Heart screening may not prevent Hamlin’s collapse

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It is widely recognized that quick, on-site emergency care from well-trained medical personnel helped save Damar Hamlin’s life. But whether his cardiac arrest could have been prevented remains less certain. Doctors say they are still looking into the cause of Hamlin’s cardiac arrest after a tackle during Monday night’s game in Cincinnati. One possibility—a chance chest injury called commotio cordis—cannot be predicted or prevented. Preexisting heart disease is the most common cause of sudden cardiac arrest in young athletes. Some can be detected with tests, including an EKG, which measures the heart’s electrical activity, and an echocardiogram, an ultrasound scan that shows how the heart muscle and valves are working. These tests cannot detect all heart conditions and sometimes miss ones that can be fatal. They are commonplace in professional sports and are used by about half of the NCAA programs, said Dr. Andrew Peterson, University of Iowa team physician. The American Heart Association and American Academy of Pediatrics don’t recommend them for routine use in high school and youth sports because false-positive results rule out too many athletes, Peterson said. Routine physical exams should include questions about a family history of heart disease and worrisome symptoms, including fainting, palpitations and chest pain during activity, said Dr. Mariel Jessup, the heart association’s chief medical officer. Cardiac tests are necessary to detect these symptoms, she said: “Someone can reach adulthood and not have a diagnosis,” she said. “This is especially true in populations that don’t have the resources or the ability to see a doctor regularly.” Hamlin’s health history has not been released. The Buffalo Bills’ 24-year-old remains hospitalized, but doctors say he’s making great progress, talking and breathing on his own. Jessup said Hamlin was “extraordinarily fortunate to have people around who knew CPR” and that she was started right away. He also benefited from the NFL’s regular first aid drills held in stadiums before every game. “The meeting is an important control point to ensure that officials, team medical staff and in-game medical staff are aware of all procedures and resources for the health and safety of players at the game,” the health and safety statement said NFL players. Sudden cardiac arrest is something they try to prepare for. It is the leading medical cause of death in young athletes, although it is rare, with an estimated 1 sudden cardiac death in 50,000-80,000 young athletes each year. cordis, which occurs when someone receives a sharp shock to the chest at a specific location at a specific time in the heart rhythm cycle. The injury causes the heart to quiver and stop pumping blood efficiently. It used to be almost always fatal, but awareness has improved survival to about 60%, said Dr. Mark Link of UT Southwestern Medical Center in Texas. One of the most common heart conditions associated with cardiac arrest in athletes can often be detected on an AMC echocardiogram. Hypertrophic cardiomyopathy is a genetic disorder that can cause part of the heart muscle to thicken, making it harder for the heart to pump blood. Affected individuals do not always have symptoms and are often undiagnosed. Former Baylor basketball player King McClure didn’t know what had affected him until he had an EKG and echocardiogram early in his freshman year in 2015. The diagnosis was terrible: the doctors said that he could die if he continued to play. One doctor suggested an option—an implantable defibrillator that acts on the heart to restore a normal heartbeat. The implanted device “never activated, by the grace of God,” said McClure, now 26 and an ESPN analyst. McClure said he saw Hamlin collapse and thought, “That could have been me. When you see things like this that hit so close to home, it scares you,” he said. “I’m just thankful that Hamlin is OK and that he’s still here.” Julie West of La Porte, Indiana, has since become an advocate for routine heart testing in schools, greater use of automated external defibrillators and routine cardiac exercise. Son Jake, 17, died of sudden cardiac arrest during soccer practice in 2013. “For Jake, nobody really knew what to do right away,” she said. “Andem was in the coach’s office. The coaches stepped in and did CPR,” but it was too late. Since then, AED awareness has increased, and AED procedures are used at almost every level of sports, even high school. “It’s part of our CPR recovery course,” said Eric McCauliffe, the varsity basketball coach at Indian Lake-Long Lake in upstate New York. “We’re definitely looking into it, and we’re also checking with the coaches where each school has an AED.” The autopsy revealed that Jake had a rare inherited heart condition. it caused no symptoms and was not detected during routine medical examinations. His sister later underwent tests that revealed she had the same condition and now wears an implantable defibrillator. West was a teacher when Jake died and says she’s trained in active shooters and fires, but not cardiac arrests. “If they don’t have a cardiac response plan, they’re not prepared,” she said. She started a foundation, I which provides EKG and echocardiogram screenings in Indiana schools. West knows the tests aren’t perfect, but f or her, saving one life is worth it.___ AP sportswriters Tim Reynolds, Ron Bloom and Ralph Russo contributed.

It is widely recognized that quick, on-site emergency care from well-trained medical personnel helped save Damar Hamlin’s life. But whether his cardiac arrest could have been prevented is far less certain.

Doctors say they are still looking into the cause of Hamlin’s cardiac arrest after a tackle during Monday night’s game in Cincinnati. One possibility is an accidental chest injury, called commotio cordis, that cannot be predicted or prevented.

Preexisting heart disease is the most common cause of sudden cardiac arrest in young athletes. Some can be detected with tests, including an EKG, which measures the heart’s electrical activity, and an echocardiogram, an ultrasound scan that shows how the heart muscle and valves are working.

These tests cannot detect all heart conditions and sometimes miss ones that can be fatal. They are commonplace in professional sports and are used by about half of the NCAA programs, said Dr. Andrew Peterson, University of Iowa team physician.

The American Heart Association and the American Academy of Pediatrics do not recommend them for routine use in high school and youth sports because false positives would exclude too many athletes, Peterson said.

Routine physical exams should include questions about family history of heart disease and worrisome symptoms, including fainting, palpitations and chest pain during activity, said Dr. Mariel Jessup, the heart association’s chief medical officer. Cardiac tests would be warranted to investigate these symptoms, she said.

“It is possible for someone to reach adulthood and not be diagnosed,” she noted. “This is especially true in populations that do not have the resources or the ability to see a doctor regularly.”

Hamlin’s health history has not been released. The 24-year-old Buffalo Bills tight end remains hospitalized, but doctors say he is making excellent progress, talking and breathing on his own.

Jessup said Hamlin was “extremely lucky to have people around who knew CPR” and that it was started right away.

He also benefited from the NFL’s regular EMS drills held in stadiums before every game.

“The meeting is an important checkpoint to ensure that officials, team medical personnel and game-day medical personnel are aware of all procedures and resources for player health and safety in the game,” according to the online player health and safety information. NFL.

Sudden cardiac arrest is one of the things they try to prepare for. It is the leading medical cause of death in young athletes, although it is rare, with an estimated 1 sudden cardiac death in 50,000-80,000 young athletes each year.

A rare cause of such deaths is commotio cordis, which occurs when someone receives a sharp blow to the chest at a specific location at a specific time in the heart rhythm cycle. The injury causes the heart to quiver and stop pumping blood efficiently. In the past, it was almost always fatal, but awareness has improved survival to about 60%, said Dr. Mark Link of UT Southwestern Medical Center in Texas.

One of the most common heart conditions that cause cardiac arrest in athletes can often be detected on echocardiograms. Hypertrophic cardiomyopathy is a genetic disorder that can cause part of the heart muscle to thicken, making it harder for the heart to pump blood. Affected individuals do not always have symptoms and are often undiagnosed.

Former Baylor basketball player King McClure didn’t know it was affected until he had an EKG and echocardiogram early in his freshman year in 2015.

The diagnosis was dire: doctors said he might die if he continued to play. One doctor suggested an option — an implantable defibrillator that acts on the heart to restore a normal heartbeat.

The implanted device “never activated, by the grace of God,” said McClure, now 26 and an ESPN analyst.

McClure said he saw Hamlin go down and thought, “That could have been me. When you see things like this that hit so close to home, it scares you,” he said. “I’m just thankful that Hamlin is OK and that he’s still here.”

Julie West of La Porte, Ind., became an advocate for routine heart screening in schools, greater use of automated external defibrillators and routine cardiac exercise after her 17-year-old son, Jake, died of sudden cardiac arrest during football practice. in 2013.

“With Jake, nobody really knew what to do right away,” she said. — The car was in the trainer’s office. Trainers intervened and performed CPR,” but it was too late.

Since then, awareness of AEDs has increased, and AED procedures are used at almost all levels of sports, even high school.

“It’s part of our CPR recovery course,” said Eric McCauliffe, the varsity basketball coach at Indian Lake-Long Lake in upstate New York. “We’re definitely reviewing that and the AED location coaches at each school.”

An autopsy revealed that Jake had a rare, inherited heart condition that caused no symptoms and went undetected during routine medical examinations. His sister later underwent tests that revealed she had the same condition and now wears an implantable defibrillator.

West was a teacher when Jake died, and says she was taught active shooter and shooting, but not cardiac arrest.

“If they don’t have a cardiac response plan, they’re not ready,” she said.

She created a foundation that provides EKG and echocardiogram screenings in Indiana schools.

West knows the tests aren’t perfect, but for her, saving one life is worth it.

___

AP sports writers Tim Reynolds, Ron Bloom and Ralph Russo contributed.

Heart screening may not prevent Hamlin’s collapse

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