Sudden cardiac arrest in children and young athletes: the importance of a detailed personal and family history in the pre-participation evaluation

British Journal of Sports Medicine
R M CampbellJonathan Drezner

Abstract

Healthcare providers have become more aware of and concerned about paediatric sudden cardiac arrest. The diseases predisposing a patient to sudden cardiac arrest are all infrequently encountered. However, a detailed and comprehensive patient and family history may reveal warning signs and symptoms that identify a patient at higher risk for sudden cardiac arrest. Since many of these diseases are genetic, extensive family evaluation may uncover a previously undetected cardiac disease process and as well direct the development of a complete family evaluation and treatment plan. Published data document that in many cases preceding warning symptoms and signs are present, but may be misinterpreted or disregarded by medical staff. Attention to the details of patient history, family history and physical exam is critical to the success of any detection strategy, which can and should be widely applied.

Citations

Mar 6, 2012·Progress in Cardiovascular Diseases·Jonathan D S SnidermanWilliam J McKenna
Jun 1, 2010·Archives of Physical Medicine and Rehabilitation·Ashwin L RaoStanley A Herring
Apr 20, 2016·Journal of the American College of Cardiology·Brian HainlinePaul D Thompson
May 14, 2014·Resuscitation·Tatsuya NishiuchiUNKNOWN Utstein Osaka Project Investigators
Apr 26, 2016·Journal of Athletic Training·Brian HainlinePaul D Thompson
Jun 2, 2016·British Journal of Sports Medicine·Brian HainlinePaul D Thompson
Feb 16, 2018·Circulation Journal : Official Journal of the Japanese Circulation Society·Kosuke KiyoharaUNKNOWN SPIRITS Investigators
Sep 17, 2014·Circulation·Barry J MaronUNKNOWN American Heart Association Council on Clinical Cardiology, Advocacy Coordinating Committee, Council on Cardiovascular Diseas
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Oct 11, 2020·Clinical Journal of Sport Medicine : Official Journal of the Canadian Academy of Sport Medicine·Alex B DiamondJason L Zaremski
Mar 28, 2012·Pediatrics·UNKNOWN Section on Cardiology and Cardiac Surgery

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