ABSTRACT
La Evaluación Preparticipativa (EPP) definida como "la supervisión de salud de individuos, previo a la práctica de la actividad física y/o deporte, que busca optimizar su participación deportiva segura y brindar una oportunidad para identificar los riesgos actuales y futuros de su salud y su calidad de vida" contempla la EPP Cardiovascular (EPPC), que tiene por objetivo la pesquiza de patologías cardio vasculares con riesgo de agravarse o presentar muerte súbita durante la práctica de ejercicio. Si bien existe amplio consenso internacional respecto a que la realización de la EPPC en jovenes deportistas es de utilidad, no existe consenso respecto a si esta debe ser realizada a toda la población pediátrica ni tampoco sobre cuál es la mejor estrategia a aplicar. En el presente trabajo se presenta la posición de las sociedades cientificas relacionadas al deporte, actividad fisica y salud infantil sobre la Evaluación Preparticipativa Cardiovascular Pediátrica.
The Preparticipation Physical Evaluation (PPE), defined as "the health supervision of individuals, prior to the practice of physical activity and/or sports, which seeks to optimize their safe participation in sports and provide an opportunity to identify current and future risks to their health and quality of life", inclu des the Cardiovascular assessment, which aims to screen cardiovascular pathologies with the risk of worsening or sudden death during exercise. Although there is broad international consensus that the use of Pediatric Cardiovascular PPE in young athletes is useful, there is no consensus on whether this should be used in the entire pediatric population or on which is the best strategy to apply. This article presents the position of the scientific societies related to sport, physical activity and child health on the Pediatric Cardiovascular PPE.
Subject(s)
Humans , Adolescent , Sports , Mass Screening/methods , Death, Sudden, Cardiac/prevention & control , Physical Examination , Algorithms , Cardiovascular Diseases/diagnosis , Cardiovascular Diseases/prevention & control , Chile , Child Health , Death, Sudden, Cardiac/etiology , Risk Assessment , Electrocardiography , Medical History TakingABSTRACT
Objective: To determine the age range, where juvenile T inversion pattern in right precordial leads (V1 to V4) in an ECG changes to the adult upright T wave pattern Method: A descriptive cross-sectional study was done in children aged 5 years and above referred to the paediatric cardiology clinic, Teaching Hospital Karapitiya from January 2012 to April 2013. Inclusion criteria were: children with no cardiac lesion or a haemodynamically insignificant cardiac lesion after a full cardiac evaluation.The cohort was divided into six age groups and the presence of juvenile and adult ECG patterns were evaluated. Results: A total number of 1039 children were enrolled. At the age of 13 years 50% depicted both juvenile and adult ECG patterns. At the age range of 13-15 years 78 (60%) of a total of 130 showed the adult ECG pattern compared to 99 (44.4%) of a total of 223 at 11-13 years (X2=8.0; p=0.005). Even after 13 years of age the juvenile ECG pattern persisted in 30-40% of children. Conclusions: Transition of the juvenile T inversion pattern in right precordial leads in an ECG to the adult upright T wave pattern occurs predominantly at the age range of 13-15 years. Presence of juvenile T inversion pattern in an ECG after 13-15 years can be a normal finding as well as may be a pre-symptomatic diagnosis of a cardiomyopathy. Although it is normal to have a juvenile ECG pattern above 13 years it is advisable to perform an echocardiographic evaluation on children above 13 years with juvenile T inversion pattern which may lead to early diagnosis of cardiomyopathy.