk for sudden cardiac arrest and death (SCA/D) is an important objective, the optimal strategy for CV screening in athletes remains an issue of considerable debate. At the center of the controversy is the addition of a resting electrocardiogram (ECG) to the standard preparticipation evaluation using history and physical examination...
September 2016: Clinical Journal of Sport Medicine: Official Journal of the Canadian Academy of Sport Medicine
https://www.readbyqxmd.com/read/27556385/analysis-of-agreement-between-cardiac-risk-stratification-protocols-applied-to-participants-of-a-center-for-cardiac-rehabilitation
#10
Ana A S Santos, Anne K F Silva, Franciele M Vanderlei, Diego G D Christofaro, Aline F L Gonçalves, Luiz C M Vanderlei
BACKGROUND: Cardiac risk stratification is related to the risk of the occurrence of events induced by exercise. Despite the existence of several protocols to calculate risk stratification, studies indicating that there is similarity between these protocols are still unknown. OBJECTIVE: To evaluate the agreement between the existing protocols on cardiac risk rating in cardiac patients. METHOD: The records of 50 patients from a cardiac rehabilitation program were analyzed, from which the following information was extracted: age, sex, weight, height, clinical diagnosis, medical history, risk factors, associated diseases, and the results from the most recent laboratory and complementary tests performed...
July 2016: Brazilian Journal of Physical Therapy
https://www.readbyqxmd.com/read/27515329/cost-implications-of-using-different-ecg%C3%A2-criteria-for-screening-young%C3%A2-athletes%C3%A2-in-the-united-kingdom
#11
Harshil Dhutia, Aneil Malhotra, Vincent Gabus, Ahmed Merghani, Gherardo Finocchiaro, Lynne Millar, Rajay Narain, Michael Papadakis, Huseyin Naci, Maite Tome, Sanjay Sharma
BACKGROUND: High false-positive rates and cost of additional investigations are an obstacle to electrocardiographic (ECG) screening of young athletes for cardiac disease. However, ECG screening costs have never been systematically assessed in a large cohort of athletes. OBJECTIVE: This study investigated the costs of ECG screening in athletes according to the 2010 European Society of Cardiology (ESC) recommendations and the Seattle and refined interpretation criteria...
August 16, 2016: Journal of the American College of Cardiology
https://www.readbyqxmd.com/read/27430117/double-orifice-mitral-valve-a-case-report
#12
Ljilja Musić, Božidarka Kneževic, Ljiljana Jovović, Nebojša Bulatović
INTRODUCTION: Double orifice mitrol valve (DOMV) is a very rare congenital heart defect. CASE REPORT: We reported 20-year-old male referred to our center due to evaluation of his cardiologic status. He was operated on shortly after birth for a tracheoesophageal fistula. Accidentally, echocardiography examination at the age of 4 years revealed double orifice mitral valve (DOMV) without the presence of mitral regurgitation, as well as mitral stenosis, with normal dimensions of all cardiac chambers...
May 2016: Vojnosanitetski Pregled. Military-medical and Pharmaceutical Review
https://www.readbyqxmd.com/read/27418320/why-cardiovascular-screening-in-young-athletes-can-save-lives-a-critical-review
#13
Jonathan A Drezner, Kimberly G Harmon, Irfan M Asif, Joseph C Marek
Cardiovascular (CV) screening in young athletes remains challenging and a topic of considerable debate. Recent criticisms of ECG screening have perpetuated arguments that ECG screening is neither indicated nor effective by applying outdated incidence data and flawed methodology. In response, this article provides a critical review of the arguments in favour of ECG screening in athletes and the early detection of CV disorders at elevated risk of sudden cardiac death (SCD). Importantly, no study to date has demonstrated that screening by history and physical examination alone is effective in detecting athletes at risk or in preventing SCD...
November 2016: British Journal of Sports Medicine
https://www.readbyqxmd.com/read/27272896/assessing-utility-of-exercise-test-in-determining-exercise-prescription-in-adolescent-and-adult-patients-with-repaired-tetralogy-of-fallot
#14
Ming-Chun Yang, Chun-An Chen, Hsin-Hui Chiu, Jou-Kou Wang, Ming-Tai Lin, Shuenn-Nan Chiu, Chun-Wei Lu, Shu-Chien Huang, Mei-Hwan Wu
Parameters from cardiopulmonary exercise test (CPET) are useful prognostic factors for patients with repaired tetralogy of fallot (TOF). Its application in exercise prescription remains unclear. This study sought to define its role. We made current exercise recommendations in repaired TOF patients according to European Society of Cardiology (ESC) guideline, which were based on ventricular function, pressure/volume load, pulmonary artery pressure, hypoxemia and arrhythmic burden both at rest and during exercise...
June 6, 2016: Heart and Vessels
https://www.readbyqxmd.com/read/27222386/occult-coronary-artery-disease-in-middle-aged-sportsmen-with-a-low-cardiovascular-risk-score-the-measuring-athlete-s-risk-of-cardiovascular-events-marc-study
#15
Thijs L Braber, Arend Mosterd, Niek H Prakken, Rienk Rienks, Hendrik M Nathoe, Willem P Mali, Pieter A Doevendans, Frank J Backx, Michiel L Bots, Diederick E Grobbee, Birgitta K Velthuis
BACKGROUND: Most exercise-related cardiac arrests in men aged ≥45 years are due to coronary artery disease (CAD). The current sports medical evaluation (SME) of middle-aged sportsmen includes medical history, physical examination and resting and exercise electrocardiography (ECG). We investigated the added value of low-dose cardiac computed tomography (CCT) - both non-contrast CT for coronary artery calcium scoring (CACS) and contrast-enhanced coronary CT angiography (CCTA) - in order to detect occult CAD in asymptomatic recreational sportsmen aged ≥45 years without known cardiovascular disease...
October 2016: European Journal of Preventive Cardiology
https://www.readbyqxmd.com/read/27194642/heart-rate-corrected-qt-and-jt-intervals-in-electrocardiograms-in-physically-fit-students-and-student-athletes
#16
Marjeta Misigoj-Durakovic, Zijad Durakovic, Ivan Prskalo
In literature, data on the prevalence of prolonged and shortened corrected QT (QTc) have shown considerable variability. The aim of the study was to compare QTc and JTc intervals of competitive student athletes and noncompetitive sport participants to QTc cutoff points used in athletes. A group of 485 physically fit candidates for the study of kinesiology (139 female and 346 male candidates) aged 18-20 participated in the study. Basic anthropometry, field fitness test, cardiovascular, electrocardiograms measurements, and blood sampling for lipid profile were conducted...
May 19, 2016: Annals of Noninvasive Electrocardiology
https://www.readbyqxmd.com/read/27137981/benefits-of-physical-exercise-in-postmenopausal-women
#17
Nicolás Mendoza, Carlos De Teresa, Antonio Cano, Débora Godoy, Fidel Hita-Contreras, Maryna Lapotka, Placido Llaneza, Pedro Manonelles, Antonio Martínez-Amat, Olga Ocón, Laura Rodríguez-Alcalá, Mercedes Vélez, Rafael Sánchez-Borrego
Physical inactivity not only places women's health at risk during menopause, but also increases menopausal problems. Abundant evidence links habitual physical exercise (PE) to a better status on numerous health indicators and better quality of life and to the prevention and treatment of the ailments that typically occur from mid-life onwards. We can infer that PE is something more than a lifestyle: it constitutes a form of therapy in itself. A panel of experts from various Spanish scientific societies related to PE and menopause (Spanish Menopause Society, Spanish Cardiology Society, Spanish Federation of Sports Medicine) met to reach a consensus on these issues and to decide the optimal timing of and methods of exercise, based on the best evidence available...
April 26, 2016: Maturitas
https://www.readbyqxmd.com/read/27049503/analysis-of-agreement-between-cardiac-risk-stratification-protocols-applied-to-participants-of-a-center-for-cardiac-rehabilitation
#18
Ana A S Santos, Anne K F Silva, Franciele M Vanderlei, Diego G D Christofaro, Aline F L Gonçalves, Luiz C M Vanderlei
Background Cardiac risk stratification is related to the risk of the occurrence of events induced by exercise. Despite the existence of several protocols to calculate risk stratification, studies indicating that there is similarity between these protocols are still unknown. Objective To evaluate the agreement between the existing protocols on cardiac risk rating in cardiac patients. Method The records of 50 patients from a cardiac rehabilitation program were analyzed, from which the following information was extracted: age, sex, weight, height, clinical diagnosis, medical history, risk factors, associated diseases, and the results from the most recent laboratory and complementary tests performed...
April 1, 2016: Brazilian Journal of Physical Therapy
https://www.readbyqxmd.com/read/27017148/the-atlantic-rift-guidelines-for-athletic-screening-where-should-canada-stand
#19
REVIEW
Paul Poirier, Sanjay Sharma, Andrew Pipe
Sudden cardiac death (SCD) in a young seemingly healthy athlete is a tragic and often highly publicized event. Preparticipation screening aims to identify those affected by cardiovascular diseases who may be at higher risk of SCD during sports participation. There are conflicting recommendations from the American Heart Association and the European Society of Cardiology regarding screening electrocardiograms (ECGs) before participation in sports. The use of an ECG as a screening strategy has been questioned, with a large number of abnormal test results observed in athletes resulting from the electrocardiographic changes that occur in a highly trained individual overlapping with findings suggestive of a pathologic condition...
April 2016: Canadian Journal of Cardiology
https://www.readbyqxmd.com/read/26963013/cardiovascular-screening-in-young-athletes-evidence-for-the-electrocardiogram
#20
Irfan M Asif, Jonathan A Drezner
: The objective of this study is to review the evidence for cardiovascular screening inclusive of an electrocardiogram (ECG) in young athletes. Sudden cardiac death (SCD) in athletes is the leading cause of death during exercise and occurs at a rate that is substantially higher than initially recognized. There is widespread agreement that cardiovascular screening should be performed prior to athletic competition. The primary purpose of preparticipation cardiovascular screening is to identify athletes with conditions that predispose them to SCD...
March 2016: Current Sports Medicine Reports
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