scholarly journals Emergency Preparedness for Sudden Cardiac Death and Exertional Heat Stroke during Road Races in China

2020 ◽  
Vol 4 (2) ◽  
pp. 51-53
Author(s):  
Yang Zhang ◽  
◽  
Douglas J. Casa ◽  
Phillip A. Bishop ◽  
◽  
...  
Keyword(s):  
Sudden Cardiac Death ◽  
Emergency Preparedness ◽  
Cardiac Death ◽  
Heat Stroke ◽  
Exertional Heat Stroke ◽  
Road Races

High School Cardiac Emergency Response Plans and Sudden Cardiac Death in the Young

2017 ◽  
Vol 32 (3) ◽  
pp. 269-272 ◽  
Author(s):  
Michelle J. White ◽  
Emefah C. Loccoh ◽  
Monica M. Goble ◽  
Sunkyung Yu ◽  
Folafoluwa O. Odetola ◽  
...  
Keyword(s):  
High School ◽  
Sudden Cardiac Death ◽  
Emergency Response ◽  
Emergency Preparedness ◽  
Cardiac Death ◽  
Sociodemographic Characteristics ◽  
Median Income ◽  
Poverty Level ◽  
Publication Type ◽  
Cardiac Emergency

AbstractIntroductionSudden cardiac death (SCD) is responsible for 5%-10% of all deaths among children 5-19 years-of-age. The incidence of SCD in youth in Michigan (USA) and nationwide is higher in racial/ethnic minorities and in certain geographic areas. School cardiac emergency response plans (CERPs) increase survival after cardiac arrest. However, school cardiac emergency preparedness remains variable. Studying population-level factors associated with school cardiac emergency preparedness and incidence of SCD in the young may improve understanding of disparities in the incidence of SCD.Hypothesis/ProblemThe objective of this pilot study was to determine the association of elements of high school cardiac emergency preparedness, including Automated External Defibrillator (AED) distribution and the presence of CERPs with county sociodemographic characteristics and county incidence of SCD in the young.MethodsSurveys were sent to representatives from all public high schools in 30 randomly selected Michigan counties. Counties with greater than 50% response rate were included (n=19). Association of county-level sociodemographic characteristics with incidence of SCD in the young and existence of CERPs were evaluated using Spearman correlation coefficient.ResultsFactors related to the presence of AEDs were similar across counties. Schools in counties of lower socioeconomic status (SES; lower-median income, lower per capita income, and higher population below poverty level) were less likely to have a CERP than those with higher SES (all P<.01). Lack of a CERP was associated with a higher incidence of SCD in youth (r=-0.71; P=.001). Overall incidence of SCD in youth was higher in lower SES counties (r=-0.62 in median income and r=0.51 in population below poverty level; both P<.05).ConclusionCounty SES is associated with the presence of CERPs in schools, suggesting a link between school cardiac emergency preparedness and county financial resources. Additionally, counties of lower SES demonstrated higher incidence of SCD in the young. Statewide and national studies are required to further explore the factors relating to geographic and socioeconomic differences in cardiac emergency preparedness and the incidence of SCD in the young.WhiteMJ, LoccohEC, GobleMM, YuS, OdetolaFO, RussellMW. High school cardiac emergency response plans and sudden cardiac death in the young. Prehosp Disaster Med. 2017;32(3):269–272.

scholarly journals Prevention of Sudden Cardiac Death in Cricketers

2016 ◽  
Vol 50 (2) ◽  
pp. 49-58 ◽  
Author(s):  
Alex Kountouris ◽  
John W Orchard ◽  
Rajesh Puranik ◽  
Christopher Semsarian ◽  
Jessica J Orchard ◽  
...  
Keyword(s):  
Cardiac Arrest ◽  
Sudden Cardiac Death ◽  
Sudden Death ◽  
Strong Evidence ◽  
Cardiac Death ◽  
Life Support ◽  
Heat Stroke ◽  
Positive Family History ◽  
Lightning Strike ◽  
Ball Impact

ABSTRACT Aims Sudden death in cricketers is rare, with the most common causes being cardiac, neurological (head/neck trauma, mainly from ball impact) and environmental (e.g., lightning strike and heat stroke, the former which usually involves cardiac arrest). The aim of this study was to review possible prevention of sudden cardiac death and make recommendations. Materials and methods A literature review of possible causes of sudden cardiac death (SCD) among cricketers was performed, along with evaluation of evidence for existing preventative measures. The method for evaluation was expert panel (cardiology and sports medicine) consensus recommendations based on the published evidence base. Results Potential cardiac causes of sudden death while playing cricket can be divided into the following categories: (1) atraumatic-origin preexisting arrhythmias, cardiomyopathies and valve disorders (2) traumatic-origin arrhythmia (commotio cordis) (3) acquired coronary or valvular disease (4) viral myocarditis (5) Lightning strike. Preventive measures can be divided into pre-season (e.g., cardiovascular screening), prematch (e.g., assessment of viral illness), protective equipment (e.g., chest guards) and post-event (presence of first aid response including defibrillators). Our panel agreed that there was strong evidence that (1) trained and planned emergency response particularly with a defibrillator is effective at preventing SCD and (2) ceasing play in the presence of lightning strikes prevents lightning-related death (3) players with symptoms, risk factors or history suggestive of possible cardiac disease should undertake specific individual workup. There are other potential methods to prevent SCD, with expert level recommendations made in the absence of strong evidence. Discussion and conclusion The most controversial aspect of prevention of SCD is electrocardiogram (ECG) screening of asymptomatic players and this paper outlines the arguments both in favor and against without fully resolving the debate. The possible increase in early diagnosis of potentially life-threatening cases needs to be balanced against the risk of false positive results which may lead to discussion of exclusion from cricket. Cardiac workup is clearly of net benefit to symptomatic individuals (e.g. history of syncope, chest pain) or any player at higher than usual baseline risk (e.g., positive family history). Basic life support including access to defibrillators should be available with trained personnel wherever they can be afforded, which has strong evidence in favor of improving survival at the time of cardiac arrest. How to cite this article Orchard JW, Puranik R, Semsarian C, Orchard JJ, Samra D, Duflou J, Groenestein P, Young M, Brukner P, Kountouris A. Prevention of Sudden Cardiac Death in Cricketers. J Postgrad Med Edu Res 2016;50(2):49-58.

Overexpression of the transcription factor Hand1 causes sudden cardiac death in mice

2008 ◽  
Vol 7 ◽  
pp. 109-109
Author(s):  
R BRECKENRIDGE ◽  
Z ZUBERI ◽  
L FELKIN ◽  
E BIRKS ◽  
P BARTON ◽  
...  
Keyword(s):  
Transcription Factor ◽  
Sudden Cardiac Death ◽  
Cardiac Death
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