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Olympians should be screened for silent heart problems

Studies carried out for the International Olympic Committee suggest athletes be screened for potentially lethal heart conditions
Spanish international defender Antonio Puerta died after suffering a heart attack during a Spanish league match
Spanish international defender Antonio Puerta died after suffering a heart attack during a Spanish league match
(Image: Cristina Quicler / AFP / Getty)

ATHLETES the world over should face tests for hidden heart problems – and potential disqualification if any are detected.

That’s the conclusion of a collection of studies into the practicality and effectiveness of such tests, carried out at the behest of the International Olympic Committee (IOC).

A number of seemingly healthy athletes have dropped dead from “sudden cardiac death”, including the Spanish footballer Antonio Puerta (pictured) two years ago and British rower Scott Rennie in March this year.

Many of the heart problems that trigger such deaths can be detected through physical examination, electrocardiograms and by taking a medical history, as laid out in the “Lausanne recommendations” created under the auspices of the European Society of Cardiology. The new studies suggest that implementing these recommendations saves lives.

In one, researchers applied the protocol to 371 Dutch athletes aged 12 to 35 over two years. Of the 55 who were referred for additional testing, 10 had an underlying cardiovascular problem, and three were restricted from further participation in sport (British Journal of Sports Medicine, ).

Sanjay Sharma, a cardiologist at King’s College Hospital in London who led another of the studies, says: “Everybody who plays sports needs to be aware that there are certain conditions that may be silent, that could result in a fatality.”