How to Evaluate an Athlete of Afro- Caribbean Origin. Professor Sanjay Sharma St George’s University of London Background: Causes of SCD in Sport Young competitive athlete Personal and family history Physical examination 12-lead rest ECG Negative findings Positive findings Eligibility for No cardiovascular Further competition disease examination Cardiovascular disease Management according to established protocols TIME-TREND OF SUDDEN CARDIAC DEATH INCIDENCE IN ATHLETES VS NON-ATHLETES Veneto Region of Italy 1979-2002 Young competitive athlete Italian Model Personal and family history Physical examination 12-lead rest ECG Endorsed by Negative findings Positive findings - ESC Eligibility for No cardiovascular Further competition disease examination - IOC Cardiovascular disease - FIFAM anagement according to established protocols Results of athletes screened in Veneto 1979-2004- Corrado; JAMA 2006 Athletes screened: 42,386 Abnormal ECG: 3,914 (9%) False Positive Cardiac disorder: 879 (2%) 7% All disqualified Potentially lethal disorder: 91 (0.2%) Size Age Ethnicity Gender Anabolic Drugs Inherited Cardiac Type of sport Cardiomyopathy or Dimensions ion channel disorder
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