Analysis of Pre-participation Screening Protocols for Football Players in Europe, USA, and Libya: Possible Implications for Preventing Sudden Cardiac Death

Sudden cardiac death is the leading cause of death in sport participants and may result from undiagnosed cardiac diseases. It has been universally agreed upon that pre-participation screening can identify those athletes at risk of sudden cardiac death, and yet, there is no commonly accepted protocol...

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Main Authors: Salaheddin Sharif, Narges Elzaydi, David Hydock
Format: Article
Language:English
Published: Turkish Sports Medicine Association 2017-06-01
Series:Spor Hekimligi Dergisi
Subjects:
Online Access: http://journalofsportsmedicine.org/eng/full-text/280/eng
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author Salaheddin Sharif
Narges Elzaydi
David Hydock
author_facet Salaheddin Sharif
Narges Elzaydi
David Hydock
author_sort Salaheddin Sharif
collection DOAJ
description Sudden cardiac death is the leading cause of death in sport participants and may result from undiagnosed cardiac diseases. It has been universally agreed upon that pre-participation screening can identify those athletes at risk of sudden cardiac death, and yet, there is no commonly accepted protocol to screen athletes. Although the European Society of Cardiology (ESC) and the American Heart Association (AHA) recommend the routine screening of athletes to prevent sudden death, there is significant disagreement regarding the guidelines of the protocols. The American Heart Association protocol includes a detailed medical history and a physical examination, whereas the European Society of Cardiology protocol includes 12-lead electrocardiography with a detailed medical history and a physical examination. The cost benefit of using electrocardiography is debatable, particularly if the screening is used to prevent sudden death associated with uncommon diseases. The Libyan Football Federation established a new seasonal pre-competition medical assessment protocol for Libyan football athletes during the 2013-2014 season, which includes a medical history, physical examination, 12 lead electrocardiography, echocardiography, and blood test. Regardless of cost and differences in protocol, there is a significant value in pre-participation screening for athletes in order to decrease the incidence of sudden cardiac death, and this report examines some of these different protocols as well as their potential for identifying athletes at risk for sudden cardiac death.
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spelling doaj.art-9a68ada255eb4634bcb35b534ca6161d2023-02-15T16:14:58ZengTurkish Sports Medicine AssociationSpor Hekimligi Dergisi1300-05512587-14982017-06-01522636910.5152/tjsm.2017.071280Analysis of Pre-participation Screening Protocols for Football Players in Europe, USA, and Libya: Possible Implications for Preventing Sudden Cardiac DeathSalaheddin Sharif0Narges Elzaydi1David Hydock2 University of Benghazi, Physiology Department, Benghazi, Libya University of Benghazi, Physiology Department, Benghazi, Libya University of Northern Colorado School of Sport and Exercise Science, Greeley, Colorado, United States Sudden cardiac death is the leading cause of death in sport participants and may result from undiagnosed cardiac diseases. It has been universally agreed upon that pre-participation screening can identify those athletes at risk of sudden cardiac death, and yet, there is no commonly accepted protocol to screen athletes. Although the European Society of Cardiology (ESC) and the American Heart Association (AHA) recommend the routine screening of athletes to prevent sudden death, there is significant disagreement regarding the guidelines of the protocols. The American Heart Association protocol includes a detailed medical history and a physical examination, whereas the European Society of Cardiology protocol includes 12-lead electrocardiography with a detailed medical history and a physical examination. The cost benefit of using electrocardiography is debatable, particularly if the screening is used to prevent sudden death associated with uncommon diseases. The Libyan Football Federation established a new seasonal pre-competition medical assessment protocol for Libyan football athletes during the 2013-2014 season, which includes a medical history, physical examination, 12 lead electrocardiography, echocardiography, and blood test. Regardless of cost and differences in protocol, there is a significant value in pre-participation screening for athletes in order to decrease the incidence of sudden cardiac death, and this report examines some of these different protocols as well as their potential for identifying athletes at risk for sudden cardiac death. http://journalofsportsmedicine.org/eng/full-text/280/eng Sport cardiologypre-participation examinationscreening protocolsECGsudden cardiac death
spellingShingle Salaheddin Sharif
Narges Elzaydi
David Hydock
Analysis of Pre-participation Screening Protocols for Football Players in Europe, USA, and Libya: Possible Implications for Preventing Sudden Cardiac Death
Spor Hekimligi Dergisi
Sport cardiology
pre-participation examination
screening protocols
ECG
sudden cardiac death
title Analysis of Pre-participation Screening Protocols for Football Players in Europe, USA, and Libya: Possible Implications for Preventing Sudden Cardiac Death
title_full Analysis of Pre-participation Screening Protocols for Football Players in Europe, USA, and Libya: Possible Implications for Preventing Sudden Cardiac Death
title_fullStr Analysis of Pre-participation Screening Protocols for Football Players in Europe, USA, and Libya: Possible Implications for Preventing Sudden Cardiac Death
title_full_unstemmed Analysis of Pre-participation Screening Protocols for Football Players in Europe, USA, and Libya: Possible Implications for Preventing Sudden Cardiac Death
title_short Analysis of Pre-participation Screening Protocols for Football Players in Europe, USA, and Libya: Possible Implications for Preventing Sudden Cardiac Death
title_sort analysis of pre participation screening protocols for football players in europe usa and libya possible implications for preventing sudden cardiac death
topic Sport cardiology
pre-participation examination
screening protocols
ECG
sudden cardiac death
url http://journalofsportsmedicine.org/eng/full-text/280/eng
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