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1 Maggie Smith Sudden Cardiac Death in Athletes. I. The concerns on sudden death in athletes are rising. a. Sudden cardiac death is now more prevalent in people under the age of 25. b. The risk is up to three times greater in competitive athletes. c. Our medical team are failing to diagnose this condition so we need to look into our annual physicals. d. That is why I am proposing to have more extensive physicals. II. This disease can be one of three things. a. Some might have cardiomyopathies, which involves abnormality of the heart. b. Other patients might experience rhythm disturbances. This is the heart beating irregularly. c. But, the most common cause to athletic field deaths is hypertrophic cardiomyopathy. III. Our physicals are clearly not diagnosing this disease. a. Doctors will check your family history, look at your vital signs and listen to your heart and lungs. b. Majority of the time, hypertrophic cardiomyopathy will not be diagnosed with just an annual physical. IV. Signs and symptoms should bring red flags, but they don’t. a. Shortness of breath and fatigue while exercise are among these signs and symptoms for hypertrophic cardiomyopathy. 2 b. It’s evident that these signs and symptoms will alone not warn a patient to go to a doctor. V. Hypertrophic cardiomyopathy so very hard to diagnose. a. The main concern is the thickening of the heart muscle. A doctor cannot hear an enlarged heart. b. Another problem with this disease is the weakening of the valves. Once again a doctor cannot detect that in just a normal physical. VI. We should include more testing of the heart during our routine physicals. a. EKG would be able to dictate if there is an enlarged heart. b. An echocardiogram would be the most beneficial but the most expensive. c. Finally, an XRAY would be the cheapest procedure but does not offer as much results as the other procedures. VII. Treatment can be taken to help maintain your heart. a. Medication can be taken like beta-blockers. b. The patient can have the extra heart tissue surgically removed. c. Pacemakers can be implanted as well as ICD to help regulate the heartbeat. VIII. But there are downfalls with proposing this idea. a. Do not waste the extra money on tests. b. If an athlete was diagnosed, they would feel like they would have to quit their sport. IX. We need to improve our physicals to have a mandatory heart screening. 3 a. It is a growing concern and every parent should be aware of the risks their child is taking to be in a competitive sport. b. These exams will help stop the growing rate of sudden cardiac death in athletes. 4 References Agarwal, D. (2013, October 28). Imaging in Hypertrophic Cardiomyopathy . Imaging in Hypertrophic Cardiomyopathy. Retrieved May 3, 2014, from http://emedicine.medscape.com/article/348503-overview Alpaslan. (n.d.). dotoreg . hypertrophic cardiomyopathy and the ecg. Retrieved May 3, 2014, from http://www.metealpaslan.com/ecg/hkmpen.htm Cleveland Clinic - Hypertrophic Cardiomyopathy Information. (n.d.). Cleveland Clinic. Retrieved May 3, 2014, from http://my.clevelandclinic.org/heart/disorders/hcm/default.aspx Estes, M., & Link, M. (2008). Sudden Cardiac Death in Athletes. Progress in Cardiovascular Disease, 51(1), 13. Retrieved May 3, 2014, from http://www.onlinepcd.com/article/S0033-0620(07)00100-4/abstract Heart-Related Deaths in College Athletes: How Common?. (n.d.). WebMD. Retrieved May 3, 2014, from http://www.webmd.com/heartdisease/news/20110404/heart-related-deaths-in-college-athletes-howcommon?page=2 Herdiana, D. (n.d.). The Normal and Abnormal ECG Readings. Galura basa. Retrieved May 3, 2014, from http://galurabasa.blogspot.com/2011/06/normal-and-abnormal-ecg-readings.html How Much Does an EKG Cost? - CostHelper.com. (n.d.). CostHelper. Retrieved May 4, 2014, from http://health.costhelper.com/ecg.html#extres2 (2008). Hypertrophic Cardiomyopathy - Information for Patients and Their 5 Families. Correlagen, 1, 3. Retrieved May 3, 2014, from https://www.correlagen.com/fields/cardiology/downloads/HCM_patient.pdf Hypertrophic cardiomyopathy. (n.d.). Treatments and drugs. Retrieved May 3, 2014, from http://www.mayoclinic.org/diseases-conditions/hypertrophiccardiomyopathy/basics/treatment/con-20030747 Maron, B., Roberts, W., McAllister, H., Rosing, D., & Epstein, S. (1980). Sudden Death in Young Athletes. American Heart Association, 1, 13. Retrieved May 3, 2014, from http://circ.ahajournals.org/content/62/2/218.full.pdf+html Maron, B. (2005). Distinguishing hypertrophic cardiomyopathy from athlete's heart: a clinical problem of increasing magnitude and significance. Heart and Education in Heart, 11, 1. Retrieved May 3, 2014, from http://ge8pv6sw5k.search.serialssolutions.com/?genre=article&issn=1355 6037&title=Heart&volume=91&issue=11&date=20051101&atitle=Distingui shing+hypertrophic+cardiomyopathy+from+athlete%27s+heart%3a+a+cli nical+problem+of+increasing+magnitude+and+significance Maron, B., Gohman, T., & Aeppli, D. (1998). Prevalence of sudden cardiac death during competitive sports activities in Minnesota High School athletes . Journal of the American College of Cardiology, 32(7). Retrieved May 3, 2014, from http://content.onlinejacc.org/article.aspx?articleid=1096786 Maron, B. (2002). Hypertropphic Cardiomyopathy A Systematic Review. The Journal of the American Medical Association, 287, 5. Retrieved May 3, 2014, from http://jama.jamanetwork.com/article.aspx?articleid=194713 6 Maron, B., & Pelliccia, A. (2006). Contemporary Reviews in Cardiovascular Medicine. American Heart Association, 114, 10. Retrieved May 3, 2014, from https://circ.ahajournals.org/content/114/15/1633.full Maron, B., Pelliccia, A., & Spirito, P. (2014). Cardiac Disease in Young Trained Athletes. American Heart Association, 1, 1. Retrieved May 3, 2014, from https://circ.ahajournals.org/content/91/5/1596.full Neporent, L. (2013, February 28). Heart Troubles Rare But Deadly in Young Athletes. ABC News. Retrieved May 3, 2014, from http://abcnews.go.com/Health/death-young-athletes-blamed-hearttroubles/story?id=18611127 O'Connor, A. (2012, April 30). Should Young Athletes Be Screened for Heart Risk?. Well Should Young Athletes Be Screened for Heart Risk Comments. Retrieved May 3, 2014, from http://well.blogs.nytimes.com/2012/04/30/heart-risk-in-athletes-is-gainingattention/?_php=true&_type=blogs&_php=true&_type=blogs&_r=1 (2012). Pediatric Sudden Cardiac Arrest. American Academy of Pediatrics, 1, 11. Retrieved May 3, 2014, from http://pediatrics.aappublications.org/content/early/2012/03/21/peds.20120144.full.pdf+html Soler, R., Rodriquez, E., Rodriquez, J., Perez, M., & Penas, M. (2003). Magnetic resonance imaging of apical hypertrophic cardiomyopathy. US National Library of Medicine National Institutes of Health, 3. Retrieved May 3, 2014, from http://www.ncbi.nlm.nih.gov/pubmed/9249682 7 What Is an Electrocardiogram (EKG or ECG) Test?. (2012, September 11). WebMD. Retrieved May 3, 2014, from http://www.webmd.com/heartdisease/electrocardiogram?page=3