What is the clinical evidence from this study?

Study design: Review. Population: Sudden cardiac death. Primary outcome: Incidence of sudden cardiac death.

What question did this study set out to answer?

To review the reported incidence of sudden cardiac death (SCD) in young athletes, evaluate methodological variations across studies, and determine an accurate incidence estimate.

July 21, 2014Heart

Incidence of sudden cardiac death in athletes: a state-of-the-art review

Q: What does this research mean for the field?

The incidence of sudden cardiac death in athletes is estimated to be between 1:40,000 and 1:80,000 based on higher quality studies, with men, African-American/black athletes, and basketball players facing a higher risk. Novelty: ClaimNovelty.SYNTHESIS. Consensus alignment: ConsensusAlignment.CHALLENGES_CONSENSUS.

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Key result

Athletes experience sudden cardiac death at rates between 1:40,000 and 1:80,000 in higher quality studies, with men, African-American/black athletes, and basketball players at higher risk.

Key Points

To review the reported incidence of sudden cardiac death (SCD) in young athletes, evaluate methodological variations across studies, and determine an accurate incidence estimate.
Searched PubMed for literature on SCD incidence in athletes and young populations aged up to 40 years.
Evaluated 13 athlete studies (ages 9–40) and 15 non-athlete population studies (<40 years) for case identification methods, inclusion/exclusion criteria, and population denominator precision.
Overall reported SCD rates varied across all studies from 1:917,000 to 1:3,000.
Studies with higher methodological quality consistently estimated SCD incidence in the range of 1:40,000 to 1:80,000.
Subgroup analyses identified higher risks of SCD among male athletes, African-American/Black athletes, and basketball players.

Structured PICO

Population

Athletes and young persons up to the age of 40 (based on 13 studies in athletes aged 9 to 40 and 15 studies in other populations under 40)

Outcome

Incidence rate of sudden cardiac death (SCD)hard clinical

The incidence of sudden cardiac death in athletes is likely higher than traditional estimates, which may necessitate the development of more effective prevention strategies.

Discussion

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Implication

Supports refined risk stratification for male, Black, and basketball athletes; leaves open optimal prevention strategies.

Cite This Study

Harmon et al. (2014) conducted a review in Sudden cardiac death. Athletes experience sudden cardiac death at rates between 1:40,000 and 1:80,000 in higher quality studies, with men, African-American/black athletes, and basketball players at higher risk.

synapsesocial.com/papers/6a18de01526d28dc9d4ad1ca https://doi.org/10.1136/heartjnl-2014-093872.rep

Topics

Sports cardiology

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Incidence of sudden cardiac death in athletes: a state-of-the-art review

Key Points

Structured PICO

Discussion

Implication

Cite This Study

Topics

Incidence of sudden cardiac death in athletes: a state-of-the-art review

Key Points

Structured PICO

Discussion

Implication

Cite This Study

Also Consider

Topics

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