ARISTOTLE UNIVERSITY OF THESSALONIKI, GREECE SPORTS MEDICINE LABORATORY ΑΡΡΥΘΜΙA KAI SPORTS TO SCREEN OR NOT TO SCREEN

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1 ARISTOTLE UNIVERSITY OF THESSALONIKI, GREECE SPORTS MEDICINE LABORATORY DIRECTOR: PROF. A. DELIGIANNIS ΑΡΡΥΘΜΙA KAI SPORTS TO SCREEN OR NOT TO SCREEN EVANGELIA KOUIDI CARDIOLOGIST PROFESSOR OF SPORTS MEDICINE

2 Lee et al. JACC 2014; 64(5): Nigam A, Juneau M. The Lancet 2011; 378: Wen CP et al. Lancet 2011; 378:

3 CARDIOVASCULAR EVENTS DURING EXERCISE 6.5/ persons/years 10.8/ males/year 2.2/ females/year Chevalier L, et al. Eur J Cardiov Prev Rehabil 2009, 16:

4 Myerburg RJ, Vetter VL. Circulation 2007; 116:

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6 Maron BJ e al, JACC 2014; 63:

7 Thompson P et al Circulation 2007; 115:

8 Deligiannis A, et al. Eur J Cardiovasc Prev Rehabil 2006; 13: Furlanello F, et al. Eur J Cardiovasc Prev Rehabil 2007; 14:

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11 Link M, Estes M. J Cardiovasc Electrophysiol, 2010; 21: Doerer J, et al. Am J Cardiol 2007; 99: 857-9

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14 Chandra N et al. J Am Coll Cardiol 2013;61:

15 Preparticipation Health Screening Identification of Target Groups (High Risk Family) Organization of First Aids in Arena

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18 Screening work-up according to the proposed criteria for ECG interpretation in athletes Corrado D et al. Eur Heart J 2010;31:

19 Asif I, Drezner J. Prog Cardiovasc Dis 2012; 54:

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21 Electrocardiographic interpretation in athletes: the Seattle criteria Sens 91% Spec 89% Drezner JA, Ackerman MJ, Anderson J et al. Br J Sports Med 2013; 47:

22 . Myerburg RJ, Vetter VL. Circulation 2007; 116:

23 athletes Abnormal ECG pattern 45% Cardiovascular Disorders 10% Disqualified 1%

24 Eur Heart J 2005; 26:

25 Pelliccia A et al. Eur Heart J 2005; 26:

26 Premature Contractions In the absence of evidence of structural heart disease and in the absence of symptoms other than occasional palpitation, no evaluation other than a 12-lead ECG is necessary. Link M, Mark Estes NA. J Cardiovasc Electrophysiol, 2010; 21:

27 Bethesda Conference #36 and the European Society of Cardiology Consensus Recommendations Revisited A. Pelliccia,D. Zipes,B. Maron JACC, 2008; 52:1990

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29 Biffi A, et al. JACC 2004; 44:

30 PAROXYSMAL SUPRAVENTRICULAR TACHYCARDIA Salerno J, et al. Arch Pediatr Adolesc Med. 2009;163(3): years old male runner

31 PAROXYSMAL SUPRAVENTRICULAR TACHYCARDIA WITHOUT PRE-EXCITATION If the individual wants to perform competitive athletic activity, definitive treatment by ablation is recommended. Moreover, drug treatment may not be tolerated, may be illegal, or may even be dangerous during competitive sports. Heidbuchel H, et al. Eur J Cardiovasc Prev Rehabil 2006; 13: 475

32 Eur Heart J 2005; 26:

33 Maron B and Pelliccia A. Circulation 2006;114:

34 Lavie C, et al. Current Sports Medicine Reports 2015; 15:

35 Lluı s Mont et al. Europace 2009; 11: Aizer A, et al. Am J Cardiol 2009; 103(11):

36 Endurance sports: high vagal tone increased left atrial dimensions increase in atrial wall strain/stretch D Andrea A, et al. Am Heart J 2010;159:

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38 Baldesberger S. Eur Heart J 2008; 29(1):71-8.

39 Eur Heart J 2005; 26:

40 17 years old male swimmer

41 Cohen M et al. Heart Rhythm 2012; 9:

42 Bethesda Conference #36 and the European Society of Cardiology Consensus Recommendations Revisited A. Pelliccia,D. Zipes,B. Maron JACC, 2008; 52:1990

43 Svendsen J et al. Europace 2013; 15,

44 Santinelli V, et al. J Am Coll Cardiol 2009; 53:

45 QT Abnormalities Johnson JN, Ackerman MJ. Br J Sports Med 2013, 47, 28 33

46 Johnson JN, Ackerman MJ. Br J Sports Med 2013, 47, 28 33

47 Pelliccia A et al. Eur Heart J 2005; 26:

48 Lampert R, et al. J Cardiovasc Electrophysiol, 2006; 17: 11-15

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50 Current Sports Medicine Reports 2015; 14:

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52 Thiene G et al. Cell Tissue Res 2012; 348:

53 ΠΡΟΛΗΨΗ ΕΚΠΑΙΔΕΥΣΗ - ΕΝΗΜΕΡΩΣΗ

54 Centre for Cardiac Risk in Younger Persons (CRY Centre) Aim : At CRY all young individuals (14-35) have the opportunity to be screened. Morover CRY provide timely, comprehensive assessment of families where SCD has occurred or young people with worrying cardiac symptoms Tests : ECG, Echo, Exercise Test, Heart rhythm monitor all on one day, followed by Consultation with Consultant (family tree etc)

55 Steinvill et al. JACC 2011;57: Higgins J et al. JACC 2011;58: Halkin A, et al. JACC 2012;60:2271 6

56 ΕΡΓΑΣΤΗΡΙΟ ΑΘΛΗΤΙΑΤΡΙΚΗΣ ΤΕΦΑΑ ΑΠΘ ΙΑΤΡΕΙΟ ΠΡΟΑΓΩΝΙΣΤΙΚΟΥ ΕΛΕΓΧΟΥ ΥΓΕΙΑΣ ΑΘΛΟΥΜΕΝΩΝ