Resting ECG as screening tool for Sudden Cardiac Death: PRO and CON

2017 ◽  
Vol 65 (3) ◽  
Keyword(s):  
Sudden Cardiac Death ◽  
Annual Meeting ◽  
Decision Maker ◽  
Sports Medicine ◽  
Cardiac Death ◽  
Screening Tool ◽  
The Other ◽  
Professional Perspective ◽  
Youth At Risk ◽  
Evidence In Medicine

During our Annual meeting of the Society for Pediatric Sports Medicine in Basel 2017 one of the highlight sessions was the PRO-CON discussion about the use of a resting ECG as screening tool to detect youth at risk for sudden cardiac death. We present the two statements of the cardiology ­experts that were finally not so controversial as the PRO-CON may suggest. Well as often in medicine, it is the choice of each of you, how to deal with the situation. On one side we are taught to know and listen to the “evidence in medicine”, but on the other side we so often end up in our traditional professional perspective as decision maker that is not always wrong …

scholarly journals Dying “from” or “with” COVID-19 during the Pandemic: Medico-Legal Issues According to a Population Perspective

2021 ◽  
Vol 18 (16) ◽  
pp. 8851
Author(s):  
Fabio De-Giorgio ◽  
Vincenzo M. Grassi ◽  
Eva Bergamin ◽  
Alessandro Cina ◽  
Franca Del Del Nonno ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Sudden Cardiac Death ◽  
Cardiac Death ◽  
Heating System ◽  
Legal Issues ◽  
The Other ◽  
Post Mortem ◽  
Co Poisoning ◽  
Group A ◽  
Group B

There is still a lack of knowledge concerning the pathophysiology of death among COVID-19-deceased patients, and the question of whether a patient has died with or due to COVID-19 is still very much debated. In Italy, all deaths of patients who tested positive for SARS-CoV-2 are defined as COVID-19-related, without considering pre-existing diseases that may either contribute to or even cause death. Our study included nine subjects from two different nursing homes (Cases 1–4, Group A; Cases 5–9, Group B). The latter included patients who presumably died from CO poisoning due to a heating system malfunction. All subjects tested positive for COVID-19 both ante- and post-mortem and were examined using post-mortem computed tomography prior to autopsy. COVID-19 was determined to be a contributing cause in the deaths of four out of nine subjects (death due to COVID-19; i.e., pneumonia and sudden cardiac death). In the other five cases, for which CO poisoning was identified as the cause of death, the infection presumably had no role in exitus (death with COVID-19). In our attempt to classify our patients as dying with or due to COVID-19, we found the use of complete assessments (both histological analyses and computed tomography examination) fundamental.

Commotio cordis: sudden cardiac death in athletes

1999 ◽  
Vol 8 (4) ◽  
pp. 270-272 ◽  
Author(s):  
LG Futterman ◽  
L Lemberg
Keyword(s):  
High School ◽  
Sudden Cardiac Death ◽  
Blunt Trauma ◽  
Cardiac Death ◽  
The Other ◽  
High School Athletes ◽  
Young Athletes ◽  
The Public ◽  
High Profile ◽  
Commotio Cordis

Commotio cordis due to blunt trauma to the precordium is a rare cause of death in young athletes, occurring less frequently than all of the other athletics-related deaths. Several measures, such as the use of safety baseballs and the use of chest protectors, can help protect young athletes from commotio cordis. In general, sudden cardiac death in athletes is receiving increasing attention from the public as a result of recent deaths of high-profile athletes. Sudden cardiac death, however, is rare, with an estimated 1 out of 200,000 high school athletes at risk each year. However, the personal, physiological, and cardiovascular benefits of athletics far outweigh the risks. Therefore, the message to parents is to allow their children to participate in athletics because the benefits far outweigh the risks.

scholarly journals A family with a newelastingene mutation: broad clinical spectrum, including sudden cardiac death

2010 ◽  
Vol 21 (1) ◽  
pp. 62-65 ◽  
Author(s):  
André Jakob ◽  
Sheila Unger ◽  
Raoul Arnold ◽  
Jochen Grohmann ◽  
Cornelia Kraus ◽  
...  
Keyword(s):  
Coronary Artery ◽  
Sudden Cardiac Death ◽  
Aortic Stenosis ◽  
General Anaesthesia ◽  
Cardiac Death ◽  
Left Coronary Artery ◽  
Vascular Malformations ◽  
The Other ◽  
Supravalvular Aortic Stenosis ◽  
New Mutation

AbstractSupravalvular aortic stenosis is associated with the Williams–Beuren syndrome, but it also occurs in a non-syndromatic congenital form. Anelastingene mutation of chromosome 7q11.23 is responsible in both cases. The vascular features are identical. These patients have a higher risk of sudden death, particularly when undergoing diagnostic or surgical procedures. We report the account of a family with a new mutation in theelastingene. Screening over three generations revealed eight affected individuals. The cardiac and vascular malformations ranged from mild asymptomatic supravalvular aortic stenosis and isolated dysplastic atrioventricular valves to diffuse arterial hypoplasia. Two infants presented arteries affected at multiple locations, including the left coronary artery. Both died of sudden cardiac death and myocardial ischaemia, one while under general anaesthesia for cardiac catheterisation, and the other perioperatively. We discuss the pathophysiological aspects in these patients that deserve consideration before any general anaesthesia is administered.

Psoriasis Epidemiology Screening Tool (PEST): A Report from the GRAPPA 2009 Annual Meeting

2011 ◽  
Vol 38 (3) ◽  
pp. 551-552 ◽  
Author(s):  
PHILIP S. HELLIWELL
Keyword(s):  
Psoriatic Arthritis ◽  
General Practitioner ◽  
Annual Meeting ◽  
Secondary Care ◽  
Screening Tool ◽  
Ease Of Use ◽  
The Other ◽  
Screening Tools ◽  
Comparative Performance ◽  
New Instrument

Patients with psoriasis attending general practitioner and dermatology clinics may complain about their joints, but it may be difficult for the nonrheumatologist to distinguish psoriatic arthritis (PsA) from other forms of arthritis. A screening tool for PsA would therefore be useful to both general practitioners and dermatologists and help identify patients for further evaluation by a rheumatologist. Although several screening tools have been developed, the Psoriasis Epidemiology Screening Tool (PEST) has the advantage of simplicity and ease of use. This new instrument consists of 5 simple questions supported by the addition of a manikin for patient markup. During development, the questionnaire has shown a sensitivity of 0.94 and a specificity of 0.78. Further validation of this and the other questionnaires is now required. A “head to head” study of the PEST, ToPAS (Toronto Psoriatic Arthritis Screening questionnaire), and PASE (Psoriatic Arthritis Screening and Evaluation) tools is planned in a secondary-care population with psoriasis. This study is important not only to confirm the comparative performance of the instruments, but also to confirm the high figures for sensitivity in a secondary-care population.

scholarly journals JUSTIFICATION OF A SYSTEMIC APPROACH IN THE SUDDEN CARDIAC DEATH PREVENTION: A POSSIBLE SOLUTION TO THE PROBLEM OF EXCESSIVE MORTALITY IN RUSSIA (LITERATURE REVIEW). PART II. SOME LIMITATIONS OF THE EXISTING SYSTEMS OF CARDIOVASCULAR MORTALITY PREVENTION AND THEIR POTENTIAL SOLUTIONS

2013 ◽  
Vol 12 (6) ◽  
pp. 34-40
Author(s):  
A. S. Dimov ◽  
N. I. Maksimov
Keyword(s):  
Risk Factors ◽  
Cardiovascular Disease ◽  
Sudden Cardiac Death ◽  
Literature Review ◽  
Mathematical Modelling ◽  
Cardiac Death ◽  
Individual Case ◽  
The Other ◽  
Effective Control ◽  
Prognostic Assessment

The use of pharmacotherapy in prevention is aimed at the correction of already existing consequences (pathology), rather than the prevention of causes. The number of multiple known risk factors (RFs) is steadily increasing, which limits their effective control in the real-world practice. On the other hand, focusing only on a limited number of RFs (7–9) leaves plenty of room for error. Causality is a unity of multiple RFs, unique in each individual case. Determining causality with the use of mathematical modelling can facilitate a more reliable prognostic assessment in cardiovascular disease. 

Expert Opinion and Controversies in Musculoskeletal and Sports Medicine: Preventing Sudden Cardiac Death in Young Athletes

2010 ◽  
Vol 91 (6) ◽  
pp. 958-962 ◽  
Author(s):  
Ashwin L. Rao ◽  
Christopher J. Standaert ◽  
Jonathan A. Drezner ◽  
Stanley A. Herring
Keyword(s):  
Sudden Cardiac Death ◽  
Expert Opinion ◽  
Sports Medicine ◽  
Cardiac Death ◽  
Young Athletes

scholarly journals Sudden cardiac death

2004 ◽  
Vol 132 (5-6) ◽  
pp. 194-197 ◽  
Author(s):  
Aleksandra Arandjelovic ◽  
Sinisa Pavlovic ◽  
Sanja Mazic ◽  
Branimir Aleksandric
Keyword(s):  
Coronary Artery ◽  
Sudden Cardiac Death ◽  
Sports Medicine ◽  
Cardiac Death ◽  
Young Athlete ◽  
Heart Association ◽  
Coronary Artery Anomalies ◽  
Public Attention ◽  
Tragic Event ◽  
Artery Disease

Sudden cardiac death in an athlete is rare and tragic event. An athlete's death draws high public attention given that athletes are considered the healthiest category of society. The vast majority of sudden cardiac death in young athletes is due to congenital cardiac malformations such as hypertrophie cardiomyopathy and various coronary artery anomalies. In athletes over age 35, the usual cause of sudden cardiac death is coronary artery disease. With each tragic death of a young athlete, there is a question why this tragedy has not been prevented. The American College of Sports Medicine and the American Heart Association recommend that a pre-participation exam should include a complete cardiovascular history and physical examination.

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