Key result
Based on a review of observational studies, the 12-Element AHA Recommendations are strongly recommended for preparticipation screening to prevent sudden cardiac arrest during exercise, whereas 12-lead ECG remains controversial and genetic testing is not appropriate.
Why the study?
Do screening tests and cardiac emergency response plans prevent sudden cardiac arrest and sudden cardiac death during exercise?
Do screening tests and cardiac emergency response plans prevent sudden cardiac arrest and sudden cardiac death during exercise?
The 12-Element AHA Recommendations and public-access AEDs are recommended for preventing sudden cardiac arrest during exercise, while routine 12-lead ECG and genetic testing remain controversial or inappropriate.
Answers are grounded in this paper and cite their sources.
Supports AHA 12-element screening and AEDs to prevent exercise SCA; leaves open routine ECG and genetic testing pending stronger evidence.
Sudden cardiac arrest (SCA) and sudden cardiac death (SCD) during exercise are rare but devastating for a patient and family. The objectives of this review are to provide both school and sport-events’ personnel with an overview of the types of preventions, such as screening tests and cardiac emergency response plans, describe the recommended screening tests and cardiac emergency response plans during exercise, and describe current concerns and challenges in the prevention of SCA or SCD. A literature review was performed. No intervention study was identified. Thus, based on findings from observational studies, the types of prevention against SCA and SCD have been reviewed, and the recommendations for prevention were discussed. The 12-Element AHA Recommendations for Preparticipation Cardiovascular Screening of Competitive Athletes was strongly recommended as a screening test. The 12-lead ECG remained controversial for use as a preparticipation program. Genetic testing was not appropriate for prevention. In addition, concerns and challenges for future studies were discussed. An observational study with rigorous methodology and analysis is feasible and could provide a good understanding as a controlled trial.
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Takeru Abe (2015) conducted a review in Sudden cardiac arrest (SCA) and sudden cardiac death (SCD) during exercise. Preparticipation screening tests and cardiac emergency response plans was evaluated. Based on a review of observational studies, the 12-Element AHA Recommendations are strongly recommended for preparticipation screening to prevent sudden cardiac arrest during exercise, whereas 12-lead ECG remains controversial and genetic testing is not appropriate.
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