Breaking News
December 12, 2018 - 10 Facts on Patient Safety
December 12, 2018 - Poorest dying nearly 10 years younger than the rich in ‘deeply worrying’ trend for UK
December 12, 2018 - Innovative care model for children with ASD reduces use of behavioral drugs in ED
December 12, 2018 - Simple measures to prevent weight gain over Christmas
December 12, 2018 - Research advances offer hope for patient-tailored AML treatment
December 12, 2018 - Researchers discover a ‘blind spot’ in atomic force microscopy
December 12, 2018 - Sprayable gel could help prevent recurrences of cancer after surgery
December 12, 2018 - SLU researchers explore how fetal exposure to inflammation can alter immunity in newborns
December 12, 2018 - How do patients want to discuss symptoms with clinicians?
December 12, 2018 - Zinc chelation may be able to deliver drug to insulin-producing cells
December 12, 2018 - Brigham researchers develop automated, low-cost tool to predict a woman’s ovulation
December 12, 2018 - Some people with Type 2 diabetes may be testing their blood sugar more often than needed
December 12, 2018 - Slow-growing type of glioma may be vulnerable to immunotherapy, suggests study
December 12, 2018 - Study provides new information regarding microRNA function in cellular homeostasis of zebrafish
December 12, 2018 - Study provides new understanding of mysterious ‘hereditary swelling’
December 12, 2018 - Researchers shed new light on how to combat Shiga and ricin toxins
December 12, 2018 - Pregnant Women Commonly Refuse Vaccines
December 12, 2018 - Drug treatment could offer new hope for some patients with brain bleeding
December 12, 2018 - Health care financial burden of animal-related injuries is growing, study says
December 12, 2018 - Macrophage cells could help repair the heart following a heart attack, study finds
December 12, 2018 - Researchers develop new system for efficiently producing human norovirus
December 12, 2018 - New artificial intelligence-based system to differentiate between different types of cancer cells
December 11, 2018 - Brazilian professors propose guidelines for therapeutic use of melatonin
December 11, 2018 - Healthy Lifestyle Lowers Odds of Breast Cancer’s Return
December 11, 2018 - New research identifies two genes linked to serious congenital heart condition
December 11, 2018 - NIH Director talks science, STEM careers with preteens
December 11, 2018 - Disabling a Cellular Antivirus System Could Improve Gene Therapy
December 11, 2018 - New tool swiftly provides accurate measure of patients’ cognitive difficulties
December 11, 2018 - NICE releases new guidelines for diagnosis and management of COPD
December 11, 2018 - Without Obamacare penalty, think it’ll be nice to drop your plan? Better think twice
December 11, 2018 - Researchers capture high-resolution X-ray and NMR image of key immune regulator
December 11, 2018 - Natural flavonoid is effective at treating leishmanisis infections, study shows
December 11, 2018 - Avoidant grievers unconsciously monitor and block mind-wandering contents, study shows
December 11, 2018 - Study identifies how hantaviruses infect lung cells
December 11, 2018 - Improving PTSD care through genetics
December 11, 2018 - Dermatology providers show interest in recommending cannabinoids to patients
December 11, 2018 - Researchers to study effects of electroconvulsive therapy on Alzheimer’s patients with aggression
December 11, 2018 - Four dried fruits have lower glycemic index than starchy foods, study finds
December 11, 2018 - Optimization of drug dose sizes can reduce pharmaceutical wastage
December 11, 2018 - Ultrarestrictive opioid prescribing strategy linked with reduction in number of pills dispensed
December 11, 2018 - PET scans to optimize tuberculosis meningitis treatments and personalize care, study finds
December 11, 2018 - Researchers aim to identify and target high blood pressure indicators
December 11, 2018 - Researchers identify immune cell subset that may drive chronic inflammation
December 11, 2018 - Ezogabine treatment reduces motor neuron excitability in ALS patients, study shows
December 11, 2018 - One implant, two prices. It depends on who’s paying.
December 11, 2018 - Standardizing feeding practices improves growth trends for micro-preemies
December 11, 2018 - COPD Tied to Obesity in Male, Female Never-Smokers
December 11, 2018 - Flossing: Information for Caregivers
December 11, 2018 - Does breastfeeding hormone protect against type 2 diabetes?
December 11, 2018 - Educating future doctors to prescribe physical activity for their patients
December 11, 2018 - Krystal 2000 microplate design improves fluorescence and luminescence measurement
December 11, 2018 - FDA clears mobile medical app to help increase retention in recovery program for opioid use disorder
December 11, 2018 - Overcoming Challenges in High-Speed Centrifugation Experiments
December 11, 2018 - Study shows link between neighborhoods’ socioeconomic status and dietary choices
December 11, 2018 - Lower BMI before obesity surgery predicts greater post-operative weight loss, study finds
December 11, 2018 - Obesity May Be Driving Rise in Uterine Cancers
December 11, 2018 - Antioxidants may prevent cognitive impairment in diabetes
December 11, 2018 - Study discovers link between meditation and how individuals respond to feedback
December 11, 2018 - Researchers identify potential diagnostic tool for Alzheimer’s disease
December 11, 2018 - Oral cancer prognostic signature identified
December 11, 2018 - How Can I Find Out What Caused My Miscarriage?
December 11, 2018 - Novel personalized medicine tool for assessing inherited colorectal cancer syndrome risk developed
December 11, 2018 - Study uncovers 11 new genes associated with epilepsy
December 11, 2018 - Filling research gaps could help develop more disability-inclusive workplaces
December 11, 2018 - Cartilage tissue engineering brings good news for patients with cartilage defects
December 11, 2018 - Novel 3D printing workflow helps predict leaky heart valves
December 11, 2018 - Imagination can help overcome fear and anxiety-related disorders, shows study
December 11, 2018 - Are caries linked to political regime?
December 11, 2018 - Leader in Diabetes Clinical Trials Wins Naomi Berrie Award
December 11, 2018 - Scientists discover cellular mechanism that triggers pneumonia in humans
December 11, 2018 - Increasing mental health problems related to drug use in over 55’s
December 11, 2018 - High-intensity interval exercise could help combat cognitive dysfunction in obese people
December 11, 2018 - Annual flu shot can save lives of heart failure patients
December 11, 2018 - Researchers compare health outcomes for VA and non-VA hospitals
December 11, 2018 - Recommendations Developed for Psoriatic Arthritis Treatment
December 11, 2018 - Genetic analysis links obesity with diabetes, coronary artery disease
December 11, 2018 - Study shows that having genetic information can affect how the body responds
December 11, 2018 - UNAIDS Report: 9 Million Are Likely HIV Positive And Don't Know It
December 11, 2018 - Lund University researchers succeed in obtaining dendritic cells by direct reprogramming
December 11, 2018 - Breast tumors recruit bone marrow cells to boost their growth, study reveals
Mandatory health screen to rule out risk of sudden death in footballers not fail-safe

Mandatory health screen to rule out risk of sudden death in footballers not fail-safe

image_pdfDownload PDFimage_print
Credit: CC0 Public Domain

A mandatory health screen before the start of a season, to rule out heart problems associated with a heightened risk of sudden death in professional footballers, isn’t a fail-safe, no matter how comprehensive it is, suggests research published online in the British Journal of Sports Medicine.

UEFA and FIFA have made these health checks, known as pre-participation screens, mandatory. But even when they include a scan (echocardiography or echo for short) and a recording of the heart’s electrical activity (electrocardiography or ECG), they still don’t always pick up potentially critical problems, the findings indicate.

The pros and cons of this type of screening to stave off the sudden loss of blood flow resulting from the heart’s failure to pump properly (cardiac arrest) continue to be hotly debated.

The researchers therefore decided to use media tracking software to find out what happened to 595 male Norwegian professional footballers with an average age of 25, from 28 of the country’s 30 elite and first division teams.

The players’ health screens, carried out over three months in 2008, during pre-season training, included reporting any cardiovascular symptoms during sporting activity and any family history of heart disease/stroke, an echo, and an ECG.

Most tested negative (563), but 32 tested positive, two of whom were subsequently cleared for play after treatment. The other 30 were recommended to have further tests, but were cleared to play.

During the eight year monitoring period, six players, equivalent to 1 in every 100, had a serious cardiovascular problem.

Three had a cardiac arrest, all of whom were successfully resuscitated. Another three had, respectively, a heart attack, a mini stroke (transient ischaemic attack or TIA), and irregular heartbeat (atrial fibrillation).

Three players had ignored warning symptoms, including chest pain, laboured breathing (dyspnoea), and feeling as if they were about to pass out (near syncope).

And prompt treatment was delayed in three cases, because doctors either misinterpreted symptoms—neuromuscular weakness (paresis), near syncope, palpitations—or discharged patients with serious symptoms without further medical check-ups.

Nevertheless, in all six cases, the screening results had come back negative, both at the time, and when these were reviewed again by a senior cardiologist a few weeks later.

“The number of severe [cardiovascular] incidents was remarkably higher than expected in this young population,” note the researchers. “We have no explanation for this; it could simply represent a random effect due to small numbers,” they suggest.

They acknowledge that standard screening protocols are designed to capture some, but not all, heart problems, and that they are usually one-off events, so health might have deteriorated during the interim in the six players-something which a repeat screen might have picked up, they say.

“This raises the question of the ‘use by’ date for a ‘clearance to play’,” they suggest. And they emphasise: “It is important to remind athletes that a normal screening exam does not protect against all cardiac disease, and that timely reporting of symptoms is essential.”

Their findings also underscore the importance of training in the use of portable defibrillators-devices that can shock the heart back into normal rhythm-they say.


Explore further:
PTSD linked to increased complications and death a year after cardiac arrest

More information:
British Journal of Sports Medicine (2018). bjsm.bmj.com/lookup/doi/10.113 … bjsports-2018-099845

Journal reference:
British Journal of Sports Medicine

Provided by:
British Medical Journal

Tagged with:

About author

Related Articles