Preparticipation -- Pe

Front 1

In hx. Past hx of these has been associated with denial of participation

Back 1

Dizziness with exercise
Hx of asthma
Body mass index (BMI)
blood pressure(systolic)
See
Heart Murmur
Musculoskeletal Examination

Front 2

Common causes of Sudden Death During Exertion in Young Subjects

Back 2

Hypertrophic cardiomyopathy
Anomalous coronary artery origin and course
Atherosclerotic coronary artery disease
Idiopathic concentric left ventricular hypertrophy

Front 3

Hypertrophic Cardiomyopathy
Symptoms:

Back 3

palpitations, syncope, chest pain, dyspnea on exertion.

Front 4

Hypertrophic Cardiomyopathy
Exam:

Back 4

high frequency systolic ejection murmur at left
lower sternal border; increased with Valsalva,
decreased with squatting.

Front 5

Hypertrophic Cardiomyopathy
Diagnostic tool

Back 5

echocardiogram

Front 6

Congenital Coronary Artery Anomalies
Symptoms:

Back 6

extertional chest pain or syncope.

Front 7

Congenital Coronary Artery Anomalies
Diagnosis:

Back 7

angiogram

Front 8

Marfan’s Syndrome
Diagnosis

Back 8

Diagnosis need 2 of 4 major features:

Family history
Cardiovascular abnormality (aortic aneurysm, mitral valve prolapse, congenital heart failure symptoms).
Musculoskeletal abnormality (arm span more than height, kyphoscoliosis, anterior thoracic deformity).
Ocular abnormality (ectopic lens, myopia).
If suspected should get genetic and cardiology consults (including echocardiogram).

Front 9

Coronary Artery Disease:
Consider stress testing for these demographics

Back 9

males over 45; females over55
risk factors: diabetic, smoker, family hx, chol,

exertional pain, syncope, palpatations

Front 10

T or F. Aortic stenosis-often results in sudden death, with or without exercise.

Back 10

T

Front 11

Idiopathic long QT Syndrome

Back 11

QT interval greater than 440 milliseconds

May produce syncope or near syncope.

Frequency suspected in cases of sudden death in athletes without structural heart problems