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IMPORTANCE OF SUDDEN CARDIAC DEATH SCREENING IN YOUNG ATHLETES: PLACE AND ROLE OF TELEMEDICINE ELECTROCARDIOGRAPHY /
ZNAČAJ SKRININGA IZNENADNE SRČANE SMRTI KOD MLADIH SPORTISTA: MESTO I ULOGA TELEMEDICINSKE ELEKTROKARDIOGRAFIJE

Authors

 

Branko Lutovac1, Vesna Miranović1,2, Dragana Pravilović Lutovac3

1Institute for Children's Disease, Clinical Centre of Montenegro, Podgorica, Montenegro
2Faculty of Medicine, University of Montenegro, Podgorica, Montenegro
3Clinic of Internal medicine, Clinical Centre of Montenegro, Podgorica, Montenegro

 

UDK: 616.12-073:796
616-036.886-084:796


The paper was received 8.12.2017. Accepted: 19.12.2017.

Rad primljen: 8.12.2017. Rad prihvaćen: 19.12.2017.

 


Corresponding author/ Autor za korespodenciju:


Branko Lutovac, MD
Institute for Children's Disease, Clinical Centre of Montenegro,
Ljubljanska bb, 81000 Podgorica, Montenegro
Phone number: +382 69 178 664
e-mail: branko_lutovac@yahoo.com

 

 

Abstract

 

Young athletes with clinically silent cardiovascular disorders are at increased risk of sudden cardiac death (SCD). Hypertrophic cardiomyopathy and coronary artery anomalies have been identified as the commonest causes in most series. Thus, pre participation screening of athletes is of major importance, but there is significant geographic disparity in medical guidelines and recommendations. Effective measures should be focused to reduce the burden of SCD in young athletes. Cost-efficiency and feasibility of 12-lead ECG is being questioned. As an alternative, less expensive telemedicine ECG transmission device can be used as screening tool for the prevention of SCD. This article summarizes the most common causes of SCD in young athletes and evaluates the screening methods used to screen for these conditions.

 

 

Key words:

sudden cardiac death, athletes, screening, telemedicine electrocardiography

 

 

Sažetak

 

Mladi sportisti sa klinički inaparentnim kardiovaskularnim oboljenjima u većem su riziku od nastanka iznenadne srčane smrti (ISS). U većini serija slučajeva, kao najčešći uzroci utvrđeni su hipertrofična kardiomiopatija i anomalije koronarnih krvnih sudova. Stoga je od posebnog značaja sprovođenje skrining kod sportista, mada postoji značajan geografski disparitet u medicinskim smernicama i preporukama ovih programa. Efikasne mere trebaju da su usmerene na smanjenje pojave ISS kod mladih sportista. Dovodi se u pitanje isplativost i izvodljivost 12-kanalnog EKG. Kao alternativa, jeftiniji prenosivi telemedicinski EKG uređaji se mogu koristiti kao skrining alat za prevenciju ISS. Ovaj članak rezimira najčešće uzroke nastanka ISS kod mladih sportista i procenjuje metode skrininga koje se koriste za procenu ovih stanja.

 

 

Ključne reči:

iznenadna srčana smrt, sportisti, skrining, telemedicinska elektrokardiografija

 

 

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PDF Lutovac B. et al • MD-Medical Data 2018;10(1): 007-010

 

 

 

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