Sports Cardiology Casebook

Sudden death in athletes engaged in competitive sports is a highly visible, emotionally charged and important public health issue. Substantial progress has occurred in this new area of cardiovascular medicine driven by the recent focus on the most effecti

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Antonio Pelliccia Editor

Sports Cardiology Casebook

Foreword by Barry J. Maron

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Editor Antonio Pelliccia, MD Institute of Sports Medicine and Science Italian National Olympic Committee Rome Italy [email protected]

ISBN 978-1-84882-041-8 e-ISBN 978-1-84882-042-5 DOI 10.1007/978-1-84882-042-5 British Library Cataloguing in Publication Data A catalogue record for this book is available from the British Library Library of Congress Control Number: 2008940853 c Springer-Verlag London Limited 2009  Apart from any fair dealing for the purposes of research or private study, or criticism or review, as permitted under the Copyright, Designs and Patents Act 1988, this publication may only be reproduced, stored or transmitted, in any form or by any means, with the prior permission in writing of the publishers, or in the case of reprographic reproduction in accordance with the terms of licenses issued by the Copyright Licensing Agency. Enquiries concerning reproduction outside those terms should be sent to the publishers. The use of registered names, trademarks, etc., in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant laws and regulations and therefore free for general use. Product liability: The publisher can give no guarantee for information about drug dosage and application thereof contained in this book. In every individual case the respective user must check its accuracy by consulting other pharmaceutical literature. Printed on acid-free paper Springer Science+Business Media springer.com

Foreword

Sudden death in young athletes engaged in competitive sports is a highly visible, emotionally charged and important public health issue, which has increasingly become part of the consciousness of the general public and practicing sports medicine community. Substantial progress has ensued in this new area of cardiovascular medicine since its inception 25 years ago. Indeed, considerable data are now available from both the U.S. and Europe defining the causes, frequency and demographics of these tragic and counterintuitive events which strike to the core of our sensibilities. There has been a recent focus (and, in fact, controversy) regarding the most effective and appropriate strategies for mass preparticipation screening for the detection of otherwise unsuspected cardiovascular diseases. Finally, given the identification of a cardiovascular abnormality in a trained athlete, several scientific societies, i.e., American College of Cardiology (ACC), European Society of Cardiology (ESC) and Italian Sports Cardiology Society (SIC Sport) have offered detailed guidelines and consensus recommendations which represent criteria with which clinical decisions regarding management and eligibility/disqualification decisions can be effected. This multi-authored book, the Sports Cardiology Casebook, edited by Dr. Antonio Pelliccia, a noted international authority on sports medicine, cardiovascular disease in athletes and chair of the ESC guidelines for el