Asian Pacific Society of Cardiology Consensus Recommendations for Pre-participation Screening in Young Competitive Athletes

Sports-related sudden cardiac death is a rare but devastating consequence of sports participation. Certain pathologies underlying sports-related sudden cardiac death could have been picked up pre-participation and the affected athletes advised on appropriate preventive measures and/or suitability fo...

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Main Authors: Luokai Wang, Tee Joo Yeo, Benedict Tan, Bernard Destrube, Khim Leng Tong, Swee Yaw Tan, Gregory Chan, Zijuan Huang, Frankie Tan, Yu Chen Wang, Jong-Young Lee, Erik Fung, Gary Yiu Kwong Mak, Raymond So, Chaisiri Wanlapakorn, Ade Meidian Ambari, Lucky Cuenza, Choong Hou Koh, Jack Wei Chieh Tan
Format: Article
Language:English
Published: Radcliffe Medical Media 2021-11-01
Series:European Cardiology Review
Online Access:https://www.ecrjournal.com/articleindex/ecr.2021.26
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author Luokai Wang
Tee Joo Yeo
Benedict Tan
Bernard Destrube
Khim Leng Tong
Swee Yaw Tan
Gregory Chan
Zijuan Huang
Frankie Tan
Yu Chen Wang
Jong-Young Lee
Erik Fung
Gary Yiu Kwong Mak
Raymond So
Chaisiri Wanlapakorn
Ade Meidian Ambari
Lucky Cuenza
Choong Hou Koh
Jack Wei Chieh Tan
author_facet Luokai Wang
Tee Joo Yeo
Benedict Tan
Bernard Destrube
Khim Leng Tong
Swee Yaw Tan
Gregory Chan
Zijuan Huang
Frankie Tan
Yu Chen Wang
Jong-Young Lee
Erik Fung
Gary Yiu Kwong Mak
Raymond So
Chaisiri Wanlapakorn
Ade Meidian Ambari
Lucky Cuenza
Choong Hou Koh
Jack Wei Chieh Tan
author_sort Luokai Wang
collection DOAJ
description Sports-related sudden cardiac death is a rare but devastating consequence of sports participation. Certain pathologies underlying sports-related sudden cardiac death could have been picked up pre-participation and the affected athletes advised on appropriate preventive measures and/or suitability for training or competition. However, mass screening efforts – especially in healthy young populations – are fraught with challenges, most notably the need to balance scarce medical resources and sustainability of such screening programmes, in healthcare systems that are already stretched. Given the rising trend of young sports participants across the Asia-Pacific region, the working group of the Asian Pacific Society of Cardiology (APSC) developed a sports classification system that incorporates dynamic and static components of various sports, with deliberate integration of sports events unique to the Asia-Pacific region. The APSC expert panel reviewed and appraised using the Grading of Recommendations Assessment, Development, and Evaluation system. Consensus recommendations were developed, which were then put to an online vote. Consensus was reached when 80% of votes for a recommendation were agree or neutral. The resulting statements described here provide guidance on the need for cardiovascular pre-participation screening for young competitive athletes based on the intensity of sports they engage in.
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spelling doaj-art-64edeb96533547a09d9bbbb5dddac4a72025-08-20T01:56:38ZengRadcliffe Medical MediaEuropean Cardiology Review1758-37561758-37642021-11-011610.15420/ecr.2021.26Asian Pacific Society of Cardiology Consensus Recommendations for Pre-participation Screening in Young Competitive AthletesLuokai Wang0Tee Joo Yeo1Benedict Tan2Bernard Destrube3Khim Leng Tong4Swee Yaw Tan5Gregory Chan6Zijuan Huang7Frankie Tan8Yu Chen Wang9Jong-Young Lee10Erik Fung11Gary Yiu Kwong Mak12Raymond So13Chaisiri Wanlapakorn14Ade Meidian Ambari15Lucky Cuenza16Choong Hou Koh17Jack Wei Chieh Tan18National Heart Centre Singapore, Singapore; Sengkang General Hospital, SingaporeNational University Heart Centre, SingaporeChangi General Hospital, SingaporeInternational Federation of Disabled Sailors, Nantes, FranceChangi General Hospital, SingaporeNational Heart Centre Singapore, SingaporeThe Occupational and Diving Medicine Centre, SingaporeNational Heart Centre Singapore, SingaporeSports Science and Medicine Centre, Singapore Sports Institute, SingaporeDepartment of Cardiology, Department of Internal Medicine, Asia University Hospital, Taichung City, TaiwanDivision of Cardiology, Department of Internal Medicine, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, South KoreaThe Chinese University of Hong Kong, Hong KongPro-Care Heart Clinic, Hong KongElite Training Science & Technology, Hong Kong Sports Institute, Hong KongCardiac Centre, King Chulalongkorn Memorial Hospital, Bangkok ThailandNational Cardiovascular Center Harapan Kita, Department of Cardiology and Vascular Medicine, University of Indonesia, Jakarta, IndonesiaSports and Exercise Medicine Center, Medical Center Manila, PhilippinesNational Heart Centre Singapore, SingaporeNational Heart Centre Singapore, Singapore; Sengkang General Hospital, SingaporeSports-related sudden cardiac death is a rare but devastating consequence of sports participation. Certain pathologies underlying sports-related sudden cardiac death could have been picked up pre-participation and the affected athletes advised on appropriate preventive measures and/or suitability for training or competition. However, mass screening efforts – especially in healthy young populations – are fraught with challenges, most notably the need to balance scarce medical resources and sustainability of such screening programmes, in healthcare systems that are already stretched. Given the rising trend of young sports participants across the Asia-Pacific region, the working group of the Asian Pacific Society of Cardiology (APSC) developed a sports classification system that incorporates dynamic and static components of various sports, with deliberate integration of sports events unique to the Asia-Pacific region. The APSC expert panel reviewed and appraised using the Grading of Recommendations Assessment, Development, and Evaluation system. Consensus recommendations were developed, which were then put to an online vote. Consensus was reached when 80% of votes for a recommendation were agree or neutral. The resulting statements described here provide guidance on the need for cardiovascular pre-participation screening for young competitive athletes based on the intensity of sports they engage in.https://www.ecrjournal.com/articleindex/ecr.2021.26
spellingShingle Luokai Wang
Tee Joo Yeo
Benedict Tan
Bernard Destrube
Khim Leng Tong
Swee Yaw Tan
Gregory Chan
Zijuan Huang
Frankie Tan
Yu Chen Wang
Jong-Young Lee
Erik Fung
Gary Yiu Kwong Mak
Raymond So
Chaisiri Wanlapakorn
Ade Meidian Ambari
Lucky Cuenza
Choong Hou Koh
Jack Wei Chieh Tan
Asian Pacific Society of Cardiology Consensus Recommendations for Pre-participation Screening in Young Competitive Athletes
European Cardiology Review
title Asian Pacific Society of Cardiology Consensus Recommendations for Pre-participation Screening in Young Competitive Athletes
title_full Asian Pacific Society of Cardiology Consensus Recommendations for Pre-participation Screening in Young Competitive Athletes
title_fullStr Asian Pacific Society of Cardiology Consensus Recommendations for Pre-participation Screening in Young Competitive Athletes
title_full_unstemmed Asian Pacific Society of Cardiology Consensus Recommendations for Pre-participation Screening in Young Competitive Athletes
title_short Asian Pacific Society of Cardiology Consensus Recommendations for Pre-participation Screening in Young Competitive Athletes
title_sort asian pacific society of cardiology consensus recommendations for pre participation screening in young competitive athletes
url https://www.ecrjournal.com/articleindex/ecr.2021.26
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