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Sweeting J, Semsarian C. Sudden Cardiac Death in Athletes. Heart Lung Circ 2018; 27:1072-1077. [PMID: 29705387 DOI: 10.1016/j.hlc.2018.03.026] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/31/2018] [Accepted: 03/21/2018] [Indexed: 11/25/2022]
Abstract
Sudden cardiac death (SCD) in athletes is a rare but tragic complication of a number of cardiovascular diseases. Inherited causes such as the structural and arrhythmogenic genetic heart conditions are often found or suspected to be the underlying cause of death at post mortem examination. Physical activity and intense exercise may trigger cardiac arrhythmias in individuals with these conditions leading to SCD. Prevention and treatment strategies include individual athlete management strategies, coupled with public health measures such as universal cardiopulmonary resuscitation (CPR) training and availability of automatic external defibrillators (AEDs) in public places, thereby preventing SCD in both athletes and the general population. Where an athlete is known to have a cardiac condition, some restrictions from participation may be prudent, however, new evidence is emerging that perhaps current restrictions are too strict and could be relaxed in some cases. An athlete-centred model of care is essential to ensure the clinical implications and athlete preferences are balanced providing the best outcome for all concerned.
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Affiliation(s)
- Joanna Sweeting
- Agnes Ginges Centre for Molecular Cardiology, Centenary Institute, Sydney, NSW, Australia; Sydney Medical School, University of Sydney, Sydney, NSW, Australia
| | - Christopher Semsarian
- Agnes Ginges Centre for Molecular Cardiology, Centenary Institute, Sydney, NSW, Australia; Sydney Medical School, University of Sydney, Sydney, NSW, Australia; Department of Cardiology, Royal Prince Alfred Hospital, Sydney, NSW, Australia.
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2
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[A life-saving shock from a subcutaneous ICD during skydiving]. Herzschrittmacherther Elektrophysiol 2017; 28:64-66. [PMID: 28185079 DOI: 10.1007/s00399-017-0487-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/24/2016] [Accepted: 01/25/2017] [Indexed: 10/20/2022]
Abstract
We report the case of a 38-year-old man who was implanted a subcutaneous implantable cardioverter-defibrillator (S-ICD) and then performed a skydive from a height of 3000 m. During the jump, he lost consciousness due to ventricular fibrillation (VF). The S‑ICD detected the VF properly and successfully shocked the arrhythmia. Our illustrative case emphasizes the S‑ICD as an appropriate therapy in patient with life-threatening arrhythmias even under extreme conditions.
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Schwarz S, Boscheri A, Christle J, Duvinage A, Esefeld K, Fricke H, Pitsch N, Pressler A, Weichenberger M, Halle M. [Exercise training in the therapy of heart diseases: Current evidence and future options]. Herz 2016; 41:159-69; quiz 170-1. [PMID: 26914583 DOI: 10.1007/s00059-016-4403-y] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/14/2023]
Abstract
Exercise training has been firmly established as an additional therapeutic strategy in addition to pharmacological and interventional treatment in patients with cardiovascular disease. Benefits for quality of life as well as prognosis have been confirmed for cardiovascular risk factors, ischemic heart disease, after myocardial infarction, in heart failure with preserved as well as reduced ejection fraction, in atrial fibrillation and in patients after catheter-assisted aortic valve implantation (TAVI), with an implantable cardioverter defibrillator (ICD) or with left ventricular assist devices (VAD). Training programs have to be tailored according to the disease, stage of disease, comorbidities, age of the patient, medication as well as exercise capacity. For prescribing exercise mode and intensity, a maximum exercise test has to be performed. Ideally, this is accompanied by spirometry to assess maximum values such as maximum oxygen consumption. Training intensity will then be prescribed according to the optimal training range and maximum training intensity.
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Affiliation(s)
- S Schwarz
- Präventive und Rehabilitative Sportmedizin, Klinikum rechts der Isar, TU München, Georg-Brauchle-Ring 56, 80992, München, Deutschland
| | - A Boscheri
- Präventive und Rehabilitative Sportmedizin, Klinikum rechts der Isar, TU München, Georg-Brauchle-Ring 56, 80992, München, Deutschland
| | - J Christle
- Präventive und Rehabilitative Sportmedizin, Klinikum rechts der Isar, TU München, Georg-Brauchle-Ring 56, 80992, München, Deutschland
| | - A Duvinage
- Präventive und Rehabilitative Sportmedizin, Klinikum rechts der Isar, TU München, Georg-Brauchle-Ring 56, 80992, München, Deutschland
- Deutsches Zentrum für Herzkreislaufforschung (DZHK), Munich Heart Alliance, München, Deutschland
| | - K Esefeld
- Präventive und Rehabilitative Sportmedizin, Klinikum rechts der Isar, TU München, Georg-Brauchle-Ring 56, 80992, München, Deutschland
| | - H Fricke
- Präventive und Rehabilitative Sportmedizin, Klinikum rechts der Isar, TU München, Georg-Brauchle-Ring 56, 80992, München, Deutschland
| | - N Pitsch
- Präventive und Rehabilitative Sportmedizin, Klinikum rechts der Isar, TU München, Georg-Brauchle-Ring 56, 80992, München, Deutschland
| | - A Pressler
- Präventive und Rehabilitative Sportmedizin, Klinikum rechts der Isar, TU München, Georg-Brauchle-Ring 56, 80992, München, Deutschland
| | - M Weichenberger
- Präventive und Rehabilitative Sportmedizin, Klinikum rechts der Isar, TU München, Georg-Brauchle-Ring 56, 80992, München, Deutschland
| | - M Halle
- Präventive und Rehabilitative Sportmedizin, Klinikum rechts der Isar, TU München, Georg-Brauchle-Ring 56, 80992, München, Deutschland.
- Deutsches Zentrum für Herzkreislaufforschung (DZHK), Munich Heart Alliance, München, Deutschland.
- Else Kröner-Fresenius-Zentrum, Klinikum rechts der Isar, München, Deutschland.
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Sweeting J, Ingles J, Ball K, Semsarian C. Challenges of exercise recommendations and sports participation in genetic heart disease patients. ACTA ACUST UNITED AC 2015; 8:178-86. [PMID: 25691687 DOI: 10.1161/circgenetics.114.000784] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/04/2023]
Affiliation(s)
- Joanna Sweeting
- From the Agnes Ginges Centre for Molecular Cardiology, Centenary Institute, Newtown, NSW, Australia (J.S., J.I., C.S.); Sydney Medical School, University of Sydney, Sydney, NSW, Australia (J.S., J.I., C.S.); Centre for Physical Activity and Nutrition Research, Deakin University, Melbourne, Australia (K.B.); and Department of Cardiology, Royal Prince Alfred Hospital, Sydney, NSW, Australia (C.S.)
| | - Jodie Ingles
- From the Agnes Ginges Centre for Molecular Cardiology, Centenary Institute, Newtown, NSW, Australia (J.S., J.I., C.S.); Sydney Medical School, University of Sydney, Sydney, NSW, Australia (J.S., J.I., C.S.); Centre for Physical Activity and Nutrition Research, Deakin University, Melbourne, Australia (K.B.); and Department of Cardiology, Royal Prince Alfred Hospital, Sydney, NSW, Australia (C.S.)
| | - Kylie Ball
- From the Agnes Ginges Centre for Molecular Cardiology, Centenary Institute, Newtown, NSW, Australia (J.S., J.I., C.S.); Sydney Medical School, University of Sydney, Sydney, NSW, Australia (J.S., J.I., C.S.); Centre for Physical Activity and Nutrition Research, Deakin University, Melbourne, Australia (K.B.); and Department of Cardiology, Royal Prince Alfred Hospital, Sydney, NSW, Australia (C.S.)
| | - Christopher Semsarian
- From the Agnes Ginges Centre for Molecular Cardiology, Centenary Institute, Newtown, NSW, Australia (J.S., J.I., C.S.); Sydney Medical School, University of Sydney, Sydney, NSW, Australia (J.S., J.I., C.S.); Centre for Physical Activity and Nutrition Research, Deakin University, Melbourne, Australia (K.B.); and Department of Cardiology, Royal Prince Alfred Hospital, Sydney, NSW, Australia (C.S.).
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DORENKAMP MARC, BLASCHKE FLORIAN, VOIGT KATHLEEN, FLECK ECKART, GOETZE STEPHAN, ROSER MATTIAS. Electromagnetic Interference of Avalanche Transceivers with Cardiac Pacemakers and Implantable Cardioverter Defibrillators. PACING AND CLINICAL ELECTROPHYSIOLOGY: PACE 2013; 36:931-8. [DOI: 10.1111/pace.12159] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/08/2012] [Revised: 02/17/2013] [Accepted: 02/25/2013] [Indexed: 11/29/2022]
Affiliation(s)
- MARC DORENKAMP
- Department of Cardiology, Charité - Universitätsmedizin Berlin; Campus Virchow-Klinikum; Berlin; Germany
| | - FLORIAN BLASCHKE
- Department of Cardiology, Charité - Universitätsmedizin Berlin; Campus Virchow-Klinikum; Berlin; Germany
| | - KATHLEEN VOIGT
- Department of Cardiology, Charité - Universitätsmedizin Berlin; Campus Virchow-Klinikum; Berlin; Germany
| | - ECKART FLECK
- Department of Internal Medicine/Cardiology; German Heart Institute Berlin; Berlin; Germany
| | - STEPHAN GOETZE
- Department of Internal Medicine/Cardiology; German Heart Institute Berlin; Berlin; Germany
| | - MATTIAS ROSER
- Department of Cardiology, Charité - Universitätsmedizin Berlin; Campus Virchow-Klinikum; Berlin; Germany
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Górski A, Weber-Dabrowska B. The potential role of endogenous bacteriophages in controlling invading pathogens. Cell Mol Life Sci 2005; 62:511-9. [PMID: 15747058 DOI: 10.1007/s00018-004-4403-6] [Citation(s) in RCA: 109] [Impact Index Per Article: 5.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/12/2022]
Abstract
Bacteriophages (phages) are omnipresent in our environment, and recent studies highlight their potential impact on the microbial world. Phages can also be present in mammalian organisms, including man (intestines, oral cavity, urine, sputum and serum). Data are available which suggest that those endogenous phages could play an important role in eliminating bacteria and regulating the body ecosystem. Furthermore, our most recent findings suggest that phages can exert immunosuppressive action in the gut, helping control local inflammatory and autoimmune reactions, and demonstrate anticancer activity. We hypothesize that phages could act in concert with the immune system in immunosurveillance against bacteria, viruses and cancer.
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Affiliation(s)
- Andrzej Górski
- L. Hirszfeld Institute of Immunology and Experimental Therapy, Polish Academy of Sciences, 53114, Wroclaw, Poland.
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