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de la mort sobtada no traum&#224;tica en atletes est&#224; relacionada amb anomalies card&#237;aques existents pr&#232;viament&#46;</p><p class="elsevierStylePara">Als efectes d&#39;aquesta recomanaci&#243;&#44; la mort sobtada cardiovascular es defineix com es descriu a continuaci&#243;&#58;</p><p class="elsevierStylePara">La mort que es produeix despr&#233;s d&#39;una hora de l&#39;aparici&#243; de s&#237;mptomes en una persona que no presentava un estat cardiovascular pr&#232;viament diagnosticat que apunt&#233;s a un desenlla&#231; fatal&#44; excloent-hi les causes cerebrovasculars&#44; respirat&#242;ries&#44; traum&#224;tiques i les relacionades amb les drogues&#46;</p><p class="elsevierStylePara"> L&#39;objectiu d&#39;aquesta recomanaci&#243; consistir&#224; a identificar de la manera m&#233;s precisa possible els atletes en risc per tal d&#39;aconsellar-los d&#39;una manera convenient&#46;</p><p class="elsevierStylePara"><span class="elsevierStyleBold"><span class="elsevierStyleBold">Pas 1</span></span></p><p class="elsevierStylePara">Per a tots els participants en comen&#231;ar les activitats de competici&#243; fins els 35 anys &#40;taula I&#41;&#46;</p><p class="elsevierStylePara"><img src="278v43n158-13125186fig01.jpg"></img></p><p class="elsevierStylePara">Les proves recomanades s&#39;haurien de repetir com a m&#237;nim cada 2 anys&#46;</p><p class="elsevierStylePara">Per a tots els participants en comen&#231;ar les activitats de competici&#243; fins als 35 anys &#40;taula II&#41;&#46;</p><p class="elsevierStylePara"><img src="278v43n158-13125186fig02.jpg"></img></p><p class="elsevierStylePara"><img src="278v43n158-13125186fig03.jpg"></img></p><p class="elsevierStylePara"><span class="elsevierStyleBold"><span class="elsevierStyleBold">Pas 2</span></span></p><p class="elsevierStylePara">Els casos seleccionats amb uns resultats d&#39;hist&#242;ria personal i hist&#242;ria familiar positius de malaltia card&#237;aca potencialment heretada&#44; o els resultats f&#237;sics o d&#39;electrocardiograma positius al Pas 1 requereixen una avaluaci&#243; addicional per part d&#39;un especialista card&#237;ac en funci&#243; 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Declaració de consens del COI. Mort sobtada cardiovascular a l'esport. Any 2004
The IOC Consensus statement on sudden cardiovascular death in sport. 2004
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    "textoCompleto" => "<p class="elsevierStylePara"><span class="elsevierStyleBold"><span class="elsevierStyleBold"> R</span></span><span class="elsevierStyleBold"><span class="elsevierStyleBold">ECOMANACIONS DE</span></span><span class="elsevierStyleBold"><span class="elsevierStyleBold">LAUSANA A L&#39;</span></span><span class="elsevierStyleBold"><span class="elsevierStyleBold">EMPARA DE LA COMISSI&#211;</span></span><span class="elsevierStyleBold"><span class="elsevierStyleBold">M</span></span><span class="elsevierStyleBold"><span class="elsevierStyleBold">&#200;DICA DEL</span></span><span class="elsevierStyleBold"><span class="elsevierStyleBold">COI &#40;10 DE DESEMBRE DE 2004&#41;&#46; R</span></span><span class="elsevierStyleBold"><span class="elsevierStyleBold">EVISI&#211; CARDIOVASCULAR ABANS DE LA COMPETICI&#211;</span></span></p><p class="elsevierStylePara">A l&#39;esport s&#39;ha de preveure totalment la &#34;mort sobtada&#34;&#46; La causa m&#233;s important &#40;en m&#233;s del 90&#37;&#41; de la mort sobtada no traum&#224;tica en atletes est&#224; relacionada amb anomalies card&#237;aques existents pr&#232;viament&#46;</p><p class="elsevierStylePara">Als efectes d&#39;aquesta recomanaci&#243;&#44; la mort sobtada cardiovascular es defineix com es descriu a continuaci&#243;&#58;</p><p class="elsevierStylePara">La mort que es produeix despr&#233;s d&#39;una hora de l&#39;aparici&#243; de s&#237;mptomes en una persona que no presentava un estat cardiovascular pr&#232;viament diagnosticat que apunt&#233;s a un desenlla&#231; fatal&#44; excloent-hi les causes cerebrovasculars&#44; respirat&#242;ries&#44; traum&#224;tiques i les relacionades amb les drogues&#46;</p><p class="elsevierStylePara"> L&#39;objectiu d&#39;aquesta recomanaci&#243; consistir&#224; a identificar de la manera m&#233;s precisa possible els atletes en risc per tal d&#39;aconsellar-los d&#39;una manera convenient&#46;</p><p class="elsevierStylePara"><span class="elsevierStyleBold"><span class="elsevierStyleBold">Pas 1</span></span></p><p class="elsevierStylePara">Per a tots els participants en comen&#231;ar les activitats de competici&#243; fins els 35 anys &#40;taula I&#41;&#46;</p><p class="elsevierStylePara"><img src="278v43n158-13125186fig01.jpg"></img></p><p class="elsevierStylePara">Les proves recomanades s&#39;haurien de repetir com a m&#237;nim cada 2 anys&#46;</p><p class="elsevierStylePara">Per a tots els participants en comen&#231;ar les activitats de competici&#243; fins als 35 anys &#40;taula II&#41;&#46;</p><p class="elsevierStylePara"><img src="278v43n158-13125186fig02.jpg"></img></p><p class="elsevierStylePara"><img src="278v43n158-13125186fig03.jpg"></img></p><p class="elsevierStylePara"><span class="elsevierStyleBold"><span class="elsevierStyleBold">Pas 2</span></span></p><p class="elsevierStylePara">Els casos seleccionats amb uns resultats d&#39;hist&#242;ria personal i hist&#242;ria familiar positius de malaltia card&#237;aca potencialment heretada&#44; o els resultats f&#237;sics o d&#39;electrocardiograma positius al Pas 1 requereixen una avaluaci&#243; addicional per part d&#39;un especialista card&#237;ac en funci&#243; de l&#39;edat&#44; amb l&#39;objectiu d&#39;autoritzar la participaci&#243; esportiva de l&#39;atleta&#46;</p><p class="elsevierStylePara">Les avaluacions addicionals poden incloure l&#39;ecocardiografia transtor&#224;cica&#44; la prova d&#39;esfor&#231; preco&#231; i un control d&#39;electrocardiograma de 24 hores&#46; A m&#233;s a m&#233;s&#44; el seguiment no invasiu de familiars pot oferir informaci&#243; valuosa sobre la malaltia cardiovascular heretada&#46;</p><p class="elsevierStylePara">Abans de fer la prova&#44; l&#39;atleta i&#44; en cas de ser menor d&#39;edat&#44; els seus representants legals tindran dret a rebre la informaci&#243; pertinent sobre la naturalesa i els objectius de la prova&#44; aix&#237; com sobre les conseq&#252;&#232;ncies m&#232;diques en cas que els resultats siguin positius&#44; en particular sobre la necessitat de fer m&#233;s proves i l&#39;adopci&#243; de mesures preventives i terap&#232;utiques&#46; L&#39;atleta i els seus representants tamb&#233; haurien de ser informats sobre el finan&#231;ament de la prova i el seguiment m&#232;dic&#46;</p><p class="elsevierStylePara"> Caldr&#224; parar una atenci&#243; especial a la protecci&#243; de la privacitat de l&#39;atleta&#46; Els resultats es comunicaran &#250;nicament a l&#39;atleta i als seus representants legals&#46;</p><p class="elsevierStylePara"><span class="elsevierStyleBold"><span class="elsevierStyleBold">LLISTA DE PARTICIPANTS</span></span></p><p class="elsevierStylePara">Metge forense Denis Oswald&#44; advocat&#44; membre del COI&#44; President de FISA&#44; Su&#239;ssa<br></br> Prof&#46; Jon Dvorak&#44; Cap del servei m&#232;dic de la FIFA&#44; Cl&#237;nica Schulthess&#44; Zuric&#44; Su&#239;ssa<br></br> Prof&#46; Domenico Corrado&#44; Director del Laboratori de Cardiologia&#44; Universitat de P&#224;dua&#44; It&#224;lia<br></br> Prof&#46; Joel I&#46; Brenner&#44; Prof&#46; de cardiologia pedi&#224;trica&#44; Hospital Johns Hopkins&#44; Baltimore&#44; MD&#44; EUA<br></br> Prof&#46; Jan Hoogsten&#44; Cap del centre de formaci&#243;&#44; Cardiologia&#44; Veldhoven&#44; Pa&#239;sos Baixos<br></br> Prof&#46; William McKenna&#44; Director de l&#39;Hospital Heart&#44; Londres&#44; Regne Unit&#160;<br></br> Prof&#46; Folkert J&#46; Meijboom&#44; Thoraxcentre&#44; Universitat Erasmus&#44; Rotterdam&#44; Pa&#239;sos Baixos<br></br> Prof&#46; Gaetano Thiene&#44; Director de l&#39;Institut d&#39;Anatomia Patol&#242;gica&#44; Universitat de P&#224;dua&#44; It&#224;lia<br></br> Prof&#46; Lukas Kappenberger&#44; Cap de serveis de cardiologia&#44; CHUV&#44; Lausana&#44; Su&#239;ssa<br></br> Dr&#46; Mario Zorzoli&#44; UCI&#44; Director de serveis sanitaris&#44; Aigle&#44; Su&#239;ssa<br></br> Prof&#46; Laurent Rivier&#44; Toxic&#242;leg&#44; Lausana&#44; Su&#239;ssa<br></br> Dra&#46; Patricia Sangenis&#44; Cardi&#242;loga&#44; Coordinadora del grup de treball Dones i Esports de la Comissi&#243; M&#232;dica del COI&#44; Directora cient&#237;fica i m&#232;dica<br></br> Sra&#46; Susan Greinig&#44; Directora de programes m&#232;dics per al COI Prof&#46; Erik J&#46; Meijboom&#44; Prof&#46; de cardiologia cong&#232;nita&#44; CHUV&#44; Lausana&#44; Su&#239;ssa&#160;<br></br> Sra&#46; Karin Bille&#44; resident de pediatria&#44; CHUV&#44; Lausana&#44; Su&#239;ssa<br></br> Sr&#46; David Figueiras&#44; Departament de ci&#232;ncies esportives&#44; Universitat de Lausana&#44; Su&#239;ssa<br></br> Sra&#46; Dominique Sprumont&#44; Directora de l&#39;Institut de Llei Sanit&#224;ria&#44; Universitat de Neuch&#226;tel&#44; Su&#239;ssa</p><p class="elsevierStylePara"><span class="elsevierStyleItalic"><span class="elsevierStyleItalic">En cas de diverg&#232;ncies entre la versi&#243; en angl&#232;s i les versions tradu&#239;des de la declaraci&#243; de consens&#44; prevaldr&#224; la versi&#243; en angl&#232;s&#46;</span></span></p>"
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Article information
ISSN: X8866581
Original language: Català
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