CJSM Podcast: Screening for cardiovascular disease in athletes — the Australian Way.

September 28, 2021 by

Our podcast series this year has been tremendous.  If you haven’t yet subscribed to the podcast, go to the CJSM iTunes website to check out all our episodes.  You’ll see this year we’ve interviewed Dr. Neeraj Patel about pediatric ACL injuries and the effect race and insurance status have on outcomes; and Dr. Stephanie Kliethermes about youth sport specialization in the United States, to name just two of the special guests and topics we’ve had this year.

We have another special podcast to bring to your attention today.

Dr. Jessica Orchard

Dr. Jessica Orchard of the University of Sydney, Australia, joins us for a deep dive into the hows and whys of cardiovascular screening as practiced by elite sporting organizations in her home country. Dr. Orchard is the lead author of a newly published CJSM manuscript and headed up a ‘dream team’ of experts.

In the podcast Dr. Orchard gives a thoughtful and concise analysis of the challenges posed by such screening, and how different Australian sporting organizations have managed the issues.

Of special note, Dr. Orchard brings to the attention of the listeners a series of educational modules created by the Australasian College of Sport and Exercise Physicians (ACSEP) — one of our affiliated societies.  The ECG modules are free and guide the learner in the ‘International criteria’ and the latest consensus standards for the interpretation of an athlete’s ECG, the core of what the Australian sports organizations use in their screening.

So — head to iTunes, head to the CJSM manuscript, and head to the ACSEP modules to become expert in screening elite athletes for cardiovascular disease.

Thank you so much Dr. Orchard for your time and effort in this area.

Filed under CJSM Podcasts, Elite sport, General Interest Tagged with , , ,

The Global Sports Medicine Community — the CJSM Summer Podcast

June 19, 2021 by 1 Comment

As I write this post, the third round of the US Open Golf tournament is taking place as is Euro2020 (a year after being suspended), and Father’s Day is about to be celebrated in the United States.  That means summer is ‘full on’ in the Northern Hemisphere.

Which also means plenty of folks are taking vacation and it has become hard to track down some authors to join me for a podcast!!!

Lemonade courtesy of Wikimedia

Mixing metaphors:  the old adage has it that you make lemonade out of lemons, and since lemonade is an unofficial drink of summer, you all get a special summer treat with this, the 49th podcast for the journal.

I am using this moment to try out a special podcast format I’ve been toying with in my head.  I’m striking out getting guests for this podcast, and so I’ll serve you up ‘me’ as a guest!

Let me know if you think I’m lemonade….or a lemon!

I’ve been an admirer of the American Journal of Sports Medicine’s ‘5 in 5’ podcast for several years.  The hosts zip through five of the manuscripts in a recent edition of AJSM in approximately five minutes.  It’s a brilliant way to get some snack bite size information and I encourage the readers of CJSM and the listeners of our podcast to check out AJSM’s podcast.

With a tip of a hat to our eminent colleagues at AJSM, I have decided to call today’s podcast “2 in 10”: Read more of this post

Filed under 2 in 10, CJSM Podcasts, Elite sport, General Interest Tagged with , , ,

Echocardiography as a screen to prevent SCD in athletes — 5 Questions with CJSM

January 8, 2017 by

 

cbs1

Dr. Gian Corrado performing screening cardiac ultrasound

For our first “5 Questions with CJSM” of 2017, we have a special guest:  Dr. Gianmichel Corrado, of Boston Children’s Hospital and Northeastern University.

Dr. Gian Corrado  is a doubly special guest for me: he is the lead author of a ‘published-ahead-of-print’ CJSM study and is someone who trained me in sports medicine at Boston Children’s Hospital.

I have fond memories of working alongside him, the head team physician for Northeastern University in Boston, as we cared for hockey and football athletes.  And I remember the work he was just beginning to do in his now-blossoming area of research.

The new study reports the findings of a novel ‘take’ on a controversial aspect of sports medicine: how might we screen for underlying disorders that predispose our athletes to sudden cardiac death (SCD)?

By the way, don’t let Dr. Gian Corrado’s name fool you — this is not that Dr. Corrado, (Domenico Corrado), who also has published on screening for SCD; but both Drs. Corrado share a similar concern: the primary prevention of this catastrophic event.

Dr. Gian Corrado’s approach is to use ‘screening echocardiography in front-line providers,’ and his findings can be found here:  ‘Early Screening for Cardiovascular Abnormalities with Pre-Participation Echocardiography:  Feasibility Study.’

Dr. Corrado has this to say about his important work:

_____________________________________________________________________

1. CJSM: What was the principal outcome measure you were looking at in this study? What were the secondary outcome measures?

GC: Central in the debate as to how to best identify athletes at risk for sudden death (SD) is cost-effectiveness.  The American Heart Association continues to recommend a history and physical (H&P) as the sole method for screening young athletes for the cardiac conditions that can cause SD.  The H&P has been shown to be a poor test to apply to the above dilemma as it misses athletes whom have potentially deadly cardiac conditions and falsely identifies those that do not.  Many feel that, given this reality, an electrocardiogram (ECG) screening program should be implemented.  This approach has been shown to have significant limitations as it too yields high false positive rates.  The Northeastern Group has suggested and demonstrated that with advances in portable ultrasound frontline providers (FLP) can obtain limited echocardiographic images pertinent to the structural conditions that dominate in culpability with SD. Read more of this post

Filed under General Interest, Preparticipation Evaluation and Screening Tagged with , , , , ,

The CJSM Blog: 2015 in review

December 30, 2015 by

kit sunset

The sun sets on 2015– photo, Kit Yoon

It’s hard to believe 2015 is wrapping up–as I write, it’s already New Year’s Eve in places like Australia and New Zealand, where members of the Australasian College of Sports Physicians [the ‘ACSP,’ one of our affiliated societies] live.

This time of year is one of reflection and thanks.  As I look back on 2015, it is remarkable, I think, to reflect on the many high points this journal enjoyed in its 25th year. The year began with the highly anticipated position statement on musculoskeletal ultrasound, authored by members of the American Medical Society for Sports Medicine [‘AMSSM,’ another one of our affiliated societies].   Mid-year we published a statement that made a huge splash in the research world and the wider, lay media:  the Statement from the proceedings of the 3rd International Exercise-Associated Hyponatremia Consensus Conference.   And we wrapped things up with a controversial study looking at the limitations inherent in screening for sudden-cardiac death in young athletes.

Through it all, we’ve enjoyed our interactions with you, our readers.  Whether on our iPad app, the website, our blog posts and podcasts, or our Twitter feed, we have spent a remarkable year with you.

Thank you.  May you have a wonderful New Year’s, and may 2016 be a professionally fulfilling year for you all.  We look forward to advancing the science of clinical sports medicine with you all.  And before the clock ticks down the final seconds of 2015, we welcome you to see our annual CJSM blog report, below.

Cheers!  See you in 2016!

Here’s an excerpt:

The concert hall at the Sydney Opera House holds 2,700 people. This blog was viewed about 37,000 times in 2015. If it were a concert at Sydney Opera House, it would take about 14 sold-out performances for that many people to see it.

Click here to see the complete report.

Filed under General Interest Tagged with , , , , , , ,

%d bloggers like this: