Screening Experience and Implications for Prevention of Sudden Cardiac Death in European and American Athletes Based on Electrocardiogram
Preventing Sudden Cardiac Arrest(SCA)/Sudden Cardiac Death(SCD)in athletes is an urgent challenge for the global cardiology community.This study used the methods of literature and logical reasoning to demonstrate and explore the application of electrocardiogram(ECG)screening in European and American athletes to prevent SCA/SCD and identify the causes and types of myocardial diseases to provide disease signs.As a routine diagnostic tool,the sensitivity and specificity of ECG screening are obviously higher than that of medical history and physical examination only,and the diagnostic criteria of ECG provide pathological information for the final screening.Establishing a"quantitative index"stratified by risk of disease symptoms can not only identify myocardial injury and Exercise-Induced Cardiac Remodeling(EICR),but also provide reference for rehabilitation and return to play(RTP).Based on this,it is suggested to formulate and improve the health management guidelines for Chinese athletes applying ECG screening to prevent SCA/SCD from four aspects,such as group diagnostic criteria,global communication and cooperation,clinical practice skills and intelligent medical technology,and And then construct the related system of prevention of myocardial disease and competitive training.