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Outcomes of Cardiac Screening in Adolescent Soccer Players.

Malhotra, Aneil and Dhutia, Harshil and Finocchiaro, Gherardo and Gati, Sabiha and Beasley, Ian and Clift, Paul and Cowie, Charlotte and Kenny, Antoinette and Mayet, Jamil and Oxborough, David and Patel, Kiran and Pieles, Guido and Rakhit, Dhrubo and Ramsdale, David and Shapiro, Leonard and Somauroo, John and Stuart, Graham and Varnava, Amanda and Walsh, John and Yousef, Zaheer and Tome, Maite and Papadakis, Michael and Sharma, Sanjay (2018) Outcomes of Cardiac Screening in Adolescent Soccer Players. The New England journal of medicine, 379 (6). pp. 524-534. ISSN 1533-4406.

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Official URL: https://www.nejm.org/doi/full/10.1056/NEJMoa171471...

Abstract

Background Reports on the incidence and causes of sudden cardiac death among young athletes have relied largely on estimated rates of participation and varied methods of reporting. We sought to investigate the incidence and causes of sudden cardiac death among adolescent soccer players in the United Kingdom. Methods From 1996 through 2016, we screened 11,168 adolescent athletes with a mean (±SD) age of 16.4±1.2 years (95% of whom were male) in the English Football Association (FA) cardiac screening program, which consisted of a health questionnaire, physical examination, electrocardiography, and echocardiography. The FA registry was interrogated to identify sudden cardiac deaths, which were confirmed with autopsy reports. Results During screening, 42 athletes (0.38%) were found to have cardiac disorders that are associated with sudden cardiac death. A further 225 athletes (2%) with congenital or valvular abnormalities were identified. After screening, there were 23 deaths from any cause, of which 8 (35%) were sudden deaths attributed to cardiac disease. Cardiomyopathy accounted for 7 of 8 sudden cardiac deaths (88%). Six athletes (75%) with sudden cardiac death had had normal cardiac screening results. The mean time between screening and sudden cardiac death was 6.8 years. On the basis of a total of 118,351 person-years, the incidence of sudden cardiac death among previously screened adolescent soccer players was 1 per 14,794 person-years (6.8 per 100,000 athletes). Conclusions Diseases that are associated with sudden cardiac death were identified in 0.38% of adolescent soccer players in a cohort that underwent cardiovascular screening. The incidence of sudden cardiac death was 1 per 14,794 person-years, or 6.8 per 100,000 athletes; most of these deaths were due to cardiomyopathies that had not been detected on screening. (Funded by the English Football Association and others.).

Item Type: Article
Subjects: WD Diseases and disorders of systemic, metabolic or environmental origin > WD500 Sports medicine
WG Cardiovascular system. Cardiology
Divisions: Emergency Services > Cardiology
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Depositing User: Mrs Yolande Brookes
Date Deposited: 10 Aug 2018 12:27
Last Modified: 10 Aug 2018 12:27
URI: http://www.repository.heartofengland.nhs.uk/id/eprint/1716

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