TY - JOUR
T1 - Historical and Current Differences Between Europe and the USA in Sports Cardiology
AU - Husaini, Mustafa
AU - Pelliccia, Antonio
AU - Froelicher, Vic
N1 - Publisher Copyright:
© 2023, The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.
PY - 2023/11
Y1 - 2023/11
N2 - Purpose of review: The purpose of this review is to provide an update and discuss the underlying current differences between the European and American approaches to sports cardiology. Recent findings: Neither approach is monolithic but are nuanced in each country and state. Europe has led the way with cardiovascular screening of athletes. Italy, in particular, has mandated countrywide athlete testing since the 1980s. The American approach, given geographic, financial, and socioeconomic constraints, has been more gradual in development, despite similar goals in reducing exercise-induced sudden cardiac death. These approaches have dovetailed over the last decade through combined efforts to standardize the use of ECG screening with the 2017 International Criteria and more recently with emphasis on shared decision-making. Collectively, despite remaining differences, the common goal has improved the safety of sport participation through reduction in false positives and enhanced international collaboration on the management of cardiovascular conditions in athletes. Summary: While differences remain, close collaboration has led to improved implementation of cardiovascular screening and management of athletes worldwide.
AB - Purpose of review: The purpose of this review is to provide an update and discuss the underlying current differences between the European and American approaches to sports cardiology. Recent findings: Neither approach is monolithic but are nuanced in each country and state. Europe has led the way with cardiovascular screening of athletes. Italy, in particular, has mandated countrywide athlete testing since the 1980s. The American approach, given geographic, financial, and socioeconomic constraints, has been more gradual in development, despite similar goals in reducing exercise-induced sudden cardiac death. These approaches have dovetailed over the last decade through combined efforts to standardize the use of ECG screening with the 2017 International Criteria and more recently with emphasis on shared decision-making. Collectively, despite remaining differences, the common goal has improved the safety of sport participation through reduction in false positives and enhanced international collaboration on the management of cardiovascular conditions in athletes. Summary: While differences remain, close collaboration has led to improved implementation of cardiovascular screening and management of athletes worldwide.
KW - Athletic remodeling
KW - Prevention
KW - Screening
KW - Shared decision-making
KW - Sports cardiology
KW - Sudden cardiac death
UR - http://www.scopus.com/inward/record.url?scp=85173942420&partnerID=8YFLogxK
U2 - 10.1007/s11936-023-01017-z
DO - 10.1007/s11936-023-01017-z
M3 - Review article
AN - SCOPUS:85173942420
SN - 1092-8464
VL - 25
SP - 629
EP - 638
JO - Current Treatment Options in Cardiovascular Medicine
JF - Current Treatment Options in Cardiovascular Medicine
IS - 11
ER -