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CRY's Cardiac Screening in Sport

One of the aims of our proactive screening programme is to assess cardiac function in athletes via the CRY Centre for Inherited Cardiovascular Conditions and Sports Cardiology.

The European Society of Cardiology (ESC 2005) and International Olympic Committee (IOC) recommend cardiac screening for any young person taking part in competitive sport. Sport itself does not lead to cardiac arrest, but can trigger a sudden death by aggravating an undetected cardiac abnormality (see also cardiac-related sudden deaths in sport).

In countries such as Italy, screening participants in representative sports is mandatory. In some professions cardiac testing is also mandatory.

 

International Olympic Committee (IOC) Consensus Statement on Periodic Health Evaluation of Elite Athletes - March '09

The scope of the cardiovascular PHE is to detect potentially lethal cardiovascular disease in elite athletes and start appropriate management to reduce the risk for sudden cardiac death and/or disease progression in a timely fashion.

 

For more information about cardiac testing in sport, please contact the CRY Screening Programme Manager
by calling 01737 363 222 or sending an e-mail to ecg@c-r-y.org.uk

 

What you need to know when introducing cardiac screening for elite athletes

Article by CRY's Consultant Cardiologist

Professor Sanjay Sharma

Watch CRY Patron Lawrence Okoye have an ECG

   

CRY's cardiac screening service is already used by:

  • Premier League football clubs and Football League clubs

  • Great Britain & Northern Ireland athletes

  • England Rugby Union and Premiership Rugby Union clubs

  • Great Britain Rugby League and Super League Clubs

  • Lawn Tennis Association

  • County Cricket Clubs

....plus many other top UK sports teams and organisations.


Screening will:

  • Identify most cardiac abnormalities. At least 12 young people die suddenly each week in the UK of previously undetected cardiac abnormalities.

  • Raise awareness of symptoms amongst coaches and physiotherapists.

  • Raise awareness throughout sport of the risk of sudden cardiac death and highlight the families that are most at risk - particularly those that have already had a young sudden cardiac death in the family and who might not be aware that other family members must be screened.

  • Encourage young people to take better care of their heart/health in a broader sense.

  • Reassure parents who are aware of the increasing demands on physical fitness and cardiovascular health in high level sports, but often cannot gain access to further information.

  • Ensure that the sport in question has taken steps to assess the cardiac health of its athletes.

     

Further reading:

 

New research calls for urgent review of cardiac screening policy among black athletes - 11th July 2012
Published review suggests that some athletes may be unnecessarily ruled out of competitive sports

 

 

All elite rugby union players in England above the age of 16 to be offered cardiac screening - 26th October 2010
All Aviva Premiership players, Regional Academy players above the age of 16 and England representative team players down to Under 16 level, will be offered testing for cardiac abnormalities in a screening programme announced today at Twyford Avenue, the training base for London Wasps, by Premiership Rugby, the Rugby Football Union and the Rugby Players' Association.

 

 

Pelliccia, A., Fagard, R., Bjornstad, H.H., Anastassakis, A., Arbustini, E., Assanelli, D., Biffi, A., Borjesson, M., Carre, F., Corrado, D., Delise, P., Dorwarth, U., Hirth, A., Heidbuchel, H., Hoffmann, E., Mellwig, K.P., Panhuyzen-Goedkoop, N., Pisani, A., Solberg, E.E., van-Buuren, F. and Vanhees, L.

"Recommendations for competitive sports participation in athletes with cardiovascular disease.  A consensus document from the Study Group of Sports Cardiology of the Working Group of Cardiac Rehabilitation and Exercise Physiology and the Working Group of Myocardial and Pericardial diseases of the European Society of Cardiology."

European Heart Journal 2005 (May)  [Full Text]

 

 

Cardiologists call for cardiovascular screening for all young competitive athletes - February 2005

International heart and sports medicine experts have called for a Europe-wide cardiovascular screening programme for all young athletes before they are allowed to take part in competitive athletics.  The aim is to pick up potentially life-threatening problems that put young athletes at risk and to cut the numbers collapsing and dying while participating in competitive sport.

 

 

IOC Adopt Recommendations on Tackling Sudden Cardiovascular Death in Sport

The purpose of these recommendations is to identify, as accurately as possible, athletes at risk in order to advise them accordingly. The "Lausanne Recommendations" introduce the principle of preparticipation cardiovascular screening in sport, including four elements: the personal history of the athlete, his/her family history, a physical examination and an electrocardiogram.

 

CRY Centre for Sports Cardiology Launch - 15th April 2002
"CRY is a dynamic charity excitingly poised on the threshold of a unique opportunity to make a significant contribution to Sports Cardiology and save young lives."
Ian Botham, Honorary President
 

The Lawn Tennis Association Screenings
Alison Cox initiated, with the cooperation of the Lawn Tennis Association, screening of Britain's top ranked players at the Nationals in Telford in November 1993
 

Report on Screening provided to the English Institute of Sport by the Rugby Football League
"...highlight the importance of what we are trying to do with screening and could be 2 lives that have been saved by the World Class Plan."
Dr Lisa H Phillips 
 

Screening should be mandatory - Cricket World Winter 2002 
Alex was a promising young cricketer who dropped dead aged 12, during a school match, before he had been able to fulfil his cricketing aspirations.  He had been suffering from symptoms for some time before he died but these were dismissed by a number of doctors who were consulted.
 

 

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