Cardiopulmonary Considerations for High School Student-Athletes During the COVID-19 Pandemic: NFHS-AMSSM Guidance Statement

Drezner, Jonathan A.; Heinz, William M; Asif, Irfan M.; Batten, Casey G; Fields, Karl B.; Raukar, Neha P.; Valentine, Verle D.; Walter, Kevin D.

doi:10.1177/1941738120941490

Cited by 22 publications

(26 citation statements)

References 14 publications

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“…Přítomnost automatizovaných externích defi brilátorů na sportovišti, zejména tam, kde se vyskytuje větší množství lidí, je doporučena. 10 Je nesporné, že s novým koronavirem se budeme muset naučit žít. Jednoduchá a účinná hygienická opatření (mytí rukou, udržování odstupu a tam, kde to nejde, nošení roušky) nás pravděpodobně budou provázet ještě několik let.…”

Section: Závěrunclassified

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Společné odborné stanovisko Sekce sportovní kardiologie České asociace preventivní kardiologie ČKS a Sekce sportovní kardiologie České společnosti tělovýchovného lékařství

Tuka¹,

Sovová²,

Godula³

et al. 2020

Cor Vasa

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Společné odborné stanovisko Sekce sportovní kardiologie České asociace preventivní kardiologie ČKS a Sekce sportovní kardiologie České společnosti tělovýchovného lékařství (Return to sports of patients who encountered COVID-19. Expert consensus statement of the Sports Cardiology Section of the Czech Association of Preventive Cardiology of ČKS and the Sports Cardiology Section of the Czech Society of Sports Medicine

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Section: Závěrunclassified

“…7 Tělovýchovní lékaři, praktičtí lékaři i kardiologové můžou být dotazováni na uschopnění sportovce po prodělaném onemocnění COVID-19. Celosvětově vzniklo několik doporučených postupů, 5,[8][9][10][11][12][13][14][15] které vesměs zaujímají opatrnější postoj k znovuzahájení tréninků a intenzivní pohybové aktivity.…”

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Společné odborné stanovisko Sekce sportovní kardiologie České asociace preventivní kardiologie ČKS a Sekce sportovní kardiologie České společnosti tělovýchovného lékařství

Tuka¹,

Sovová²,

Godula³

et al. 2020

Cor Vasa

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“…[6] Multiple other groups have published expert recommendations, but there have been few studies to date validating any of these approaches. [7][8][9][10][11][12][13][14][15] We present a cohort study of 55 collegiate student-athletes with a history of asymptomatic or mildly symptomatic [5] SARS-CoV-2 infection and their subsequent cardiac work-up. The goal of the present study was to determine if current published recommendations were appropriate for detecting post-infection cardiac sequelae.…”

Section: Introductionmentioning

confidence: 99%

Findings from Cardiovascular Evaluation of NCAA Division I Collegiate Student-Athletes after Asymptomatic or Mildly Symptomatic SARS-CoV-2 Infection

Hwang

Kussman

Christle

et al. 2021

Preprint

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ObjectivesThe risk of myocardial damage after severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection has been controversial. There is an urgent need for data to support the appropriate level of cardiovascular screening for safe return-to-play. The purpose of this study is to report the incidence of abnormal cardiovascular findings in National Collegiate Athletic Association (NCAA) Division I student-athletes with a history of SARS-CoV-2 infection.MethodsThis is a case series of student-athletes at a single NCAA Division I institution who tested positive for SARS-CoV-2 by polymerase chain reaction (PCR) or antibody testing (IgG) from 4/15/2020 to 10/31/2020. From 452 athletes who were screened, 5,124 PCR and 452 antibody tests were completed. Student-athletes were followed through 12/31/2020 (median 104 days, range 64-182 days). Cardiac work-up included clinical evaluation, troponin level, electrocardiogram (ECG), and echocardiogram. Additional work-up was ordered as clinically indicated.Results55 student-athletes tested positive for SARS-CoV-2. Of these, 38 (69%) had symptoms of Coronavirus Disease (COVID-19), 14 (26%) had a positive IgG test, and 41 (74%) had a positive PCR test. Eight abnormal cardiovascular screening evaluations necessitated further testing including cardiac magnetic resonance imaging (cMRI). Two athletes received new cardiac diagnoses, one probable early cardiomyopathy and one pericarditis, while the remaining six had normal cardiac MRIs.ConclusionThese data support recent publications which recommend the de-escalation of cardiovascular testing for athletes who have recovered from asymptomatic or mildly symptomatic SARS-CoV-2 infection. Continued follow-up of these athletes for sequelae of SARS-CoV-2 is critical.

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“…4 A task force from the National Federation of State High School Associations (NFHS) and the American Medical Society for Sports Medicine (AMSSM) provided recommendations for the assessment and management of high school athletes with COVID-19. 2 These include the addition of new screening questions for previous COVID-19 infections, a recommended medical evaluation with consideration of an electrocardiogram after a confirmed infection, and a comprehensive medical evaluation with cardiology consult for more severe infections.…”

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confidence: 99%

“…Guidelines from the NFHS-AMSSM statement recommend no exercise for 14 days after symptom onset. 2 A recent document from the American Academy of Pediatrics 1 recommends that all exposures, including those who are asymptomatic, require a minimum 2-week resting period without exercise or competition. The document further outlines that individuals with symptoms should undergo a 2- to 4-week restriction from exercise and competition.…”

mentioning

confidence: 99%

Returning Athletes Back to High School Sports in the COVID-19 Era: Preparing for the Fall

Asif

Chang²,

Diamond

et al. 2020

Sports Health: A Multidisciplinary Approach

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Cardiopulmonary Considerations for High School Student-Athletes During the COVID-19 Pandemic: NFHS-AMSSM Guidance Statement

Cited by 22 publications

References 14 publications

Společné odborné stanovisko Sekce sportovní kardiologie České asociace preventivní kardiologie ČKS a Sekce sportovní kardiologie České společnosti tělovýchovného lékařství

Společné odborné stanovisko Sekce sportovní kardiologie České asociace preventivní kardiologie ČKS a Sekce sportovní kardiologie České společnosti tělovýchovného lékařství

Findings from Cardiovascular Evaluation of NCAA Division I Collegiate Student-Athletes after Asymptomatic or Mildly Symptomatic SARS-CoV-2 Infection

Returning Athletes Back to High School Sports in the COVID-19 Era: Preparing for the Fall

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