Pre-participation cardiovascular evaluation for athletic participants to prevent sudden death: Position paper from the EHRA and the EACPR, branches of the ESC. Endorsed by APHRS, HRS, and SOLAECE

Brugada syndrome: new concepts and algorithms in management (RCD code: V 1A.1)

“…Exercise is not a typical trigger of VF in BrS, and most episodes of sudden death occur at rest and at night [39]. It is postulated that increased vagal activity resulting from chronic athletic conditioning, predisposes BrS patients to arrhythmias at rest or during recovery from high-intensity exercise, often together with elevated body temperature in the latter [40]. This is in line with the 2005 ESC recommendation to restrict patients with a definitive diagnosis of BrS from competitive sports [41].…”

Tamización cardíaca para prevención de muerte súbita en atletas de representación de la Universidad de Antioquia, Medellín, Colombia

“…El metanálisis de Harmon y colaboradores (26) concluyó que la estrategia más efectiva para la tamización cardiovascular en un atleta es el ECG por ser cinco veces más sensible que la historia clínica y diez veces más sensible que el examen físico; además, tiene mayor cociente positivo de probabilidad y bajo cociente negativo de probabilidad, así como baja tasa de falsos positivos. Su costo adicional en un programa preventivo es financieramente sostenible, pero sigue siendo controvertido pues depende de los órganos de financiación de cada región (28).…”

Outcomes after sudden cardiac arrest in sports centres with and without on-site external defibrillators

“…To face this growing problem, some countries have developed protocols of preparticipation evaluation (PPE). These programmes can significantly decrease SCA-related mortality by identification and disqualification of athletes with an underlying and unsuspected cardiomyopathy 20. However, ever if PPE had showed efficacy, the problem of sport-related SCA is still far from being resolved 21.…”