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Sport's related sudden heart attacks - prevention hampered by lackof basic knowledge by grehh hernjer





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Sport's related sudden heart attacks - prevention hampered by lackof basic knowledge by
Article Posted: 06/23/2013
Article Views: 61
Articles Written: 1951
Word Count: 564
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Sport's related sudden heart attacks - prevention hampered by lackof basic knowledge


 
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Dr. Richard Weiler, a medical sport and exercise specialist reportsin the British Journal of Sports Medicine that the prevention of apparently inexplicable heart attacksamongst numerous young sportsmen and women is seriously challengeddue to large gaps in basic knowledge about their causes. Following the recent incident of premier league football playerFabrice Muamba's collapsing on the pitch in front of a packedstadium after sustaining a sudden heart attack , Dr. Weiler and his team call to at least establish a reliabledatabase that includes all these events across all sports in orderto gain more knowledge.

Dr. Weiler points out that Mr. Muamba wasfortunate to recover. However, he says that incidents like thesecan still occur, regardless of screening programs. Even thoughthese incidents are rare, there is little knowledge as to why theyoccur.

Dr. Weiler states that even though these incidents have led tobetter pitch-side care and improved acute sports medicine,including emergency life support, defibrillation and developingpractical education courses, as well as emergency care guidelines,he states: "We still lack many answers to basic questions about theseafflictions. We do not know the exact numbers and trends inprevalence or incidence, and do not understand the [multiplecauses] that trigger sudden cardiac death in previously healthyathletes." He continues saying that some issues, such as gender, ethnicity,geography and genes still need to be further investigated, statingthat in light of recent research, which associated sudden heartattacks to sickle cell trait, Sub-Saharan Africans couldpotentially be a 'cardiac hotspot.' According to other studies, African Americans tend to have a threetimes higher risk of sudden cardiac death/arrest compared withtheir white counterparts, even though the rates vary considerablydepending on the type of sport that is played. Dr. Weiler statesthat another study also discovered that white and black athleteshave different heart tracing patterns (ECGs).

However, he continuessaying that it has not been established whether or not this isnormal or whether this suggests a higher risk in terms of suddencardiac death. He adds that screening programs display a significant number offalse positive results, and it remains uncertain whether screeningreally lowers the number of deaths, whether it is cost effective,and how abnormal findings should be managed. He argues: "It is vital that we start to answer these questions based onreliable science and evidence. To achieve this, we propose thecollection and recording of reliable data across sport of everysudden cardiac death/arrest." However, he states, in order for this to happen it will require thecollaboration and cooperation of sporting organizations,federations, and clubs, as well as establishing a sport specificand national database that registers these incidents. He refers tothe FIFA (International Football Federation) initiative, whichrequires that all players undergo a medical examination before anyFIFA competitions, and which includes a recently establisheddatabase containing FIFA's 208 member associations to establish abase of evidence base and to gain a better understanding of thecondition.

Weiler concludes, saying: "This is one of many efforts needed to fill knowledge gaps andenable us to mitigate the risks of sudden cardiac arrest/death." He stresses that it is vital to have minimum standards ofpitch-side medical care across all types of sporting events. Written By Petra Rattue Copyright: Medical News Today Not to be reproduced without permission of Medical News Today Additional References Citations.

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