Comparison of United States and Italian Experiences With Sudden Cardiac Deaths in Young Competitive Athletes: Are the Athletic Populations Comparable?
2010; Elsevier BV; Volume: 105; Issue: 3 Linguagem: Inglês
10.1016/j.amjcard.2009.09.021
ISSN1879-1913
AutoresDomenico Corrado, Cristina Basso, Gaetano Thiene,
Tópico(s)Cardiac Arrhythmias and Treatments
ResumoIn a recent study, Maron et al 1 Maron B.J. Haas T.S. Doerer J.J. Thompson P.D. James H.S. Comparison of U.S. and Italian experiences with sudden cardiac deaths in young competitive athletes and implications for preparticipation screening strategies. Am J Cardiol. 2009; 104: 276-280 Abstract Full Text Full Text PDF PubMed Scopus (215) Google Scholar compared the incidence of sudden cardiovascular death between high school and college athletes from Minnesota, where no preparticipation electrocardiographic screening is practiced, and young competitive athletes from the Veneto region of Italy, who underwent systematic electrocardiographic screening for >25 years, with an ensuing 90% mortality decrease from 1982 to 2004. 2 Corrado D. Basso C. Pavei A. Michieli P. Schiavon M. Thiene G. Trends in sudden cardiovascular death in young competitive athletes after implementation of a preparticipation screening program. JAMA. 2006; 296: 1593-1601 Crossref PubMed Scopus (1268) Google Scholar , 3 Corrado D. Basso C. Schiavon M. Pelliccia A. Thiene G. Pre-participation screening of young competitive athletes for prevention of sudden cardiac death. J Am Coll Cardiol. 2008; 52: 1981-1989 Abstract Full Text Full Text PDF PubMed Scopus (232) Google Scholar During the time period from 1993 to 2004, there were 12 deaths in the Veneto region and 11 in Minnesota (0.87 vs 0.93 per 100,000 athletes annually, respectively, p = 0.88). The investigators concluded that because sudden death rates in these demographically similar regions did not differ significantly in recent years, sudden cardiac death in athletes is a phenomenon with a low event rate that is unlikely to be influenced by preparticipation cardiovascular evaluation. Comparison of U.S. and Italian Experiences With Sudden Cardiac Deaths in Young Competitive Athletes and Implications for Preparticipation Screening StrategiesAmerican Journal of CardiologyVol. 104Issue 2PreviewControversy has evolved over the most practical and effective strategy for preparticipation cardiovascular screening of competitive athletes to detect unsuspected cardiovascular disease and prevent sudden death on the athletic field. Athlete screening in the Veneto region of Italy is part of a national program (with 12-lead electrocardiography) that has reported the detection of previously undiagnosed hypertrophic cardiomyopathy and a decrease in the cardiovascular death rate in young athletes. In this study, over time periods of similar length, cardiovascular-related mortality rates in Veneto athletes were compared with those of a demographically similar region of the United States (Minnesota) in which screening is limited to history and physical examination. Full-Text PDF Response to Reader's Comment Titled: "Is the Italian Model Really A More Effective Preparticipation Cardiovascular Screening Strategy for Competitive Athletes?"American Journal of CardiologyVol. 105Issue 3PreviewWe appreciate the continued interest of the Padua group in our work on the important issue of mass preparticipation cardiovascular screening of competitive athletes.1 Corrado et al2 have written an extensive rebuttal to our recent report comparing mortality rates for athletes in Italy's Veneto region with those in Minnesota. It is not possible to respond to each of the points raised by the investigators, but we would like to focus on the key issues. Full-Text PDF
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