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Volume: 38
Number: 4
Index: December 2010
Clinical Focus:Respiratory Care
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December 2010
Clinical Focus: Respiratory Medicine
  • Asthma and the athlete
    • Vocal cord dysfunction
    • Exercise-induced asthma
    • Exercise-induced bronchospasm
  • COPD
    • Obesity and COPD
    • Relationship between COPD and nutrition intake
  • Treatment options for steroid-induced osteoporosis in men
  • Treatments for asthma
    • Bronchodilators, anticholinergics
    • Corticosteroids
    • Metered-dose vs other types of inhalers
  • Respiratory infections in winter sports athletes
  • Asthma in elite athletes
  • Pulmonary rehabilitation and physical activity
  • Fitness and long-term oxygen therapy/lung transplantation
  • Airflow function and the metabolic syndrome
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doi: 10.3810/psm.2010.04.1762
The Physician and Sportsmedicine: Volume 38: No.1
Preparticipation Screening of Young Competitive Athletes for Cardiovascular Disorders
Navin Chandra, BSc (Hons), MBBS, MRCP; Michael Papadakis, MBBS, MRCP; And Sanjay Sharma, BSc (Hons), MD, FRCP (UK), FESC

The beneficial effects of regular physical exercise on cardiovascular morbidity and mortality are well documented. In rare cases, however, athletes with cardiovascular abnormalities are at increased risk of exercise-related sudden cardiac death (SCD). Paradoxically, most SCDs can be attributed to cardiovascular abnormalities that can be identified during an athlete’s life. Such abnormalities can be minimized by several therapeutic strategies, including insertion of an implantable cardioverter-defibrillator. Based on these considerations, the medical and sporting governing bodies recommend preparticipation cardiovascular screening (PPS) in young competitive athletes (aged ≤ 35 years) to identify potentially fatal cardiovascular disorders. However, PPS is associated with several controversies related to the efficacy, cost-effectiveness, and impact of false-positive results. This article aims to provide a detailed overview of the issues concerning PPS based on current evidence.

Keywords: sudden cardiac death; preparticipation screening; athlete’s heart; 12-lead ECG


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