Please use this identifier to cite or link to this item:
Title: Paediatric and adolescent athletes in Switzerland: age-adapted proposals for pre-participation cardiovascular evaluation
Author: Albiński, Maciej
Balmer, Christian
Wilhelm, Matthias
Meyer, Philippe
Gass, Matthias
Schmied, Christian
Menafoglio, Andrea
Kriemler, Susanne
Mivelaz, Yvan
Stambach, Dominik
Saubade, Mathieu
Gremeaux, Aaron
Gojanovic, Boris
Brugada Terradellas, Josep, 1958-
Baggish, Aaron
Gabus, Vincent
Keywords: Atletes
Track and field athletes
Issue Date: 18-Feb-2022
Abstract: High-level sports competition is popular among Swiss youth. Even though preparticipation evaluation for competitive athletes is widespread, screening strategies for diseases responsible for sudden death during sport are highly variable. Hence, we sought to develop age-specific preparticipation cardiovascular evaluation (PPCE) proposals for Swiss paediatric and adolescent athletes (under 18 years of age). We recommend that all athletes practising in a squad with a training load of at least 6 hours per week should undergo PPCE based on medical history and physical examination from the age of 12 years on. Prior to 12 years, individual judgement of athletic performance is required. We suggest the inclusion of a standard 12-lead electrocardiogram (ECG) evaluation for all post-pubertal athletes (or older than 15 years) with analysis in accordance with the International Criteria for ECG Interpretation in Athletes. Echocardiography should not be a first-line screening tool but rather serve for the investigation of abnormalities detected by the above strategies. We recommend regular follow-up examinations, even for those having normal history, physical examination and ECG findings. Athletes with an abnormal history (including family history), physical examination and/or ECG should be further investigated and pathological findings discussed with a paediatric cardiologist. Importantly, the recommendations provided in this document are not intended for use among patients with congenital heart disease who require individualised care according to current guidelines.
Note: Reproducció del document publicat a:
It is part of: Schweizerische Medizinische Wochenschrift / Journal Suisse de Médecine, 2022, vol. 152
Related resource:
ISSN: 0036-7672
Appears in Collections:Articles publicats en revistes (IDIBAPS: Institut d'investigacions Biomèdiques August Pi i Sunyer)

Files in This Item:
File Description SizeFormat 
Paediatric and adolescent athletes in Switzerland_SwissMedical.pdf1.65 MBAdobe PDFView/Open

This item is licensed under a Creative Commons License Creative Commons