Navigation Links
Too Few Doctors Screen Young Athletes for Hidden Heart Trouble

By Denise Mann
HealthDay Reporter

SUNDAY, Nov. 13 (HealthDay News) -- Tragic stories appear in the media about seemingly healthy young athletes dying on the playing field due to an undetected heart problem.

In response, the American Heart Association (AHA) issued guidelines aimed at helping doctors and coaches detect these problems early on and prevent such senseless deaths.

But new research suggests that only a small percentage of physicians are heeding the guidelines.

In the study, presented Sunday at the AHA's annual meeting in Orlando, Fla., less than half of physicians and only 6 percent of high school athletic directors in Washington state were aware of the life-saving guidelines -- potentially leaving many young athletes at risk.

"There is a striking lack of compliance with these guidelines," said study lead author Dr. Nicolas Madsen, a pediatric cardiology fellow at Seattle Children's Hospital and the University of Washington School of Medicine.

There are currently more than 7 million high school athletes in the United States, and one out of every 30,000 to 50,000 of them will die each year from sudden cardiac death, according to the AHA. One main cause of sudden cardiac death in young athletes is hypertrophic cardiomyopathy, a condition in which the heart muscle becomes thickened. There are other causes as well, including potentially fatal heart rhythm abnormalities.

The AHA's screening guidelines call for eight specific medical-history questions and four key elements in a physical exam, all designed to help doctors understand whether an athlete is at risk. Specifically, doctors need to ask athletes about chest pain during exercise, unexplained fainting and their family history of heart disease or early death before clearing them to play.

The study's survey canvassed more than 1,100 pediatricians and family doctors, plus 317 high school athletic directors, all from Washington state. It found that less than 50 percent of doctors and just 6 percent of athletic directors even knew about the AHA screening guidelines, the researchers found. None of the athletic directors said their schools required physicals aimed at assessing an athlete's risk for sudden cardiac death.

The doctors who participated in the new study did support use of a standardized statewide form based on the AHA guidelines, Madsen said.

The study also found that many doctors are skipping some of the questions outlined in the AHA guidelines. For example, 28 percent failed to ask young athletes about whether or not they ever experienced chest pain during exercise, 22 percent didn't always ask about unexplained fainting, and 67 percent didn't ask about family history of heart disease. The physical exam also includes listening to the heart and measuring blood pressure levels.

One expert was disappointed by the study findings.

"Doctors are not asking the right questions or doing the proper physical exams," said American Heart Association President Dr. Gordon F. Tomaselli.

In other countries, such as Italy, doctors routinely use electrocardiograms (ECG or EKG) to measure the electrical activity in young athletes' hearts and weed out those who may be at risk for sudden death. These tests often yield false-positive results, but they may be important if an athlete has risks based on the AHA screening criteria, said Tomaselli, who is also chief of cardiology at Johns Hopkins University School of Medicine in Baltimore. "Doctors need to ask the right questions to determine who needs follow-up tests," he said.

Parents, too, can do their part to protect young athletes, he said. "Parents can and should be engaged with the doctors and coaches -- particularly if there is a concerning [medical] history," he said.

Still, these are very difficult conversations to have, noted Dr. Clyde W. Yancy, chief of cardiology at Northwestern University's Feinberg School of Medicine in Chicago.

"Bringing the subject up is difficult," he said. "Imagine the anxiety and anticipation of family members, and it can be very difficult to have a conversation that may result in saying 'you can't [play this sport],' " he said.

Research presented at meetings should be considered preliminary until published in a peer-reviewed medical journal.

More information

There's more on sudden cardiac death at the American Heart Association.

SOURCES: Nicolas Madsen, M.D., pediatric cardiology fellow, Seattle Children's Hospital and University of Washington School of Medicine; Gordon F. Tomaselli, M.D., chief of cardiology, Johns Hopkins University, Baltimore, and president, American Heart Association; Clyde W. Yancy, M.D., chief of cardiology, Northwestern University Feinberg School of Medicine, Chicago; Nov. 13, 2011, presentation, American Heart Association annual meeting, Orlando, Fla.

Copyright©2010 ScoutNews,LLC.
All rights reserved  

Related medicine news :

1. Few doctors follow sudden cardiac death screening guidelines for athletes
2. Law barring doctors talking to patients about gun ownership undermines public health issue
3. Doctors Might Miss Some Cases of Child Abuse
4. Doctors named top in reproductive endocrinology
5. Life challenges prevent those with lupus from keeping doctors appointments
6. Could Listening to Mozart Help Doctors Spot Colon Polyps?
7. Doctors own alcohol consumption colors advice to patients
8. Parents, Doctors Often Differ on Chemo for Incurable Kids
9. Imaging technology might help doctors determine best treatment for Crohns disease patients
10. Parents who go online for pediatric health information are open to doctors website recommendations
11. Researchers track number of doctors disciplined and why
Post Your Comments:
Related Image:
Too Few Doctors Screen Young Athletes for Hidden Heart Trouble
(Date:11/30/2015)... ... November 30, 2015 , ... A novel class of antimicrobials ... effective in fighting methicillin-resistant Staphylococcus aureus (MRSA), one of the major drug-resistant bacterial ... small molecule analogs that target the functions of SecA, a central part of ...
(Date:11/30/2015)... ... 30, 2015 , ... Using a combination of two blood sugar tests rather ... according to a new study by researchers at the School of Public Health at ... Using Combinations of Blood Glucose Tests ,” published in Frontiers in Public Health, the ...
(Date:11/30/2015)... PA (PRWEB) , ... November 30, 2015 , ... ... to a new study by UPMC and KingMed Diagnostics ... over three years found that consultation with UPMC pathologists resulted in significantly altered ...
(Date:11/30/2015)... ... 30, 2015 , ... The Foundation for Breast and Prostate ... joining forces with the award-winning creator and writer of Downton Abbey Julian Fellowes ... at the Union League of Philadelphia. , The benefit, titled “An Evening ...
(Date:11/30/2015)... , ... November 30, 2015 , ... ... for the last 15 years, announced today that Michigan-based Family Health Center (FHC) ... care for over 45 years, FHC was awarded the largest Affordable Care Act ...
Breaking Medicine News(10 mins):
(Date:11/30/2015)... Diagnostics, the U.S.-based manufacturer of point-of-care biometric testing devices ... systems, and PTS Detect™ cotinine systems, has announced the ... the company into the mHealth market. ... The technology is a system that interfaces with mobile ... and uses test strip technology already developed by PTS ...
(Date:11/30/2015)... and ST. LOUIS , Nov. ... (NASDAQ: ESRX ) today announced an early renewal ... which began in 1999, will now extend through at ... --> After evaluating pharmacy benefit manager capabilities during ... Express Scripts continues to offer the best health plan ...
(Date:11/30/2015)... 30, 2015   Nuance Communications, Inc. (NASDAQ: ... Support Company (NDSC) today jointly announced a new ... that utilize the American College of Radiology,s (ACR) Imaging ... to comply with current and emerging value-based payment ... --> By combining clinical decision support, radiology reporting ...
Breaking Medicine Technology: