Team Approach: Diagnosis, Management, and Prevention of Sudden Cardiac Arrest in the Athlete

Antonio Cusano, Paul M. Inclan, Tyler Jackson, Leigh J. Weiss, Ronnie P. Barnes, James J. Kinderknecht, Samuel A. Taylor, Scott A. Rodeo

Résultat de rechercheexamen par les pairs

Résumé

» Sudden cardiac events during sports competition are rare but tragic occurrences that require a timely, comprehensive response by well-prepared athletic trainers and medical providers. This sequence should prioritize prompt emergency medical system activation, immediate initiation of cardiopulmonary resuscitation (CPR), automated early defibrillation (AED), and comprehensive advanced life support efforts.» Exercise-induced cardiac remodeling, referred to as the “athlete's heart,” refers to a host of adaptive changes that increase cardiac chamber size and wall thickness to allow for greater pressures and volumes during exercise. This remodeling phenotype may overlap with other inherited cardiomyopathies and cardiac abnormalities, which can complicate clinical care. The long-term implications of this electrical and structural remodeling on cardiac function are unknown.» Although the best screening strategies to optimize primary prevention of sudden cardiac arrest is an evolving topic, the effectiveness of CPR and early defibrillation use in treating out-of-hospital sudden cardiac arrest has been well-established, despite their reported underuse.

Langue d'origineEnglish
Numéro d'article23.00225
JournalJBJS Reviews
Volume12
Numéro de publication3
DOI
Statut de publicationPublished - mars 6 2024

ASJC Scopus Subject Areas

  • Surgery
  • Orthopedics and Sports Medicine

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