ArticleEuropean heart journal2023
Value of screening for the risk of sudden cardiac death in young competitive athletes.
Article in European heart journal, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06518252 (Detection of the Risk of Sudden Cardiac Death in Athletes From the Universidad Nacional de Colombia), which is not on this map. Cited by 43 papers, 3 of them syntheses that pooled it.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Detection of the Risk of Sudden Cardiac Death in Athletes From the Universidad Nacional de Colombia
Who cites it
43 citing papers in PubMed, 3 syntheses or guidelines pooled it, 96 citations in OpenAlex.
- Frequency and Prognostic Significance of T-wave Inversions in Athletes: A Systematic Review and Meta-analysis.Sports medicine - open · 2026Pooled it
- Population-based screening for conditions associated with juvenile sudden cardiac death: a systematic review and meta-analysis.European heart journal. Quality of care & clinical outcomes · 2026Pooled it
- Cardiac evaluation of paediatric athletes.European heart journal · 2026Guideline
- Sudden Death in Young Competitive Athletes Due to Arrhythmogenic Cardiomyopathy: A 4-Decade National Referral Center Experience.Circulation. Arrhythmia and electrophysiology · 2026Article
- Flexible wearable medical devices: from material innovations and data processing to intelligent healthcare applications.Journal of advanced research · 2026Review
- Electrocardiographic Changes in Juvenile Athletes in Relation to Sex, Age, and Sport Category.Pediatric cardiology · 2026Article
- From Preparticipation Screening to Diagnosis: Long-Term Outcomes of Athletes with Ventricular Repolarization Abnormalities and Normal Echocardiography.Journal of personalized medicine · 2026Article
- Exercise Stress Testing in Clinical Cardiology: A Practical Guide to Performance and Interpretation.Journal of clinical medicine · 2026Review
- Artificial Intelligence Enhanced Electrocardiogram Analysis for Age and Sex Classification in Youth.Pediatric cardiology · 2026Article
- Sporting Careers After ICD Implantation in Elite Athletes.Journal of cardiovascular development and disease · 2026Article
- Epidemiology of paediatric inherited arrhythmogenic diseases under "Real World" conditions: findings from a 10-year longitudinal study in Eastern Austria.European journal of pediatrics · 2025Article
- Bidirectional Interplay Between Traumatic Brain Injury and Cardiovascular Dysfunction in Athletes.Journal of clinical medicine · 2025Review
- Artificial Intelligence Enhanced Electrocardiogram Analysis for Age and Sex Classification in Youth.Research square · 2025Article
- Global cardiac screening practices among youth and adult football players: the FIFA cardiac screening survey.British journal of sports medicine · 2025Article
- Towards smarter screening: refining ECG criteria for the youngest athletes.Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology · 2025Article
- Sports Pre-Participation Evaluation in Healthy Adults-A Survey-Based Assessment of Guideline Acceptability and Feasibility Among Sports Physicians and Participants.Clinical and public health guidelines · 2025Article
- Mortality in male bodybuilding athletes.European heart journal · 2025Article
- TP-fusion at peak exercise: a novel marker for the recognition of unsuspected long QT syndrome patients.Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology · 2025Article
- Rising sudden cardiac deaths among young Indian actors and models: The role of steroids, extreme fitness, and societal pressure.Global cardiology science & practice · 2025Article
- Recommendations for cardiac screening and emergency action planning in youth football: a FIFA consensus statement.British journal of sports medicine · 2025Article
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Authors and funding
10 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
aimsThis study aimed to report the long-term findings of the Italian programme of cardiovascular preparticipation screening (PPS) in young, competitive athletes. METHODS AND
resultsThe study assessed the diagnostic yield for diseases at risk of sudden cardiac death (SCD), the costs of serial evaluations, and the long-term outcomes of PPS in a large population of Italian children (age range, 7-18 years). The PPS was repeated annually and included medical history, physical examination, resting electrocardiogram, and stress testing; additional tests were reserved for athletes with abnormal findings. Over an 11-year study period, 22 324 consecutive children [62% males; mean age, 12 (interquartile range, 10-14) years at first screening] underwent a total of 65 397 annual evaluations (median 2.9/child). Cardiovascular diseases at risk of SCD were identified in 69 children (0.3%) and included congenital heart diseases (n = 17), channelopathies (n = 14), cardiomyopathies (n = 15), non-ischaemic left ventricular scar with ventricular arrhythmias (n = 18), and others (n = 5). At-risk cardiovascular diseases were identified over the entire age range and more frequently in children ≥12 years old (n = 63, 91%) and on repeat evaluation (n = 44, 64%). The estimated cost per diagnosis was 73 312€. During a follow-up of 7.5 ± 3.7 years, one child with normal PPS findings experienced an episode of resuscitated cardiac arrest during sports activity (event rate of 0.6/100.000 athletes/year).
conclusionThe PPS programme led to the identification of cardiovascular diseases at risk of SCD over the whole study age range of children and more often on repeat evaluations. Among screened children, the incidence of sport-related cardiac arrest during long-term follow-up was low.
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