The effectiveness of advanced cardiac testing on identifying risk for sudden cardiac arrest/death in athletes following COVID-19 infection during preparticipation examination: A critically appraised topic
Clinical Scenario: Due to the potential side effects in athletes, there is a need to evaluate for cardiac-related side effects due to COVID-19 infection during preparticipation examinations. Clinical Question: Does advanced cardiac testing during preparticipation examinations in athletes who have contracted the COVID-19 virus identify cardiac abnormalities? Summary of Key Findings: The literature was searched based on athletes` post-COVID-19 infection who were tested for risk of sudden cardiac arrest/death. The initial search yielded 32 studies, but 7 were excluded based on abstract content. Of the remaining 25 studies, 17 were excluded based on patient age or non-athletic populations. Four relevant studies met the inclusion criteria and were included. The need for cardiac screening and advanced cardiac testing was supported to identify risk of sudden cardiac arrest/death during preparticipation examinations in COVID-19-positive patients. Clinical Bottom Line: The use of advanced cardiac testing along with a comprehensive symptom and history questionnaire is essential to reduce cardiac complications due to COVID-19. Symptom-based questionnaires following COVID-19 infection can detect possible COVID-19-related cardiac abnormalities better than the standard cardiac symptom-based questionnaires alone. These combined screening measures for patients with a COVID-19 infection can safely help return athletes to sports. Strength of Recommendation: This recommendation has a strength of B based on Oxford Centre for Evidence-Based Medicine due to consistently lower quality limited evidence that supports the use of advanced cardiac testing in identifying heart-related complications and risk of sudden cardiac arrest/death in COVID-19-positive patients.
© Copyright 2023 International Journal of Athletic Therapy & Training. Human Kinetics. Kaikki oikeudet pidätetään.
Aiheet: | terveys paluu urheiluun sydän testi riskitekijä kuolema sairaus parametri tartunta tutkimusmenetelmä oire |
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Aihealueet: | biologiset ja lääketieteelliset tieteet |
Tagging: | Coronavirus Sportuntersuchung |
DOI: | 10.1123/ijatt.2022-0112 |
Julkaisussa: | International Journal of Athletic Therapy & Training |
Julkaistu: |
2023
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Vuosikerta: | 29 |
Numero: | 1 |
Sivuja: | 11-16 |
Julkaisutyypit: | artikkeli |
Kieli: | englanti (kieli) |
Taso: | kehittynyt |