.drjohnm gives us 5️⃣ thoughts on the Damar Hamlin collapse
from a major sports cardiology center in London, 6 of the 8 sudden cardiac deaths in their series were in athletes who had no detectable abnormalities on screening.
Even when disease is found, it's not clear that prohibiting participation in sports prevents sudden death. Many previousFinally, screening fordisease loses value as treatments improve. Public education regarding rapid intervention with CPR and AED use is the best treatment option. A great example is the case of, a Danish soccer player who suffered cardiac arrest during a match at the European Championships in 2021 and was rapidly defibrillated on the field.
What's more, professional teams can afford to hire expert cardiologists to perform the testing. This would likely reduce the rate of false-positive findings compared to screening in the community setting. I often have young people referred to me because of asymptomatic bradycardia found during athletic screening — an obviously normal finding.We can both hope for Hamlin's full recovery and learn lessons to help reduce the rate of death from out-of-hospital cardiac arrest.
John Mandrola, MD, practices cardiac electrophysiology in Louisville, Kentucky and is a writer and podcaster for Medscape. He espouses a conservative approach to medical practice. He participates in clinical research and writes often about the state of medical evidence.
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