The Spanish Society of Pediatric Cardiology and the Board of Health in Sport recommend that children and adolescents from 6 to 16-18 years who play sports with component high dynamic (athletics, martial arts, badminton, handball, basketball, cycling, rock climbing, skiing, football, gymnastics, motorcycle racing, swimming, rugby, tennis, volleyball, water polo...), and also those in which there is greater risk in the event of syncope (baseball, gymnastics, rhythmic, figure skating, golf...) are carried out a medical examination initial and repeat it every 2 years.
This recognition, as explained in dr. Maribel Giner Crespo, cardiologist pediatric Hospital Home Health, "it should include a detailed medical history with anamnesis, personal and family history of first degree (parents and siblings), a thorough clinical examination and performing an electrocardiogram".
In the case of identifying an alteration or there is a family history of risk (congenital heart disease, cardiomyopathies, sudden death... etc..) shall, prior to the delivery of the license, complete the study, cardiac with other additional tests such as an echocardiogram.
At present, as explained by dr. Maria Pórtoles, cardiologist pediatric Hospital Home Health, "it is not possible to exclude the risk of sudden death 100%, so that should be an exam every 2 years, as well as providing sports facilities and educational centres with staff trained in cpr and with a team defibrillator that is easily accessible to first responders, until the arrival of the emergency services".physical activity is needed
note that physical activity is necessary for the proper development of the physical, emotional, and psychosocial of children , as well as in the prevention of multiple chronic diseases, such as obesity, diabetes and hypertension. It is more reminiscent of the dr. Maribel Giner, "from the age of 6 years the Spanish Association of Pediatrics recommended that children do a physical activity of moderate to intense , during 30-60 min, preferably all, days of the week."
The sudden cardiac death associated with exercise in young athletes has a very low incidence of 5-10 cases/million/year. The sport of competition increases x 2’5 the risk of sudden death in adolescents and young adults to act as a trigger of cardiac arrest on cardiovascular abnormalities underlying.
In Spain, the Spanish Agency of Health in Sport has the obligation to conduct medical examinations prior to the issuance of the corresponding federal license, in those sports in which it is deemed necessary for a better prevention of risks to the health of its practitioners. However, there is currently no legislation or forecast regulatory any which addresses the recognition, pre-activity sports non-federated, like may be the sport local, municipal, or school.
A large prospective study conducted in France in the period 2005-2010 he described that 90% of the cases of sudden death related to sports occurred precisely in this type of activity, that is to say, in the recreational sport.
For this reason, the cardiólogas pediatric Hospital Home Health recommends that parents with sons and daughters that do sport without a federal license for them to do a check-up prior to the start of the activity. "We all have very internalized that to do sports is to buy some good running shoes, technical clothing, heart rate monitors, watches, good glasses... but few of us are aware of the need to pass a MOT on the engine of the body , that is to say, of our heart, before you begin to perform any sport as usual".
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