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  • 1
    In: Clinical Cardiology, Wiley, Vol. 46, No. 9 ( 2023-09), p. 1106-1115
    Abstract: Screening elite athletes for conditions associated with sudden cardiac death is recommended by numerous international guidelines. Current athlete electrocardiogram interpretation criteria recommend the Bazett formula (QTcB) for correcting QT interval. However, other formulae may perform better at lower and higher heart rates (HR). This review aimed to examine the literature on various QT correction methods in athletes and young people aged 14−35 years and determine the most accurate method of calculating QTc in this population. A systematic review of MEDLINE, EMBASE, Scopus, and SportDiscus was performed. Papers comparing at least two different methods of QT interval correction in athletes or young people were included. Quality and risk of bias were assessed using a standardized tool. The search strategy identified 545 papers, of which 10 met the criteria and were included. Nine of these studies concluded that QTcB was least reliable for removing the effect of HR and was inaccurate at both high ( 〉 90 beats per min [BPM]) and low ( 〈 60 BPM) HRs. No studies supported the use of QTcB in athletes and young people. Alternative QT correction algorithms such as Fridericia (QTcF) produce more accurate correction of QT interval at HRs seen in athletes and young people. QTcB is less accurate at lower and higher HRs. QTcF has been shown to be more accurate in these HR ranges and may be preferred to QTcB for QTc calculation in athletes and young people. However, accurate QTc reference values for discrete HRs using alternative algorithms are not well established and require further research.
    Type of Medium: Online Resource
    ISSN: 0160-9289 , 1932-8737
    URL: Issue
    Language: English
    Publisher: Wiley
    Publication Date: 2023
    detail.hit.zdb_id: 2048223-1
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  • 2
    Online Resource
    Online Resource
    MDPI AG ; 2022
    In:  Journal of Cardiovascular Development and Disease Vol. 9, No. 6 ( 2022-06-08), p. 183-
    In: Journal of Cardiovascular Development and Disease, MDPI AG, Vol. 9, No. 6 ( 2022-06-08), p. 183-
    Abstract: Athlete ECG interpretation criteria have been developed and refined from research in athlete populations; however, current guidelines are based on available data primarily from Caucasian and Black athletes. This study aimed to assess the impact of ethnicity on ECG interpretation in athletes. A systematic review was conducted of the MEDLINE, EMBASE, Scopus, SPORTDiscus, and Web of Science databases, for papers that assessed athlete screening ECGs and compared findings on the basis of ethnicity. Fifty-one papers which compared ECGs from various ethnicities were included. Most studies assessed Black athletes against Caucasian athletes and found a greater prevalence of T-wave inversion (TWI) (2.6–22.8% vs. 0–5.0%) and anterior TWI (3.7–14.3% vs. 0.6–2.0%). Black athlete subgroups in Africa had TWI (20–40%) and anterior TWI (4.3–18.7%) at a higher prevalence than other Black athletes. Athletes who were defined as mixed-race, Asian, and Pacific Islander are potentially more like Black athletes than Caucasian athletes. Black ethnicity is known to have an impact on the accurate interpretation of athlete ECGs; however, there is nuance related to origin of both parents. Asian and Pacific Islander origin also may impact athlete ECG interpretation. Further research is required to assist in distinguishing abnormal and normal athlete ECGs in different ethnic populations.
    Type of Medium: Online Resource
    ISSN: 2308-3425
    Language: English
    Publisher: MDPI AG
    Publication Date: 2022
    detail.hit.zdb_id: 2777082-5
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  • 3
    Online Resource
    Online Resource
    Springer Science and Business Media LLC ; 2023
    In:  Indian Journal of Orthopaedics Vol. 57, No. 10 ( 2023-10), p. 1613-1618
    In: Indian Journal of Orthopaedics, Springer Science and Business Media LLC, Vol. 57, No. 10 ( 2023-10), p. 1613-1618
    Abstract: Previous studies have shown a trend that elite athletes tend to live longer than the general population, which has been attributed to the “healthy worker hire effect” and the health benefits of exercise. There have not been any previous studies looking at survival of elite cricketers with the general population as a reference cohort. This study aimed to compare the annual mortality rates of current and retired elite male Australian cricket players to that of the age-matched general Australian male population. Methods Analysis of publicly accessible dates of birth, death, and cricket debut data for male Australian Sheffield Shield cricket players who played before 2022 and had not died before 1971. Included persons were Sheffield Shield players who lived primarily in Australia during and after their cricket careers. Death rates from 1971 to 2021 (inclusive) were compared to the general Australian male population. Results 1824 Sheffield Shield players had not died prior to 1971 (798 had played before the 1971 season, 1026 debuting subsequently). There were 586 deaths in the 51 years of observations, compared to 825 expected deaths, giving a Standardized Mortality Ratio of 0.71 (95% CI 0.63–0.80). Conclusion Elite Australian male Sheffield Shield cricket players outlive the general male population with lower death rates. This is probably due to a combination of the healthy worker hire effect and the health benefits of exercise. This study provides evidence that in terms of longevity, it is safe to play elite-level cricket in Australia. Graphical Abstract
    Type of Medium: Online Resource
    ISSN: 0019-5413 , 1998-3727
    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2023
    detail.hit.zdb_id: 2323559-7
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  • 4
    Online Resource
    Online Resource
    CSIRO Publishing ; 2017
    In:  Australian Health Review Vol. 41, No. 6 ( 2017), p. 713-
    In: Australian Health Review, CSIRO Publishing, Vol. 41, No. 6 ( 2017), p. 713-
    Type of Medium: Online Resource
    ISSN: 0156-5788
    Language: English
    Publisher: CSIRO Publishing
    Publication Date: 2017
    detail.hit.zdb_id: 2082451-8
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  • 5
    Online Resource
    Online Resource
    Jaypee Brothers Medical Publishing ; 2023
    In:  Journal of Postgraduate Medicine, Education and Research Vol. 57, No. 4 ( 2023-09-28), p. 154-157
    In: Journal of Postgraduate Medicine, Education and Research, Jaypee Brothers Medical Publishing, Vol. 57, No. 4 ( 2023-09-28), p. 154-157
    Type of Medium: Online Resource
    ISSN: 2277-8969 , 2278-0262
    Language: English
    Publisher: Jaypee Brothers Medical Publishing
    Publication Date: 2023
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  • 6
    Online Resource
    Online Resource
    SAGE Publications ; 2013
    In:  The American Journal of Sports Medicine Vol. 41, No. 4 ( 2013-04), p. 734-741
    In: The American Journal of Sports Medicine, SAGE Publications, Vol. 41, No. 4 ( 2013-04), p. 734-741
    Abstract: Injuries are common in all professional football codes (including soccer, rugby league and union, American football, Gaelic football, and Australian football). Purpose: To report the epidemiology of injuries in the Australian Football League (AFL) from 1992-2012 and to identify changes in injury patterns during that period. Study Design: Descriptive epidemiology study. Methods: The AFL commenced surveying injuries in 1992, with all teams and players included since 1996. An injury was defined as “any physical or medical condition that causes a player to miss a match in the regular season or finals (playoffs).” Administrative records of injury payments (which are compulsory as part of salary cap compliance) to players who do not play matches determined the occurrence of an injury. The seasonal incidence was measured in units of new injuries per club (of 40 players) per season (of 22 matches). Results: There were 4492 players listed over the 21-year period who suffered 13,606 new injuries/illnesses and 1965 recurrent injuries/illnesses, which caused 51,919 matches to be missed. The lowest seasonal incidence was 30.3 new injuries per club per season recorded in 1993, and the highest was 40.3 recorded in 1998. The injury prevalence (missed matches through injury per club per season) varied from a low of 116.3 in 1994 to a high of 157.1 in 2011. The recurrence rate of injuries was highest at 25% in 1992 and lowest at 9% in 2012 and has steadily fallen across the 21 years ( P 〈 .01). The most frequent and prevalent injury was hamstring strain (average of 6 injuries per club per season, resulting in 20 missed matches per club per season; recurrence rate, 26%), although the rate of hamstring injuries has fallen in the past 2 seasons after a change to the structure of the interchange bench ( P 〈 .05). The rate of knee posterior cruciate ligament injuries fell in the years after a rule change to prevent knee-to-knee collisions in ruckmen ( P 〈 .01). Conclusion: Annual public reporting (by way of media release and reports available freely online) of injury rates, using units easily understood by laypeople, has been well received. It has also paved the way for rule changes with the primary goal of improving player safety.
    Type of Medium: Online Resource
    ISSN: 0363-5465 , 1552-3365
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2013
    detail.hit.zdb_id: 2063945-4
    SSG: 31
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  • 7
    In: Heart Rhythm, Elsevier BV, Vol. 16, No. 10 ( 2019-10), p. 1584-1591
    Type of Medium: Online Resource
    ISSN: 1547-5271
    Language: English
    Publisher: Elsevier BV
    Publication Date: 2019
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  • 8
    Online Resource
    Online Resource
    BMJ ; 2021
    In:  BMJ Open Sport & Exercise Medicine Vol. 7, No. 4 ( 2021-10), p. e001227-
    In: BMJ Open Sport & Exercise Medicine, BMJ, Vol. 7, No. 4 ( 2021-10), p. e001227-
    Abstract: The coronavirus pandemic has given everyone in society an education on the harms of spread of respiratory illness. Young healthy athletes are far less likely to suffer severe adverse consequences of viral illnesses than the elderly and frail, but they are not completely immune. Chronic fatigue (overtraining) is an uncommon outcome and myocarditis a rare one, but they both warrant due consideration. It is, therefore, a sensible individual strategy to ‘stay home when sick’ if only for these risks. Traditionally though, athletes have tended to push through (train and play when ill) because of competing concerns, such as key events/matches and ‘not wanting to let teammates down’. Data from both low COVID-19 and high COVID-19 countries show that the number of cardiovascular deaths in a society correlates with the number of respiratory deaths at the same time, further linking respiratory viruses to cardiovascular deaths. We are now more aware of public health obligations to prevent the spread of respiratory illnesses, in particular to protect the more vulnerable members the community. This hopefully will correspond with a change in the culture of sport to one where it is considered ‘the right thing to do’, to ‘stay home when sick’.
    Type of Medium: Online Resource
    ISSN: 2055-7647
    Language: English
    Publisher: BMJ
    Publication Date: 2021
    detail.hit.zdb_id: 2817580-3
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  • 9
    Online Resource
    Online Resource
    Elsevier BV ; 2012
    In:  Journal of Science and Medicine in Sport Vol. 15, No. 3 ( 2012-5), p. 201-206
    In: Journal of Science and Medicine in Sport, Elsevier BV, Vol. 15, No. 3 ( 2012-5), p. 201-206
    Type of Medium: Online Resource
    ISSN: 1440-2440
    Language: English
    Publisher: Elsevier BV
    Publication Date: 2012
    detail.hit.zdb_id: 2230157-4
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  • 10
    Online Resource
    Online Resource
    Elsevier BV ; 2020
    In:  Journal of Science and Medicine in Sport Vol. 23, No. 6 ( 2020-06), p. 541-547
    In: Journal of Science and Medicine in Sport, Elsevier BV, Vol. 23, No. 6 ( 2020-06), p. 541-547
    Type of Medium: Online Resource
    ISSN: 1440-2440
    Language: English
    Publisher: Elsevier BV
    Publication Date: 2020
    detail.hit.zdb_id: 2230157-4
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