Intended for healthcare professionals

Editorials

Sudden cardiac death in young athletes

BMJ 2008; 337 doi: https://doi.org/10.1136/bmj.a309 (Published 03 July 2008) Cite this as: BMJ 2008;337:a309

Unintended Consequences

What an extraordinary suggestion ; that we should medicalise sport
and prevent involvement of those with suspicious findings.Have the Authors
not noticed that we are living in an epidemic of obesity?

Obviously the prevention of sudden death is laudable, but how many
people will be put off sporting involvement by the concept of its
dangerous nature ,and the cost and inconvenience involved in getting
medical investigation? Those on the periphery of involvement particularily
,one assumes.

Furthermore , are we to prevent the sporting involvement of those
with IHD risk factors such as smokers and hypercholestrolaemics? And does
playing football with your children in the park count as sport? It seems
surprising that the Italians have accepted it; but it is easy to frighten
people about their hearts and the screening arguement is superficially
attractive.

The Italian approach ,which clearly fails many of Wilson's screening
criteria , is presumably particularily popular with those doctors and
health providers who are benefiting from offering their services..

Competing interests:
I have LVH that I hope is due to Athletic Heart

Competing interests: No competing interests

13 July 2008
Laurie R. Davis
GP Principal
South Hermitage Surgery,South Hermitage, Shrewsbury SY3 7JS