Navigation Links
Test Finds Rare Heart Defect in Some Young Athletes
Date:1/9/2008

Finding may fuel debate about screening for cardiovascular problems

WEDNESDAY, Jan. 9 (HealthDay News) -- Italian researchers say they've identified an abnormal heartbeat pattern in young athletes that makes some of them vulnerable to severe heart disease later in life.

The report comes amid intense debate in the United States about screening athletes for potential cardiac problems, said Dr. Mark S. Link, director of the Tufts-New England Medical Center for the Evaluation of Athletes.

"In Italy and other European countries, screening is done," Link said. "In the U.S., it generally isn't. There is a very, very vigorous debate about screening in this country."

The new Italian report isn't likely to resolve that debate, because the study found that the percentage of young athletes who went on to develop heart problems was small, said study lead author Dr. Antonio Pelliccia, scientific director of the Institute of Sports Medicine and Science in Rome. The findings are published in the Jan. 10 issue of the New England Journal of Medicine.

The study authors reviewed a database of 12,550 trained athletes and found that 81 of them had electrocardiograms (EKGs) with an abnormal pattern called "diffusely distributed and deeply inverted T waves," but no obvious heart disease. Five of the athletes eventually developed severe heart disease before 50 years of age, including one who died suddenly at age 24.

The abnormal pattern doesn't necessarily mean an end to athletic activity, Pelliccia said. "We don't say, you have a cardiomyopathy," he said, using the formal term for severe heart disease in which the heart muscle becomes inflamed and doesn't work properly. "We say, you have something that may be associated with subsequent development of a cardiomyopathy. Also, numerous persons with the abnormality do not develop signs and symptoms of cardiomyopathy. That is why we suggest clinical prudence and caution."

Young athletes in Europe are routinely given EKGs, Link said. About 10 percent of them are found to have EKG abnormalities and are given a more detailed heart test, an echocardiogram, which leads to medical disqualification for 10 percent of that group, he said.

In the United States, Link said, "Everyone is saying you should do some kind of screening. The debate is how the screening should be done."

The American Heart Association recommends a screening program that does not include EKGs. Young athletes should be asked if there is a family history of heart disease and should be examined physically to detect signs and symptoms of potential problems such as shortness of breath, high blood pressure and physical heart abnormalities.

"I think this report will add fuel to the fire for the group that wants EKGs," Link said. "Whether the data is enough to change the American Heart Association recommendations, I'm not sure."

Dr. Jeffrey R. Bytomski, medical team physician for Duke University, said he is pretty certain it won't because of the small number of abnormalities identified in the Italian study.

"The common rate for cardiomyopathies is one in 500," he said. "So in 12,500 examinations, you should have 25. They found five. When you look at screening tools, you want to do a test if there is a high incidence. In kids, cardiomyopathy is pretty rare."

The U.S. debate will go on, Bytomski said. "Every time one of these papers comes out, it kind of stirs it up again," he said. "But it is not compelling enough to say that this is worth screening for."

More information

You can get the full recommendations for heart screening of athletes at the American Heart Association.



SOURCES: Antonio Pelliccia, M.D., scientific director, Institute of Sports Medicine and Science, Rome, Italy; Mark S. Link, M.D., director, Tufts-New England Medical Center for the Evaluation of Athletes, Boston; Jeffrey R. Bytomski, M.D., head medical team physician, Duke Medical Center, Durham, N.C.; Jan. 10, 2008, New England Journal of Medicine


'/>"/>
Copyright©2008 ScoutNews,LLC.
All rights reserved  

Related medicine news :

1. Team Finds 118 Genes That Might Play Role in Cancer
2. Pollution shrinks fetus size: Brisbane study finds
3. Study finds most TV prescription drug ads minimize risk information
4. New study in the journal Sleep finds that catathrenia can be successfully treated with CPAP
5. Allergic reactions to gadolinium-based contrast agents are rare, study finds
6. Breast cancer gene mutation more common in Hispanic, young black women, Stanford/NCCC study finds
7. Ireland Cancer Center researcher finds standard treatment for breast cancer not followed
8. Most breast cancer surgeons dont talk to patients about reconstruction options, U-M study finds
9. St. Jude finds link between cellular defense processes, showing how cancer cells survive
10. New AHIP Survey Finds Individual Health Care Coverage Accessible and Affordable
11. St. Jude Finds Link Between Cellular Defense Processes, Showing How Cancer Cells Survive
Post Your Comments:
*Name:
*Comment:
*Email:
Related Image:
Test Finds Rare Heart Defect in Some Young Athletes
(Date:6/27/2016)... (PRWEB) , ... June 27, 2016 , ... ... cutting edge technology to revolutionize the emergency ambulance transport experience for the millions ... aware of how Uber has disrupted the taxi industry through the use of ...
(Date:6/26/2016)... ... 2016 , ... Pixel Film Studios Released ProSlice Levels, a Media Slicing Effect ... videos a whole new perspective by using the title layers in ProSlice Levels ... , ProSlice Levels contains over 30 Different presets to choose from. FCPX ...
(Date:6/25/2016)... ... June 25, 2016 , ... Experts from the ... AcademyHealth’s Annual Research Meeting June 26-28, 2016, at the Hynes Convention Center in ... topics including advance care planning, healthcare costs and patient and family engagement. , ...
(Date:6/25/2016)... ... ... First Choice Emergency Room , the largest network of independent freestanding emergency ... its new Mesquite-Samuell Farm facility. , “We are pleased to announce Dr. Ogunleye ... M. Muzzarelli, Executive Medical Director of First Choice Emergency Room. , Dr. Ogunleye ...
(Date:6/25/2016)... ... , ... Conventional wisdom preaches the benefits of moderation, whether it’s a matter ... bar too high can result in disappointment, perhaps even self-loathing. However, those who set ... , Research from PsychTests.com reveals that behind the tendency to set low ...
Breaking Medicine News(10 mins):
(Date:6/23/2016)... Research and Markets has announced the addition of the ... report to their offering. ... failure, it replaces the function of kidneys by removing the ... the treatment helps to keep the patient body,s electrolytes such ... Increasing number of ESRD patients & substantial healthcare expenditure on ...
(Date:6/23/2016)... Research and Markets has announced the ... 2016 - Forecast to 2022" report to their offering. ... up to date financial data derived from varied research sources ... with potential impact on the market during the next five ... comprises of sub markets, regional and country level analysis. The ...
(Date:6/23/2016)... INDIANAPOLIS , June 23, 2016 ... Tomorrow,s Leaders Scholarship is any indication, the future is ... online at www.diabetesscholars.org by the Diabetes Scholars ... in the way of academic and community service excellence. ... program since 2012, and continues to advocate for people ...
Breaking Medicine Technology: