Sedro-Woolley/ Concrete Schools - PeaceHealth · The American Journal of Cardiology, Volume 116,...
Transcript of Sedro-Woolley/ Concrete Schools - PeaceHealth · The American Journal of Cardiology, Volume 116,...
Sedro-Woolley/ Concrete Schools
November 2019Outcomes & Findings
• Cardiac related death is the most common reason for non-traumatic death during sports in young athletes (70%)
• Affects approximately 33.3 /100,000 athletes
Sudden Cardiac Death in Athletes
Figure 5. Other notable athlete sudden deaths in the U.S. (A) Hank Gathers (1990) age 28 years; (B) “Pistol Pete” Maravich (1988) age 40 years; (C) Chuck Hughes (1971) age 28 years; (D) Korey Stringer (2001), age 27 years; (E) Len Bias (1986) age 22 years; (F)…….
Barry J. Maron, MDHistorical Perspectives on Sudden Deaths in Young Athletes With Evolution over 35 YearsThe American Journal of Cardiology, Volume 116, Issue 9, 2015, 1461–1468http://dx.doi.org/10.1016/j.amjcard.2015.07.072
Sudden Cardiac Death in Athletes
• Hypertrophic Cardiomyopathy“Thickened heart muscle”
• Abnormal coronary arteries• Arrhythmias• Enlarged aorta• Valve problems
• Current sports screening recommendations only require physical exam and basic questionnaire• ECG can increase the sensitivity to detect causes for SCD ---saved 2.06 life-years per 1,000 athletes• Echocardiography can detect otherwise unrecognized aortic enlargement in selected individuals
Sedro Woolley Schools Special Recognition
Kerri Carlton, Principal
All The Staff & Student Volunteers From Sedro Woolley High School
Program Partners
Partnerships
Participating Schools
Whatcom Community College
Linking head and heart, home and school, child and God. Lynden School District
234 Students Were Screened• 116 Female Students• 118 Male Students
Statistics & Findings
All Of The 234 Students Screened Had a Chart Created and The Records of Their Screening Were Entered Into The PeaceHealth St. Joseph Medical Center Electronic Medical Record System
0
38
59
37
66
28
1 1 0 1 30
10
20
30
40
50
60
70
Age 13 Age 14 Age 15 Age 16 Age 17 Age 18 Age 19 Age 20 Age 21 Age 22 Age 23
Number of Students by Age
212
184
Sedro Woolley HighSchool
Concrete High School Community
Students by School
Screening Stations & Medical Staff Volunteers
RegistrationStation # 1 – Height & WeightStation # 2 – Blood Pressure & PulseStation # 3 – 12 Lead EKGStation # 4 – CPR (Chest Compressions) & AED UseStation # 5 – Physician EvaluationStation # 6 – Echocardiography (If Indicated)Check Out
Screening Stations
Dr. Rex Liu – Physician LeadNickie Snyder, NPDr. Tabitha Nenninger Rosey Horner, NPDr. Lessli Putney
Statistics & Findings
83
73
50
21
Number of Hours Students Indicated They Were Involved in Exercise Per
Week
More Than 10 Hours
5-10 Hours
2-5 Hours
Less Than 2 Hours
10979
Number of Students Enrolled in PE
Yes No
Statistics & Findings
177
33
0 50 100 150 200
YES, IN SPORTS
NO, NOT IN A SPORT
Stundent Participation in Sport Activities
57 Students Were Found to Have Positive Findings
• 6 Students With Significant Findings (Requiring More Immediate Follow-Up)• 16 Year Old Female Student With Abnormal & U Waves; Dilated Sinus of Valsalva• 17 Year Old Male Student With Ectopic Atrial Rhythm • 16 Year Old Female Student Right Bundle Branch Block, Slightly Short PQ Interval; MV “Bowing” without MR• 16 Year Old Male Student With Sinus Arrhythmia; Borderline Left Ventricular End Diastolic Diameter• 15 Year Old Male Student With Sinus Arrhythmia; Borderline Elevation of PAP• 18 Year Old Female Student With Sinus Arrhythmia, Incomplete Right Bundle Branch Block
• 51 General Positive Findingso 27 Students With Generalized Hypertension (All BP’s Were Re-Checked)o 11 Students With Persistent Symptomso 10 Students With Abnormal EKGo 1 Student With Murmuro 1 Student With Mild TR w/ Normal PAPo 1 Student with Indication Dyspnea w/Exertion
Key Clinical Findings
Clinical Findings
All 57 Students Have Been Notified Along With Their Parents and Primary Care Physicians With Screening Findings Faxed