considerations for the athletic directorstorage.cloversites.com/athleticheart/documents... ·...

CARDIAC SCREENINGConsiderations for the

Athletic Director

Joe Rogowski MA, ATC/L Orlando Magic (Orlando)

Sabrina Giralt CCT (Orlando)

Jason Jacobson MD, Mount Sinai Heart Institute (Miami)

ESTABLISHMENT OF ATHLETIC

HEART RESEARCH INST.

AHI’s Goals:

•Address this particular area of Sports Medicine that has lacked

research & education.

•NHL, MLB, NBA, Collegiate, Military, & High School

•Make Testing:

•Convenient

•Cost Effective

•Specific for Athletes of Different Sports (Safe for the Athlete,

Equipment, Medical Staff)

•Database of Research

www.athletic-heart.com

• All Echocardiograms are

NOT created equal!

• All Sonographers are

NOT created equal!

• All cardiologists are NOT

created equal!

ATHLETE’S

HEART HCM

dfdfasdfdfsdfsd

2011 SUDDEN CARDIAC

DEATH DURING COMPETITION

n = 22

NCAA 2004 -2008

Cardiac = 16 % (45 cases confirmed)

Sickle Cell = 2%

Concussion = 0

Wrongful death verdict leaves UCF with

$10 million liability, big questions

about O’Leary’s future

Jury awards $800,000 to family

of dead high school baseball

player.

By Jodie Tillman,

Times Staff Writer Tampa

Bay Times

In Print: Thursday, October 27,

2011

292184531

High School Athletes Soon May Be

Required To Have Heart Tests

• By Kellie Patrick, Tallahassee Bureau |

March 4, 1999• TALLAHASSEE - A heart scan that might have saved the life of

a Boca Raton High School soccer player eventually could

become part of athletic physicals across the state.Key House

and Senate leaders want the state to spend $240,000 on a

Pinellas County pilot program that would use echocardiograms

to search for signs that athletes are at risk of sudden cardiac

failure.Although autopsy results are still pending, heart problems

appear to be what killed Boca Raton student Vinicius Atab, 17,

as he warmed up for a soccer game with Hallandale High on

Feb. 12The funding is being pushed by Sen. Don Sullivan, R-

Seminole, who chairs the Senate Education Budget Committee,

and House Speaker pro tem Dennis Jones, R-Seminole.

Heart Health Screening Study

Enrollment (Philadelphia 2007)• Number of subjects enrolled

321

• Abnormalities identified 29

• Abnormalities

• LQTS 2

• Dilated aorta 5

• Anomalous coronary artery 1

• Possible ARVD 1

• Ostium primum atrial septal defect 1

• Coronary cameral fistula 1

• Tricuspid regurgitation 3

• Small PDA 1

• Second degree AV block 2

• Frequent PVCs 3

• Vasodepressor Syncope 2

• Mild Mitral Valve Abnormalities 4

• Elevated Blood Pressure 3

• PFO 10

– Connective tissue disease variants 2

• EDS

• Marfan variant

• 9.0% Previously

heart abn.

• 2.2% Serious

conditions

– treated with

meds,

surgery

– and/or

restrictions

• 1% SBE

prophylaxis

8 EXERTIONAL CHEST IN MEDICAL HX

1 FAMILY HX OF BUCUSPID AORITC VALVE

1 PREVIOUSLY REPAIRED CHD W/ NO FOLLOW-UP

AND EXERTIONAL CHEST PAIN

1 WPW ON EKG

1 ASD W R HEART ENLARGMENT (ECHO AND

SURGERY)

1 FAMILY W/ HCM

1 KAWASAKI DISEASE

1 DILATATED LV WITH EF = 30%

1 FIBROELASTOMA OF THE AORTIC VALVE

1 BONA FIDE BICUSPID AORTIC VALVE

N = 105 (5 high schools 1 day)

3 surgical repairs because of screening

Athletic Heart Inst. Chicago Heart Screen 11.12.11

What about “Limited ECHO” that

just looking for HCM?

Previous Screening

Problems For Teams:

• Affordable

• Safety

• Convenience

• Lack of Database & Research

• Specific for Athlete Population

• Inferior Equipment for Athletes

AHI: www.athletic-heart.com

Email: Jrogowski@athletic-heart.com

Jjacobson@athletic-heart.com

jrogowski@orlandomagic.com

Joe Rogowski’s Cell: 407.733.6424

Contact Information