Display options
Cite
Angelini P, Muthupillai R, Lopez A, et al. Young athletes: Preventing sudden death by adopting a modern screening approach? A critical review and the opening of a debate. Int J Cardiol Heart Vasc. 2021;34:100790doi: 10.1016/j.ijcha.2021.100790.
Angelini, P., Muthupillai, R., Lopez, A., Cheong, B., Uribe, C., Hernandez, E., Coulter, S., Perin, E., Molossi, S., Gentile, F., Flamm, S., Lorenz, G., D'Ascenzi, F., Tobis, J., Sarnari, R., Corno, A., Furgerson, J., Chiribiri, A., Villa, A. D. M., Orzan, F., Brugada, P., Jefferies, J., Aubry, P., Towbin, J., Thiene, G., & Tomanek, R. (2021). Young athletes: Preventing sudden death by adopting a modern screening approach? A critical review and the opening of a debate. International journal of cardiology. Heart & vasculature, 34100790. https://doi.org/10.1016/j.ijcha.2021.100790
Angelini, Paolo, et al. "Young athletes: Preventing sudden death by adopting a modern screening approach? A critical review and the opening of a debate." International journal of cardiology. Heart & vasculature vol. 34 (2021): 100790. doi: https://doi.org/10.1016/j.ijcha.2021.100790
Angelini P, Muthupillai R, Lopez A, Cheong B, Uribe C, Hernandez E, Coulter S, Perin E, Molossi S, Gentile F, Flamm S, Lorenz G, D'Ascenzi F, Tobis J, Sarnari R, Corno A, Furgerson J, Chiribiri A, Villa ADM, Orzan F, Brugada P, Jefferies J, Aubry P, Towbin J, Thiene G, Tomanek R. Young athletes: Preventing sudden death by adopting a modern screening approach? A critical review and the opening of a debate. Int J Cardiol Heart Vasc. 2021 May 28;34:100790. doi: 10.1016/j.ijcha.2021.100790. eCollection 2021 Jun. PMID: 34124338; PMCID: PMC8175289.
Copy Download .nbib Format: NLM
Share it on

Int J Cardiol Heart Vasc. 2021 May 28;34:100790. doi: 10.1016/j.ijcha.2021.100790. eCollection 2021 Jun.

Young athletes: Preventing sudden death by adopting a modern screening approach? A critical review and the opening of a debate.

International journal of cardiology. Heart & vasculature

Paolo Angelini, Raja Muthupillai, Alberto Lopez, Benjamin Cheong, Carlo Uribe, Eduardo Hernandez, Stephanie Coulter, Emerson Perin, Silvana Molossi, Federico Gentile, Scott Flamm, Giovanni Lorenz, Flavio D'Ascenzi, Jonathan Tobis, Roberto Sarnari, Antonio Corno, James Furgerson, Amedeo Chiribiri, Adriana D M Villa, Fulvio Orzan, Pedro Brugada, John Jefferies, Pierre Aubry, Jeffrey Towbin, Gaetano Thiene, Robert Tomanek

Affiliations

  1. Department of Cardiology, Texas Heart Institute, Houston, TX, USA.
  2. Department of Radiology, University of Houston, Houston, TX, USA.
  3. Electrophysiology Laboratory, Department of Cardiology, Texas Heart Institute, Houston, TX, USA.
  4. Department of Radiology, Texas Heart Institute, Houston, TX, USA.
  5. Section of Pediatric Cardiology, Department of Pediatrics, Texas Children's Hospital, Baylor College of Medicine, Houston, TX, United States.
  6. Centro Cardiologico Gentile, Naples, Italy.
  7. Department of Radiology, Cleveland Clinic, Cleveland, OH, USA.
  8. Department of Radiology, Wilford Hall Ambulatory Center, San Antonio Military Health System, Joint Base San Antonio, San Antonio, TX, USA.
  9. Division of Cardiology, University of Siena, Siena, Italy.
  10. Department of Cardiology, University of California Los Angeles, Los Angeles, CA, USA.
  11. Department of Radiology, Northwestern University, Chicago, IL, USA.
  12. Department of Congenital Cardiac Surgery, Children's Memorial Hermann Hospital, UTHealth, Houston, TX, USA.
  13. Department of Cardio-Radiology, US Air Force Lackland Hospital, San Antonio, TX, USA.
  14. Department of Cardiovascular Imaging, School of Biomedical Engineering and Imaging Sciences, King's College London, United Kingdom.
  15. Department of Radiology, St. Thomas Hospital, King's College London, United Kingdom.
  16. Division of Cardiology, Department of Medical Sciences, University of Turin, Italy.
  17. Cardiovascular Division, Free University of Brussels (UZ Brussel) VUB, Brussels, Belgium.
  18. The Cardiac Institute, University of Tennessee Health Science Center, Memphis, TN, USA.
  19. Department of Cardiology, Bichat Hospital, Paris, France.
  20. Division of Adult Cardiovascular Diseases, Methodist University of Tennessee Cardiovascular Institute and Department of Preventive Medicine, St Jude Children's Research Hospital, Memphis, TN, USA.
  21. Department of Pathologic Anatomy, University of Padua, Italy.
  22. Department of Anatomy and Cell Biology, University of Iowa, Iowa City, IA, USA.

PMID: 34124338 PMCID: PMC8175289 DOI: 10.1016/j.ijcha.2021.100790

Abstract

Preventing sudden cardiac death (SCD) in athletes is a primary duty of sports cardiologists. Current recommendations for detecting high-risk cardiovascular conditions (hr-CVCs) are history and physical examination (H&P)-based. We discuss the effectiveness of H&P-based screening versus more-modern and accurate methods. In this position paper, we review current authoritative statements and suggest a novel alternative: screening MRI (s-MRI), supported by evidence from a preliminary population-based study (completed in 2018), and a prospective, controlled study in military recruits (in development). We present:

© 2021 Published by Elsevier B.V.

Keywords: Adolescent medicine; Autopsy; Death, sudden, cardiac; Diagnostic screening programs; Heart defects, congenital; Sports medicine

Conflict of interest statement

The authors report no relationships that could be construed as a conflict of interest.

References

  1. J Am Heart Assoc. 2020 Apr 21;9(8):e014368 - PubMed
  2. Ann Intern Med. 2004 Dec 7;141(11):829-34 - PubMed
  3. Br J Sports Med. 2017 May;51(9):704-731 - PubMed
  4. Can J Cardiol. 2019 Nov;35(11):1557-1566 - PubMed
  5. J Am Heart Assoc. 2019 Jul 16;8(14):e012235 - PubMed
  6. JAMA. 2006 Oct 4;296(13):1593-601 - PubMed
  7. Eur Heart J. 2020 Apr 7;41(14):1428-1436 - PubMed
  8. Br J Sports Med. 2014 Aug;48(15):1185-92 - PubMed
  9. Catheter Cardiovasc Interv. 2020 Oct 1;96(4):844-861 - PubMed
  10. J Am Heart Assoc. 2019 Jul 16;8(14):e013007 - PubMed
  11. J Am Heart Assoc. 2020 Apr 21;9(8):e016332 - PubMed
  12. Circulation. 2007 Mar 27;115(12):1643-455 - PubMed
  13. J Am Coll Cardiol. 2018 Apr 17;71(15):1631-1646 - PubMed
  14. Catheter Cardiovasc Interv. 2018 Aug 1;92(2):313-321 - PubMed
  15. Can J Cardiol. 2019 Jan;35(1):1-11 - PubMed
  16. Tex Heart Inst J. 2018 Aug 1;45(4):205-213 - PubMed
  17. N Engl J Med. 2018 Aug 09;379(6):524-534 - PubMed
  18. J Am Coll Cardiol. 2019 Jun 18;73(23):3031-3032 - PubMed

Publication Types