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cardiac workups in young athletes

Kyle P Lammlein, Jonathan M Stoddard, Francis G O'Connor
The most common cause of sudden cardiac death (SCD) in young athletes in the United States is "autopsy-negative sudden unexplained death." This makes it extremely difficult to screen for and diagnose predisposing cardiovascular conditions before athletic participation. The goal of the preparticipation physical examination is to detect risk factors for SCD, make risk-based decisions regarding the need for further workup, and ultimately recommend for or against participation. Current evidence recommends universal screening of young athletes using the 14-point American Heart Association preparticipation cardiovascular checklist...
March 2018: Primary Care
Carlos M Mery
Anomalous aortic origin of a coronary artery (AAOCA) is the second most common cause of sudden cardiac death (SCD) in young athletes in United States. The exact pathophysiological mechanisms of SCD are unknown. There is lack of long-term outcome data on repaired and unrepaired AAOCA and our current risk stratification scheme for these patients is suboptimal. These patients are evaluated in a nonuniform manner across institutions in United States, and even by different providers residing in the same institution...
September 2017: Congenital Heart Disease
Frédéric Schnell, Guido Claessen, André La Gerche, Jan Bogaert, Pierre-Axel Lentz, Piet Claus, Philippe Mabo, François Carré, Hein Heidbuchel
BACKGROUND: Subepicardial delayed gadolinium enhancement (DGE) patches without underlying cardiomyopathy is poorly understood. It is often reported as the result of prior silent myocarditis. Its prognostic relevance in asymptomatic athletes is unknown; therefore, medical clearance for competitive sports participation is debated. This case series aims to relate this pattern of DGE in athletes to outcome. METHODS: We report on seven young asymptomatic athletes with isolated subepicardial DGE detected during workup of abnormalities on their regular screening examination, that is, pathological T-wave inversions on ECG (n=4) or ventricular arrhythmias on exercise test (n=3)...
January 2016: British Journal of Sports Medicine
Asma Usman, Ambreen Jawaid
BACKGROUND: Use of energy drinks has significantly increased in recent times. Besides athletes, teenagers and students are among the most common consumers. However, popularity is also increasing among the younger and older age groups. Most of the users believe that they are a good source of instant energy and are unaware of its high Caffeine content resulting in harmful effects on health. CASE PRESENTATION: We report the case of a young boy who presented with palpitations and high blood pressure as a result of energy drinks usage...
October 29, 2012: BMC Research Notes
Nabil A Shafi, Moise W Anglade
A 19-year-old male presented to our hospital after an episode of syncope while playing soccer. He reported a family history of sudden death. Laboratory workup on admission was unremarkable. Electrocardiogram and 2-Dimensional Echocardiogram suggested heart disease involving the right ventricle. The patient had Cardiac Magnetic Resonance Imaging that revealed a dilated right ventricle with global hypokinesis and high signal intensity due to fatty infiltration. The diagnosis of Arrhythmogenic Right Ventricular Dysplasia was made based on right precordial electrocardiographic features, family history and structural abnormalities seen on imaging...
January 2009: Connecticut Medicine
Paolo Angelini
Coronary artery anomalies (CAAs) are a diverse group of congenital disorders whose manifestations and pathophysiological mechanisms are highly variable. The subject of CAAs is undergoing profound evolutionary changes related to the definition, morphogenesis, clinical presentation, diagnostic workup, prognosis, and treatment of these anomalies. To understand the clinical impact of CAAs, the fundamental challenge is the firm establishment, for a particular type of CAA, of a mechanism capable of interference with the coronary artery's function, which is to provide adequate blood flow to the dependent myocardium...
March 13, 2007: Circulation
Emad G Iskandar, Paul D Thompson
Coronary artery anomalies are, after hypertrophic cardiomyopathy, the second most common cause of exercise-related sudden cardiac death in young American athletes. These anomalies have been associated with myocardial ischemia, arrhythmia, and sudden death during exercise. A 14-yr-old male with no previous abnormal medical history collapsed during soccer practice and was successfully resuscitated without defibrillation. An extensive cardiac workup did not reveal any abnormalities. Two weeks later, he experienced a cardiac arrest while running and could not be resuscitated...
February 2004: Medicine and Science in Sports and Exercise
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