Cardiovascular pre-participation screening of young competitive athletes for prevention of sudden death: proposal for a common European protocol - Consensus statement of the Study Group of Sport Cardiology of the Working Group of Cardiac Rehabilitation and Exercise Physiology and the Working Group of Myocardial and Pericardial Diseases of the European Society of Cardiology

被引：874

作者：

Corrado, D

Pelliccia, A

Bjornstad, HH

Vanhees, L

Biffi, A

Borjesson, M

Panhuyzen-Goedkoop, N

Deligiannis, A

Solberg, E

Dugmore, D

Mellwig, KP

Assanelli, D

Delise, P

van-Buuren, F

Anastasakis, A

Heidbuchel, H

Hoffmann, E

Fagard, R

Priori, SG

Basso, C

Arbustini, E

Blomstrom-Lundqvist, C

McKenna, WJ

Thiene, G

机构：

[1] Univ Padua, Dept Cardiol, I-35121 Padua, Italy

[2] Inst Sports Sci, Rome, Italy

[3] Haukeland Hosp, Dept Heart Dis, N-5021 Bergen, Norway

[4] Katholieke Univ Leuven, Cardiovasc Rehabil Unit, Louvain, Belgium

[5] Sahlgrens Univ Hosp, Dept Med, S-41345 Gothenburg, Sweden

[6] Univ Nijmegen St Radboud Hosp, Dept Cardiol, NL-6500 HB Nijmegen, Netherlands

[7] Aristotle Univ Thessaloniki, Thessaloniki, Greece

[8] Klin Ulleval Sykehus, Oslo, Norway

[9] Wellness Med Ctr, Stockport, Lancs, England

[10] Univ Hosp, Heart Ctr NRW, Bad Oeynhausen, Germany

[11] Univ Brescia, Dept Cardiol, I-25121 Brescia, Italy

[12] Civil Hosp, Conegliano, Italy

[13] Univ Athens, Div Inherited Cardiovasc Dis, GR-10679 Athens, Greece

[14] Univ Hosp, Dept Cardiol, Munich, Germany

[15] Fdn S Maugeri, Pavia, Italy

[16] Univ Pavia, I-27100 Pavia, Italy

[17] Univ Uppsala Hosp, Dept Cardiol, Uppsala, Sweden

[18] UCL, Heart Hosp, London, England

[19] Univ Padua, I-35100 Padua, Italy

来源：

EUROPEAN HEART JOURNAL | 2005年 / 26卷 / 05期

关键词：

D O I：

10.1093/eurheartj/ehi108

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

The 1996 American Heart Association consensus panel recommendations stated that pre-participation cardiovascular screening for young competitive athletes is justifiable and compelling on ethical, legal, and medical grounds. The present article represents the consensus statement of the Study Group on Sports Cardiology of the Working Group on Cardiac Rehabilitation and Exercise Physiology and the Working Group on Myocardial and Pericardial diseases of the European Society of Cardiology, which comprises cardiovascular specialists and other physicians from different European countries with extensive clinical experience with young competitive athletes, as well as with pathological substrates of sudden death. The document takes note of the 25-year Italian experience on systematic pre-participation screening of competitive athletes and focuses on relevant issues, mostly regarding the relative risk, causes, and prevalence of sudden death in athletes; the efficacy, feasibility, and cost-effectiveness of population-based pre-participation cardiovascular screening; the key role of 12-lead ECG for identification of cardiovascular diseases such as cardiomyopathies and channelopathies at risk of sudden death during sports; and the potential of preventing fatal events. The main purpose of the consensus document is to reinforce the principle of the need for pre-participation medical clearance of all young athletes involved in organized sports programmes, on the basis of (i) the proven efficacy of systematic screening by 12-lead ECG (in addition to history and physical examination) to identify hypertrophic cardiomyopathy-the leading cause of sports-related sudden death-and to prevent athletic field fatalities; (ii) the potential screening ability in detecting other lethal cardiovascular diseases presenting with ECG abnormalities. The consensus document recommends the implementation of a common European screening protocol essentially based on 12-lead ECG.

引用

页码：516 / 524

页数：9

共 35 条

[1] Clinical profile of congenital coronary artery anomalies with origin from the wrong aortic sinus leading to sudden death in young competitive athletes [J].