Introduction
Sudden cardiac death (SCD) is the leading cause of death in exercising young athletes. 1 Current estimates of the incidence of SCD in athletes range from almost one in a million to 1:23,000 athletes per year, while some subpopulations of athletes are reported at even higher risk with an incidence of 1 in 3,000. 2 Such deaths often receive more attention because of the youth of the victims and the perception that physically trained athletes are healthy. 3 SCD is often a result of structural cardiac abnormalities that can be detected through the use of pre-participation physicals. 1 Pre-participation cardiovascular screening is the systematic practice of medically evaluating large, general populations of athletes before participation to eliminate risk of SCD. 3 The National Athletic Trainers Association (NATA) requires BOC (Board of Certification) certified athletic trainers to be educated, trained, and evaluated in six major practice domains. 4 Prevention and clinical evaluation are two of the six domains. The American Heart Association suggests that pre-screening athletes can improve the detection of cardiac abnormalities. 5 Athletic Trainers are increasingly required to be the health care professionals administering pre-participation physicals. Athletic trainers need to have clinical competence such as knowledge and skill, and confidence in performing cardiac auscultations to effectively detect cardiac abnormalities in athletes. The purpose of this study is
Cardiogenic shock is a frequently fatal complication that occurs when the heart cannot pump an adequate amount of blood in order to perfuse tissues. This hypoperfusion causes multiple organ dysfunction and damage which classifies cardiogenic shock a medical emergency. In the past, cardiogenic shock had a poor prognosis. However, currently approximately half of the people that go into cardiogenic shock survive (National Heart, Lung, and Blood Institute [NHLBI], 2011).
A heart rate monitor could have been used instead of the manual method, which would produce a more accurate result of the heart rate measurement. (http://www.topendsports.com/testing/heart-rate-measure.htm).
TROPONINS – Markers of choice. Elevated between 4 and 6 hours after the onset of an acute MI and remains elevated for 8-12 days.
Sudden death Young Competitive Athletes is subject to many risk factors, and cardiovascular risk factors seem to be the leading cause. Decreasing or minimizing the risks associated with this health concern is the key. A study over 27 years of time span consisted of 1866 athletes that range from 38 various sports was conducted in the hope of better understanding this heath crisis. Athletes who suffered sudden death or survived cardiac arrest with an age range of 19±6 within the United States were included in the study. The totally reported of sudden cardiac death is significantly higher than any other causes, with the highest of 76 for the year of 2005-2006. The mean was 66 deaths per year during the last 6 years of the study. Sudden
The right ventricle fills up tricuspid valve closes right ventricle contracts pulmonary valve opens the blood flows into the pulmonary artery pulmonary valve closes pulmonary artery splits into two vessels each going to the lungs.
Evidence-Based Practice, Step by Step: Asking the Clinical Question: A Key Step in Evidence-Based Practice
The lack or delay in appropriate treatment for individuals who experience a sudden cardiac arrest has created a major public health disparity. Research into pre-hospital treatment and subsequent implementation has historically seen neglect by the medical and scientific community creating vast differences in survivability of cardiac arrests between demographic groups. In 2010, the American Heart Association and Emergency Cardiovascular Care program developed the 2020 impact goal to reduce death from cardiovascular disease and stroke by 20% and double out-of-hospital cardiac arrest (OHCA) survival rates (http://circ.ahajournals.org/content/121/4/586#sec-1). This has prompted a massive influx of research into the disparities that exist and an
Should student get screen for heart disease before athletics? Sadly In today’s society, student athletes are dying of heart attacks, at an early age. Which is why student athletes should be required to get screened for heart disease. When the individual gets a screening, they should take both popular diagnostic tests, such as the electrogram (EKG) and the echocardiography (ECHOS). Sudden cardiac arrest (SCA) is the leading cause of death in young athletes (Drezner at al., 2007). SCA in young athletes is not only a concern for the medical community, but also for the community’s at large. SCA occurs when electrical impulses in the heart become rapid or chaotic, which causes the heart to stop beating. Approximately 1 in 220,000 youthful student competitors experience sudden cardiac death (SCD) every year (baggish et al., 2010). Athletes are known to be some of the healthiest people in society, however SCD while being active in sports is odd, its manifestation is universally recorded in the media, caused by the age and health conditions of the athlete. The latest events in many parts of the world show that congestive heart failure of student athletes is still a reality and it keeps challenging experts in cardiology that take care of student athletes (Ferreira et al., 2010). It has come to mind that some easy pre-participation screening, adding a physical, electrocardiograms (ECG/EKG) additionally gathering
Parker included collecting cues in 12-lead ECG, blood pressure, potassium level, sodium level, the warmth of hands and feet and pain score (Corrales-Medina et al., 2012). Also, the process involved identifying the risk factors associated with the patient's condition. From the immediate assessment, it included weight, smoking history, history of depression and family history of cardiac conditions (Corrales-Medina et al., 2012). One evening, Mr. Parker slumped on the bed; I monitored the continuous cardiac monitor to determine his heart rhythm. Based on current information, the T wave on the ECG indicated that the ventricles are repolarising (Levett-Jones et al., 2010).
There are an estimated 250,000 sudden cardiac deaths occurring each year in the united states, that translates into 680 per day, half of this is in persons younger than 65 and in addition half of these have no prior warning symptoms (Heart,2013). Looking at these statistics it is imperative that having POC testing to rule out benign conditions and reserve resources for true life threating cardiac issues.
Fackelmann’s report shows a case where Sergei Grinkov, a two-time gold medalist ice skater, collapsed and died from sudden cardiac death. She then explains that these deaths have struck athletes from high school team players to professional players. Hypertrophic cardiomyopathy (HCM) is the most common cardiovascular disease responsible for sudden death. In many cases physical exertion triggers sudden death. There is not a simple test to detect all cardiovascular diseases and screening is suggested in a family with a history of sudden cardiac death.
The case I chose was published in The Baltimore Sun. The title of the article is, Prosecutors: No Charges against Baltimore officer who used Taser on teen. This article is about a 19 year-old teen named George Vonn King Jr. who died from cardiac arrest. The article states that Mr. King was tased several times by police, before going into cardiac arrest (George). This incident took place at the “MedStar Good Samaritan hospital” in Baltimore MD, where Mr. King was admitted as a patient. Mr. King suffered from Meningitis which causes seizures, along with aggressive behavior. When King was asked by hospital staff to move to the intensive care unit, he became aggressive, which may have been because of the medication he received (George). Hospital
SIDS, also known as crib death, continues to be the number 1 killer of children age one month to 1 year in the United States; however, most SIDS related deaths typically occur within the 1-4 month age range. The Mayo Clinic (2017), defines Sudden Infant Death Syndrome (SIDS) as the unexplained death, usually during sleep, of a seemingly healthy baby less than a year old. Although there is no definite etiology of SIDS, several risk factors have been identified.
Without early intervention on average 360,000 people out of the hospital succumb to cardiac arrest. “ Cardiac arrest and sudden death account for 60 percent of all deaths from coronary artery disease”,(Bledsoe, Porter, & Cherry, 2011,2007,2004, p. 1229)There are several causes of sudden cardiac arrest. Most are caused by ventricular fibrillation. “During ventricular fibrillation, the ventricles do not beat normally. Instead they quiver rapidly and irregularly.” When this occurs, the heart pumps very little and blood does not get circulated throughout the body. “ Most of the cases found with sudden cardiac death are related to undetected cardiovascular disease.("Sudden Cardiac Death," 2015, para. 2)Sudden cardiac arrest are immediate and drastic that includes sudden collapse, no pulse, not breathing, and loss of consciousness. “Four rhythms produce pulseless cardiac arrest: ventricular fibrillation, rapid ventricular tachycardia, pulseless electrical activity and asystole.”("Circulation ," 2005, p. IV-58)Other signs and symptoms that could occur prior to sudden cardiac arrest, include fatigue,
Heart disease is the number 1 killer in the United States of America. It’s important to have a heart protection strategy, especially as you get older. It should include exercise and a healthy diet, plus supplements for heart health as needed. Know your cholesterol, blood pressure and ideal weight. Lower risk factors and prevent early disability, illness or even death from heart disease. And although you can't help heredity, you can certainly be aware of any risk factors that may have been passed down through your family tree. After following the steps in this assignments all of the supplements I would recommend along with the information I have given you here are proven to help in preventing heart health. Most can be safely taken in combination.