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      A guideline update for the practice of echocardiography in the cardiac screening of sports participants: a joint policy statement from the British Society of Echocardiography and Cardiac Risk in the Young

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          Abstract

          Sudden cardiac death (SCD) in an athlete is a rare but tragic event. In view of this, pre-participation cardiac screening is mandatory across many sporting disciplines to identify those athletes at risk. Echocardiography is a primary investigation utilized in the pre-participation setting and in 2013 the British Society of Echocardiography and Cardiac Risk in the Young produced a joint policy document providing guidance on the role of echocardiography in this setting. Recent developments in our understanding of the athlete’s heart and the application of echocardiography have prompted this 2018 update.

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          Most cited references26

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          Etiology of Sudden Death in Sports: Insights From a United Kingdom Regional Registry.

          Accurate knowledge of causes of sudden cardiac death (SCD) in athletes and its precipitating factors is necessary to establish preventative strategies.
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            International Recommendations for Electrocardiographic Interpretation in Athletes.

            Sudden cardiac death (SCD) is the leading cause of mortality in athletes during sport. A variety of mostly hereditary, structural, or electrical cardiac disorders are associated with SCD in young athletes, the majority of which can be identified or suggested by abnormalities on a resting 12-lead electrocardiogram (ECG). Whether used for diagnostic or screening purposes, physicians responsible for the cardiovascular care of athletes should be knowledgeable and competent in ECG interpretation in athletes. However, in most countries a shortage of physician expertise limits wider application of the ECG in the care of the athlete. A critical need exists for physician education in modern ECG interpretation that distinguishes normal physiological adaptations in athletes from distinctly abnormal findings suggestive of underlying pathology. Since the original 2010 European Society of Cardiology recommendations for ECG interpretation in athletes, ECG standards have evolved quickly over the last decade; pushed by a growing body of scientific data that both tests proposed criteria sets and establishes new evidence to guide refinements. On February 26-27, 2015, an international group of experts in sports cardiology, inherited cardiac disease, and sports medicine convened in Seattle, Washington, to update contemporary standards for ECG interpretation in athletes. The objective of the meeting was to define and revise ECG interpretation standards based on new and emerging research and to develop a clear guide to the proper evaluation of ECG abnormalities in athletes. This statement represents an international consensus for ECG interpretation in athletes and provides expert opinion-based recommendations linking specific ECG abnormalities and the secondary evaluation for conditions associated with SCD.
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              A minimum dataset for a standard adult transthoracic echocardiogram: a guideline protocol from the British Society of Echocardiography

              There have been significant advances in the field of echocardiography with the introduction of a number of new techniques into standard clinical practice. Consequently, a ‘standard’ echocardiographic examination has evolved to become a more detailed and time-consuming examination that requires a high level of expertise. This Guideline produced by the British Society of Echocardiography (BSE) Education Committee aims to provide a minimum dataset that should be obtained in a comprehensive standard echocardiogram. In addition, the layout proposes a recommended sequence in which to acquire the images. If abnormal pathology is detected, additional views and measurements should be obtained with reference to other BSE protocols when appropriate. Adherence to these recommendations will promote an increased quality of echocardiography and facilitate accurate comparison of studies performed either by different operators or at different departments.
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                Author and article information

                Journal
                Echo Res Pract
                Echo Res Pract
                echo
                Echo Research and Practice
                Bioscientifica Ltd (Bristol )
                2055-0464
                March 2018
                02 February 2018
                : 5
                : 1
                : G1-G10
                Affiliations
                [1 ]Research Institute for Sport and Exercise Sciences , Liverpool John Moores University, Liverpool, UK
                [2 ]Royal United Hospitals Bath NHS Foundation Trust , Bath, UK
                [3 ]Royal Brompton and Harefield Hospitals NHS Foundation Trust , London, UK
                [4 ]Colchester Hospital University NHS Foundation Trust , Colchester, UK
                [5 ]Nottingham University Hospitals NHS Trust , Nottingham, UK
                [6 ]St Georges University , London, UK
                [7 ]West Suffolk Hospital NHS Foundation Trust , Bury St Edmonds, UK
                [8 ]Papworth Hospital NHS Foundation Trust , Cambridge, UK
                [9 ]Leeds Teaching Hospitals NHS Trust , Leeds, UK
                [10 ]Oxford University Hospitals NHS Foundation Trust , Oxford, UK
                [11 ]Royal Liverpool and Broadgreen University Hospitals , Liverpool, UK
                [12 ]School of Healthcare Science , Manchester Metropolitan University, Manchester, UK
                [13 ]University Hospital of Wales , Cardiff, UK
                Author notes
                Correspondence should be addressed to D Oxborough: d.l.oxborough@ 123456ljmu.ac.uk
                [*]

                (V Sharma is the Guidelines Chair)

                Article
                ERP170075
                10.1530/ERP-17-0075
                5861331
                29551755
                a8a84a23-b52b-4315-9b50-36631b09fad6
                © 2018 The British Society for Echocardiography and Cardiac Risk in the Young

                This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

                History
                : 19 January 2018
                : 02 February 2018
                Categories
                Guidelines and Recommendations

                cardiac screening,athletes heart,echocardiography
                cardiac screening, athletes heart, echocardiography

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