Preventing sudden cardiac death in athletes: In search of evidence-based, cost-effective screening

Texas Heart Institute Journal

Volumn 40, Issue 2, 2013, Pages 148-155

  Angelini, Paolo ^a   Vidovich, Mladen I ^b   Lawless, Christine E ^c   Elayda, MacArthur A ^a   Alberto Lopez, J ^a   Wolf, Dwayne ^d   Willerson, James T ^a  

^a ST LUKE S EPISCOPAL HOSPITAL   (United States)

^b UNIVERSITY OF ILLINOIS AT CHICAGO   (United States)

^c UNIVERSITY OF CHICAGO   (United States)

^d Harris County Institute of Forensic Sciences   (United States)

Author keywords

Adolescent; Adult; Arrhythmias; Cardiac complications; Cardiac etiology prevention and Control; Congenital; Coronary vessel anomalies complications; Death; Diagnosis; Guidelines as topic; Heart defects; Magnetic resonance angiography; Mass screening standards; Practice guidelines as topic; Preventive medicine; Sports medicine; Sudden

Indexed keywords

ADOLESCENT; ADULT; ANGIOCARDIOGRAPHY; AORTA SINUS; ARTICLE; ATHLETE; AUTOPSY; CARDIOVASCULAR MAGNETIC RESONANCE; CARDIOVASCULAR RISK; CHILD; CLINICAL EFFECTIVENESS; CORONARY ARTERY ANOMALY; CORRELATIONAL STUDY; COST EFFECTIVENESS ANALYSIS; DISEASE ASSOCIATION; DISEASE SEVERITY; ELECTROGRAPHY; EVIDENCE BASED MEDICINE; EXERCISE; FEMALE; HEALTH CARE PLANNING; HEART LEFT VENTRICLE HYPERTROPHY; HUMAN; HYPERTROPHIC CARDIOMYOPATHY; INCIDENCE; MAJOR CLINICAL STUDY; MALE; MASS SCREENING; PILOT STUDY; PREVALENCE; PROPHYLAXIS; PROSPECTIVE STUDY; QUESTIONNAIRE; SCHOOL CHILD; SUDDEN CARDIAC DEATH;

ADOLESCENT; ADULT; ARRHYTHMIAS, CARDIAC/COMPLICATIONS; CORONARY VESSEL ANOMALIES/COMPLICATIONS; DEATH, SUDDEN, CARDIAC/ETIOLOGY/PREVENTION & CONTROL; GUIDELINES AS TOPIC; HEART DEFECTS, CONGENITAL/DIAGNOSIS; MAGNETIC RESONANCE ANGIOGRAPHY; MASS SCREENING/STANDARDS; PRACTICE GUIDELINES AS TOPIC; PREVENTIVE MEDICINE; SPORTS MEDICINE;

ADOLESCENT; ADULT; AGE FACTORS; ATHLETES; AUTOPSY; CHILD; CROSS-SECTIONAL STUDIES; DEATH, SUDDEN, CARDIAC; ELECTROCARDIOGRAPHY; EVIDENCE-BASED MEDICINE; FEMALE; HEART DISEASES; HUMANS; MAGNETIC RESONANCE IMAGING; MALE; MASS SCREENING; PILOT PROJECTS; PREDICTIVE VALUE OF TESTS; PROSPECTIVE STUDIES; QUESTIONNAIRES; RISK FACTORS; TEXAS; YOUNG ADULT;

EID: 84878055732     PISSN: 07302347     EISSN: 15266702     Source Type: Journal    
DOI: None     Document Type: Article

References (45)

1. Corrado D, Basso C, Rizzoli G, Schiavon M, Thiene G. Does sports activity enhance the risk of sudden death in adolescents and young adults? J Am Coll Cardiol 2003;42(11):1959-63.
2. Harrell E. Sudden cardiac death: should young athletes be screened? Time magazine [Internet]. Available from: http:// www.time.com/time/health/article/0,8599,1921260,00.html [2009 Sep 10; cited 2013 Feb 11].
3. Maron BJ. Sudden death in young athletes. N Engl J Med 2003;349(11):1064-75.
4. Eckart RE, Scoville SL, Campbell CL, Shry EA, Stajduhar KC, Potter RN, et al. Sudden death in young adults: a 25-year review of autopsies in military recruits. Ann Intern Med 2004;141(11):829-34.
5. Chaitman BR. An electrocardiogram should not be included in routine preparticipation screening of young athletes. Circulation 2007;116(22):2610-5.
6. Glover DW, Glover DW, Maron BJ. Evolution in the process of screening United States high school student-athletes for cardiovascular disease. Am J Cardiol 2007;100(11):1709-12.
7. Maron BJ, Thompson PD, Ackerman MJ, Balady G, Berger S, Cohen D, et al. Recommendations and considerations related to preparticipation screening for cardiovascular abnormalities in competitive athletes: 2007 update: a scientific statement from the American Heart Association Council on Nutrition, Physical Activity, and Metabolism: endorsed by the American College of Cardiology Foundation. Circulation 2007;115(12):1643-55.
8. Atkins DL, Everson-Stewart S, Sears GK, Daya M, Osmond MH, Warden CR, et al. Epidemiology and outcomes from out-of-hospital cardiac arrest in children: the Resuscitation Outcomes Consortium Epistry-Cardiac Arrest. Circulation 2009;119(11):1484-91.
9. Donoghue AJ, Nadkarni V, Berg RA, Osmond MH, Wells G, Nesbitt L, et al. Out-of-hospital pediatric cardiac arrest: an epidemiologic review and assessment of current knowledge. Ann Emerg Med 2005;46(6):512-22.
10. Lotfi K, White L, Rea T, Cobb L, Copass M, Yin L, et al. Cardiac arrest in schools. Circulation 2007;116(12):1374-9.
11. SOS-KANTO study group. Cardiopulmonary resuscitation by bystanders with chest compression only (SOS-KANTO): an observational study. Lancet 2007;369(9565):920-6.
12. Taylor AJ, Rogan KM, Virmani R. Sudden cardiac death associated with isolated congenital coronary artery anomalies. J Am Coll Cardiol 1992;20(3):640-7.
13. Eckart RE, Shry EA, Burke AP, McNear JA, Appel DA, Castillo-Rojas LM, et al. Sudden death in young adults: an autopsy-based series of a population undergoing active surveillance. J Am Coll Cardiol 2011;58(12):1254-61.
14. Maron BJ, Doerer JJ, Haas TS, Tierney DM, Mueller FO. Sudden deaths in young competitive athletes: analysis of 1866 deaths in the United States, 1980-2006. Circulation 2009;119 (8):1085-92.
15. Budoff MJ, Ahmed V, Gul KM, Mao SS, Gopal A. Coronary anomalies by cardiac computed tomographic angiography. Clin Cardiol 2006;29(11):489-93.
16. Kim WY, Danias PG, Stuber M, Flamm SD, Plein S, Nagel E, et al. Coronary magnetic resonance angiography for the detection of coronary stenoses. N Engl J Med 2001;345(26):1863-9.
17. Prakken NH, Cramer MJ, Olimulder MA, Agostoni P, Mali WP, Velthuis BK. Screening for proximal coronary artery anomalies with 3-dimensional MR coronary angiography. Int J Cardiovasc Imaging 2010;26(6):701-10.
18. American College of Cardiology Foundation Task Force on Expert Consensus Documents, Hundley WG, Bluemke DA, Finn JP, Flamm SD, Fogel MA, et al. ACCF/ACR/AHA/ NASCI/SCMR 2010 expert consensus document on cardiovascular magnetic resonance: a report of the American College of Cardiology Foundation Task Force on Expert Consensus Documents. J Am Coll Cardiol 2010;55(23):2614-62.
19. Davis JA, Cecchin F, Jones TK, Portman MA. Major coronary artery anomalies in a pediatric population: incidence and clinical importance. J Am Coll Cardiol 2001;37(2):593-7.
20. Frommelt PC, Frommelt MA, Tweddell JS, Jaquiss RD. Prospective echocardiographic diagnosis and surgical repair of anomalous origin of a coronary artery from the opposite sinus with an interarterial course. J Am Coll Cardiol 2003;42(1): 148-54.
21. Pelliccia A, Spataro A, Maron BJ. Prospective echocardiographic screening for coronary artery anomalies in 1,360 elite competitive athletes. Am J Cardiol 1993;72(12):978-9.
22. Angelini P, Villason S, Chan AV Jr, Diez JG. Normal and anomalous coronary arteries in humans. In: Angelini P, editor. Coronary artery anomalies: a comprehensive approach. Baltimore: Lippincott Williams & Wilkins; 1999. p. 27-150.
23. Yamanaka O, Hobbs RE. Coronary artery anomalies in 126,595 patients undergoing coronary arteriography. Cathet Cardiovasc Diagn 1990;21(1):28-40.
24. Click RL, Holmes DR Jr, Vlietstra RE, Kosinski AS, Kronmal RA. Anomalous coronary arteries: location, degree of atherosclerosis and effect on survival--a report from the Coronary Artery Surgery Study. J Am Coll Cardiol 1989;13(3):531-7.
25. Angelini P, Flamm SD. Newer concepts for imaging anomalous aortic origin of the coronary arteries in adults. Catheter Cardiovasc Interv 2007;69(7):942-54.
26. Klues HG, Schiffers A, Maron BJ. Phenotypic spectrum and patterns of left ventricular hypertrophy in hypertrophic cardiomyopathy: morphologic observations and significance as assessed by two-dimensional echocardiography in 600 patients. J Am Coll Cardiol 1995;26(7):1699-708.
27. Maron BJ, Maron MS, Wigle ED, Braunwald E. The 50-year history, controversy, and clinical implications of left ventricular outflow tract obstruction in hypertrophic cardiomyopathy from idiopathic hypertrophic subaortic stenosis to hypertrophic cardiomyopathy: from idiopathic hypertrophic subaortic stenosis to hypertrophic cardiomyopathy. J Am Coll Cardiol 2009;54(3):191-200.
28. Rickers C, Wilke NM, Jerosch-Herold M, Casey SA, Panse P, Panse N, et al. Utility of cardiac magnetic resonance imaging in the diagnosis of hypertrophic cardiomyopathy. Circulation 2005;112(6):855-61.
29. Towbin JA, Lowe AM, Colan SD, Sleeper LA, Orav EJ, Clunie S, et al. Incidence, causes, and outcomes of dilated cardiomyopathy in children. JAMA 2006;296(15):1867-76.
30. Nugent AW, Daubeney PE, Chondros P, Carlin JB, Cheung M, Wilkinson LC, et al. The epidemiology of childhood cardiomyopathy in Australia. N Engl J Med 2003;348(17):1639-46.
31. Corrado D, Basso C, Pavei A, Michieli P, Schiavon M, Thiene G. Trends in sudden cardiovascular death in young competitive athletes after implementation of a preparticipation screening program. JAMA 2006;296(13):1593-601.
32. Corrado D, Pelliccia A, Heidbuchel H, Sharma S, Link M, Basso C, et al. Recommendations for interpretation of 12-lead electrocardiogram in the athlete. Eur Heart J 2010;31(2):243-59.
33. Steinvil A, Chundadze T, Zeltser D, Rogowski O, Halkin A, Galily Y, et al. Mandatory electrocardiographic screening of athletes to reduce their risk for sudden death: proven fact or wishful thinking? J Am Coll Cardiol 2011;57(11):1291-6.
34. Maron BJ, Thompson PD, Puffer JC, McGrew CA, Strong WB, Douglas PS, et al. Cardiovascular preparticipation screening of competitive athletes. A statement for health professionals from the Sudden Death Committee (clinical cardiology) and Congenital Cardiac Defects Committee (cardiovascular disease in the young), American Heart Association. Circulation 1996;94(4):850-6.
35. Angelini P. Coronary artery anomalies: an entity in search of an identity. Circulation 2007;115(10):1296-305.
36. Angelini P. Coronary artery anomalies and sports activities. In: Lawless CE, editor. Sports cardiology essentials: evaluation, management and case studies. New York: Springer; 2011. p. 277-98.
37. Angelini P, Velasco JA, Flamm S. Coronary anomalies: incidence, pathophysiology, and clinical relevance. Circulation 2002;105(20):2449-54.
38. Basso C, Maron BJ, Corrado D, Thiene G. Clinical profile of congenital coronary artery anomalies with origin from the wrong aortic sinus leading to sudden death in young competitive athletes. J Am Coll Cardiol 2000;35(6):1493-501.
39. Frescura C, Basso C, Thiene G, Corrado D, Pennelli T, Angelini A, Daliento L. Anomalous origin of coronary arteries and risk of sudden death: a study based on an autopsy population of congenital heart disease. Hum Pathol 1998;29(7):689-95.
40. Thompson PD, Levine BD. Protecting athletes from sudden cardiac death. JAMA 2006;296(13):1648-50.
41. Pednekar AS, Muthupillai R, Cheong B, Flamm SD. Automatic computation of left ventricular ejection fraction from spatiotemporal information in cine-SSFP cardiac MR images. J Magn Reson Imaging 2008;28(1):39-50.
42. Pennell DJ. Cardiovascular magnetic resonance. Circulation 2010;121(5):692-705.
43. Su JT, Chung T, Muthupillai R, Pignatelli RH, Kung GC, Diaz LK, et al. Usefulness of real-time navigator magnetic resonance imaging for evaluating coronary artery origins in pediatric patients. Am J Cardiol 2005;95(5):679-82.
44. Bardai A, Berdowski J, van der Werf C, Blom MT, Ceelen M, van Langen IM, et al. Incidence, causes, and outcomes of outof-hospital cardiac arrest in children. A comprehensive, prospective, population-based study in the Netherlands. J Am Coll Cardiol 2011;57(18):1822-8.
45. Winkel BG, Holst AG, Theilade J, Kristensen IB, Thomsen JL, Ottesen GL, et al. Nationwide study of sudden cardiac death in persons aged 1-35 years. Eur Heart J 2011;32(8):983-90.