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[Current practice for the prevention of sudden death in young athletes].
Revue Médicale Suisse 2018 October 18
Sudden death of young athletes is often the first clinical manifestation of underlying cardiac pathology. It is defined as an unexpected natural, non traumatic and non iatrogenic event. International screening policies and recommendations to avoid sudden cardiac death vary considerably. Certain studies suggest a benefit from systematic screening of young adults (12‑35 years old) engaging in sports. We chose to evaluate the current approach to screening for lethal pathologies in athletes in Geneva, as well as the interest of introducing a standard screening procedure in the future. In line with the current position of the European Society of Cardiology and Swiss recommendations, a majority of the selected physicians advocate a history, physical exam and 12-lead ECG to screen athletes.
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