Test 2.5 Flashcards
How can cardiovascular conditions be managed?
Through activity modification if identified
In up to _______ of athletes with SCD, the first clinical manifestation of cardiac disease is sudden death
60-80%
In a report of 115 cases of SCD in young athletes how many got the correct diagnosis?
1
Who should receive pre-participation screening and what should it be used for
Everyone involved in physical activity
Used to identify syncope, palpitations, episodic or extertional dyspnea, chest pain
What should concerning findings be followed by?
ECG
What does a heart murmur consist of
Patients with HCM have a murmur beginning after S1 and ends before S2 at lower left sternum and apex
What are some characteristics of marfans syndrome
Tall and thin body Disproportional long legs Visual problems Arms span longer then height Thumb to fifth digit at wrist
What’s an issue with ECG
Too many false positives
What are some recognition of cardiac warning signs
Athletic trainer should maintain constant vigilance of signs of underlying cardiovascular disease
It’s up to a clinician to recognize and arrange for appropriate evaluation
What are some prevention measure
Counseling on avoidance of performance-enhancing drugs, alcohol, etc
Have athletes report symptoms
Imply proper nutrition, hydration, and rest
What are the key differential diagnosis for SCD
SCA Exertional heat stroke Heat exhaustion Hyponatermia Hypoglycemia Seizures Cardiac arrhythmias
What are the treatment and action for SCD
Prompt recognition of SCA 911 CPR AED Consider advanced airway equipment if needed Get to the hospital
Should every school and organization that sponsors athletic activities have a emergency response plan for SCA and written policies?
Yes
What is essential within 3-5 of collapse
Early defibrillation
What are the goal with 1 hour of SCA
Transport to the hospital
What are the goals within 24 hours of SCA
Rapid cooling and included hypothermia for SCA victims with VF arrest has been shown to improve survival and decrease complications
What are goals after 24 hours of SCA
- Proper diagnosis
- Proper management and should be guided by subspecialty cardiovascular care
- screen family members for hereditary causes of SCA
What should be considered if you have a negative autopsy for SCD
Postmortem genetic testing for ion channels disorder
What is the single greatest factor affecting survival from SCA
Time from arrest to defibrillation
What’s the percent of survival rate in a public setting when CPR is performed by a bystander and defibrillation within 3-5 mins
Ranges from 41%-74%
True or false their is limited research available regarding AED use in young athletes who suffer SCA
True
Who decided if an athlete is temporary or permanent disqualified from sports after SCA
Should be made in consultation with a cardiologist
What happens if an athlete has a history of malignant ventricular arrhythmia , SCA, or who are at significant risk
They should be restricted from moderate to high intensity sports
Who are the people who endorse screening in athletes?
AHA, European society of cardiology, and the international Olympic committee
