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Developing the sports physical of the future
Every few years there’s news coverage on a young, assumed-healthy athlete, who suddenly dies on the field or court. Sometimes the tragedy even happens right in front of the players’ teammates, coaches and parents. Later, the autopsy often reveals a previously undetected heart condition like hypertrophic cardiomyopathy, leaving many to wonder, “Why didn’t we know about this problem sooner?” To help, Boston Children’s Hospital researchers are working on revamping current methods to screen for potential heart problems in young athletes—without adding huge expenses or time burdens to exist...
Source: Thrive, Children's Hospital Boston - January 27, 2014 Category: Pediatrics Authors: Tripp Underwood Tags: All posts Diseases & conditions Health & wellness Parenting Research Screening Sports & exercise Division of Sports Medicine electroencephalograms (EEG) sudden death in young athletes Source Type: news

Standardised criteria improve accuracy of ECG interpretation in competitive athletes: a randomised controlled trial.
CONCLUSIONS: ECG interpretation in athletes can be improved by using a standardised ECG criteria tool. Use of the tool results in lower false-positive rates; this may have implications for screening recommendations. TRIAL REGISTRATION NUMBER:: ACTRN12612000641897. PMID: 24659510 [PubMed - as supplied by publisher]
Source: British Journal of Sports Medicine - March 21, 2014 Category: Sports Medicine Authors: Exeter DJ, Elley CR, Fulcher ML, Lee AC, Drezner JA, Asif IM Tags: Br J Sports Med Source Type: research

AMSSM Position Statement on Cardiovascular Preparticipation Screening in Athletes: Current Evidence, Knowledge Gaps, Recommendations and Future Directions.
Abstract 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. The American Medical Society for Sports Medicine ...
Source: Current Sports Medicine Reports - August 31, 2016 Category: Sports Medicine Authors: Drezner JA, O'Connor FG, Harmon KG, Fields KB, Asplund CA, Asif IM, Price DE, Dimeff RJ, Bernhardt DT, Roberts WO Tags: Curr Sports Med Rep Source Type: research

AMSSM Position Statement on Cardiovascular Preparticipation Screening in Athletes: Current Evidence, Knowledge Gaps, Recommendations and Future Directions
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. The American Medical Society for Sports Medicine (AMSSM) formed a t...
Source: Current Sports Medicine Reports - September 1, 2016 Category: Sports Medicine Tags: Sports-Specific Illness and Injury: Special Communication Source Type: research

Abnormal electrocardiographic findings in athletes: recognising changes suggestive of primary electrical disease.
This article describes ECG findings present in primary electrical diseases afflicting young athletes and outlines appropriate steps for further evaluation of these ECG abnormalities. The ECG findings defined as abnormal in athletes were established by an international consensus panel of experts in sports cardiology and sports medicine. PMID: 23303761 [PubMed - in process]
Source: British Journal of Sports Medicine - January 18, 2013 Category: Sports Medicine Authors: Drezner JA, Ackerman MJ, Cannon BC, Corrado D, Heidbuchel H, Prutkin JM, Salerno JC, Anderson J, Ashley E, Asplund CA, Baggish AL, Börjesson M, Difiori JP, Fischbach P, Froelicher V, Harmon KG, Marek J, Owens DS, Paul S, Pelliccia A, Schmied CM, Sharma S Tags: Br J Sports Med Source Type: research

Abnormal electrocardiographic findings in athletes: recognising changes suggestive of cardiomyopathy.
This article describes ECG findings present in cardiomyopathies afflicting young athletes and outlines appropriate steps for further evaluation of these ECG abnormalities. The ECG findings defined as abnormal in athletes were established by an international consensus panel of experts in sports cardiology and sports medicine. PMID: 23303760 [PubMed - in process]
Source: British Journal of Sports Medicine - January 18, 2013 Category: Sports Medicine Authors: Drezner JA, Ashley E, Baggish AL, Börjesson M, Corrado D, Owens DS, Patel A, Pelliccia A, Vetter VL, Ackerman MJ, Anderson J, Asplund CA, Cannon BC, Difiori J, Fischbach P, Froelicher V, Harmon KG, Heidbuchel H, Marek J, Paul S, Prutkin JM, Salerno JC, S Tags: Br J Sports Med Source Type: research

Normal electrocardiographic findings: recognising physiological adaptations in athletes.
Salerno JC, Stein R, Vetter VL Abstract Electrocardiographic changes in athletes are common and usually reflect benign structural and electrical remodelling of the heart as a physiological adaptation to regular and sustained physical training (athlete's heart). The ability to identify an abnormality on the 12-lead ECG, suggestive of underlying cardiac disease associated with sudden cardiac death (SCD), is based on a sound working knowledge of the normal ECG characteristics within the athletic population. This document will assist physicians in identifying normal ECG patterns commonly found in athletes. The ECG fin...
Source: British Journal of Sports Medicine - January 18, 2013 Category: Sports Medicine Authors: Drezner JA, Fischbach P, Froelicher V, Marek J, Pelliccia A, Prutkin JM, Schmied CM, Sharma S, Wilson MG, Ackerman MJ, Anderson J, Ashley E, Asplund CA, Baggish AL, Börjesson M, Cannon BC, Corrado D, Difiori JP, Harmon KG, Heidbuchel H, Owens DS, Paul S, Tags: Br J Sports Med Source Type: research

Electrocardiographic interpretation in athletes: the 'Seattle Criteria'.
The objective of the meeting was to develop a comprehensive training resource to help physicians distinguish normal ECG alterations in athletes from abnormal ECG findings that require additional evaluation for conditions associated with SCD. PMID: 23303758 [PubMed - in process]
Source: British Journal of Sports Medicine - January 18, 2013 Category: Sports Medicine Authors: Drezner JA, Ackerman MJ, Anderson J, Ashley E, Asplund CA, Baggish AL, Börjesson M, Cannon BC, Corrado D, Difiori JP, Fischbach P, Froelicher V, Harmon KG, Heidbuchel H, Marek J, Owens DS, Paul S, Pelliccia A, Prutkin JM, Salerno JC, Schmied CM, Sharma S Tags: Br J Sports Med Source Type: research

Clinical significance of ST depression at exercise stress testing in competitive athletes: usefulness of coronary CT during screening.
CONCLUSIONS: In competitive athletes even with excellent workload capacities, in absence of cardiomyopathy, the presence of ischaemic electrocardiographic abnormalities could be mainly determined by a coronary congenital or acquired pathology. In this population CCTA is an useful imaging modality of choice for the risk stratification and for the diagnostic process, to allow eligible athletes to compete and to follow up subjects requiring medical surveillance. PMID: 29148628 [PubMed - as supplied by publisher]
Source: Journal of Sports Medicine and Physical Fitness - November 19, 2017 Category: Sports Medicine Tags: J Sports Med Phys Fitness Source Type: research

Advancing the Preparticipation Physical Evaluation (PPE): An ACSM and FIMS Joint Consensus Statement.
Abstract While the preparticipation physical evaluation (PPE) is widely accepted, its usage and content are not standardized. Implementation is affected by cost, access, level of participation, participant age/sex, and local/regional/national mandate. PPE screening costs are generally borne by the athlete, family, or club. Screening involves generally agreed-upon questions based on expert opinion and tested over decades of use. No large-scale prospective controlled tracking programs have examined PPE outcomes. While the panel did not reach consensus on electrocardiogram screening as a routine part of PPE, all agre...
Source: Current Sports Medicine Reports - November 1, 2014 Category: Sports Medicine Authors: Roberts WO, Löllgen H, Matheson GO, Royalty AB, Meeuwisse WH, Levine B, Hutchinson MR, Coleman N, Benjamin HJ, Spataro A, Debruyne A, Bachl N, Pigozzi F Tags: Curr Sports Med Rep Source Type: research

The Use of Echocardiograms in Preparticipation Examinations.
This article provides an overview of the etiology of SCD and reviews literature relating to preparticipation echocardiography, with a focus on its evolution, utility, and effectiveness. The limited echocardiogram is a potentially viable screening option yet to be thoroughly explored by experts and policymakers in the sports medicine community. PMID: 28282353 [PubMed - in process]
Source: Current Sports Medicine Reports - February 28, 2017 Category: Sports Medicine Authors: Lucas C, Kerkhof DL, Briggs JE, Corrado GD Tags: Curr Sports Med Rep Source Type: research

Screening athletes for undetected heart problems: What parents need to know now
Dr. Gian Corrado, a physician in Boston Children’s Hospital Sports Medicine, was an undergraduate playing pick-up basketball when one of his teammates died suddenly on the court. Unfortunately, the young player’s death is not an isolated tragedy. Every three days, a young athlete somewhere in the U.S. collapses and dies due to an undetected heart problem. “It’s uncommon,” Corrado says, “but it’s not SO uncommon that it may not touch you. It happens, and we have no effective, efficient way to screen for it.” The National College Athletic Association’s chief medical officer has suggested it may be ...
Source: Thrive, Children's Hospital Boston - February 15, 2016 Category: Pediatrics Authors: Erin Horan Tags: Ask the Expert Health & Wellness In the News Parenting Teen Health Division of Sports Medicine Dr. Gianmichel Corrado Dr. John Triedman echocardiogram EKG screening Heart Center Source Type: news

Standardised criteria improve accuracy of ECG interpretation in competitive athletes: a randomised controlled trial
Conclusions ECG interpretation in athletes can be improved by using a standardised ECG criteria tool. Use of the tool results in lower false-positive rates; this may have implications for screening recommendations. Trial Registration number: ACTRN12612000641897.
Source: British Journal of Sports Medicine - July 9, 2014 Category: Sports Medicine Authors: Exeter, D. J., Elley, C. R., Fulcher, M. L., Lee, A. C., Drezner, J. A., Asif, I. M. Tags: Original article Source Type: research

Presence of abnormal findings within sports pre-participation cardiovascular screening
Conclusions The sports pre-participation cardiovascular screening with ECG required complementary cardiovascular exams in 6% of the cases and 0.3% were not cleared to participate in sports. The decision was based in the most up-to-date knowledge of life threatening cardiac clinical conditions and supports a life-preventive measure to 3 young persons over an approximate cost of 12000.
Source: British Journal of Sports Medicine - January 31, 2017 Category: Sports Medicine Authors: Freitas, J., Andrade, R., Pereira, R., Leal, A., Saavedra, C., Pais, N., Marques, D., Lopes, I., Loureiro, N., Maia, P., Costa, O., Espregueira-Mendes, J. Tags: Monaco abstracts Source Type: research

Getting to the heart of matters
Welcome to the 2017 British Association of Sport & Exercise Medicine (BASEM) issue of the number one ranked journal in sports sciences/sports medicine/orthopaedics/rehabilitation. Following on from BASEM’s recent Spring Meeting we look ‘Hearts and Minds’. The heavyweight of this issue is undoubtedly the consensus paper – ‘International Criteria for Electrocardiographic Interpretation in Athletes’(see page 704) – by University of Washington’s Professor Jonathan Drezner and his international all-star team. The expert group met in Seattle in 2015 to develope ‘a clear g...
Source: British Journal of Sports Medicine - April 20, 2017 Category: Sports Medicine Authors: Tillett, E. Tags: Warm up Source Type: research

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