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Adaptació de Brackenridge (1997)" ] ] ] ] "idiomaDefecto" => "ct" "Traduccion" => array:2 [ "en" => array:8 [ "pii" => "13125209" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/13125209?idApp=UINPBA00004N" ] "es" => array:8 [ "pii" => "X021337170825209X" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/X021337170825209X?idApp=UINPBA00004N" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/XX886658108251853?idApp=UINPBA00004N" "url" => "/X8866581/0000004300000158/v0_201801081413/XX886658108251853/v0_201801081413/ct/main.assets" ] "ct" => array:10 [ "idiomaDefecto" => true "titulo" => "Declaració de consens del COI. Mort sobtada cardiovascular a l'esport. Any 2004" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "94" "paginaFinal" => "96" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "The IOC Consensus statement on sudden cardiovascular death in sport. 2004" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "copyright" => "Elsevier España" "figura" => array:1 [ 0 => array:4 [ "imagen" => "278v43n158-13125186fig01.jpg" "Alto" => 540 "Ancho" => 700 "Tamanyo" => 57551 ] ] "descripcion" => array:1 [ "ct" => "Taula 1" ] ] ] "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'</span></span><span class="elsevierStyleBold"><span class="elsevierStyleBold">EMPARA DE LA COMISSIÓ</span></span><span class="elsevierStyleBold"><span class="elsevierStyleBold">M</span></span><span class="elsevierStyleBold"><span class="elsevierStyleBold">ÈDICA DEL</span></span><span class="elsevierStyleBold"><span class="elsevierStyleBold">COI (10 DE DESEMBRE DE 2004). R</span></span><span class="elsevierStyleBold"><span class="elsevierStyleBold">EVISIÓ CARDIOVASCULAR ABANS DE LA COMPETICIÓ</span></span></p><p class="elsevierStylePara">A l'esport s'ha de preveure totalment la "mort sobtada". La causa més important (en més del 90%) de la mort sobtada no traumàtica en atletes està relacionada amb anomalies cardíaques existents prèviament.</p><p class="elsevierStylePara">Als efectes d'aquesta recomanació, la mort sobtada cardiovascular es defineix com es descriu a continuació:</p><p class="elsevierStylePara">La mort que es produeix després d'una hora de l'aparició de símptomes en una persona que no presentava un estat cardiovascular prèviament diagnosticat que apuntés a un desenllaç fatal, excloent-hi les causes cerebrovasculars, respiratòries, traumàtiques i les relacionades amb les drogues.</p><p class="elsevierStylePara"> L'objectiu d'aquesta recomanació consistirà a identificar de la manera més precisa possible els atletes en risc per tal d'aconsellar-los d'una manera convenient.</p><p class="elsevierStylePara"><span class="elsevierStyleBold"><span class="elsevierStyleBold">Pas 1</span></span></p><p class="elsevierStylePara">Per a tots els participants en començar les activitats de competició fins els 35 anys (taula I).</p><p class="elsevierStylePara"><img src="278v43n158-13125186fig01.jpg"></img></p><p class="elsevierStylePara">Les proves recomanades s'haurien de repetir com a mínim cada 2 anys.</p><p class="elsevierStylePara">Per a tots els participants en començar les activitats de competició fins als 35 anys (taula II).</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'història personal i història familiar positius de malaltia cardíaca potencialment heretada, o els resultats físics o d'electrocardiograma positius al Pas 1 requereixen una avaluació addicional per part d'un especialista cardíac en funció de l'edat, amb l'objectiu d'autoritzar la participació esportiva de l'atleta.</p><p class="elsevierStylePara">Les avaluacions addicionals poden incloure l'ecocardiografia transtoràcica, la prova d'esforç precoç i un control d'electrocardiograma de 24 hores. A més a més, el seguiment no invasiu de familiars pot oferir informació valuosa sobre la malaltia cardiovascular heretada.</p><p class="elsevierStylePara">Abans de fer la prova, l'atleta i, en cas de ser menor d'edat, els seus representants legals tindran dret a rebre la informació pertinent sobre la naturalesa i els objectius de la prova, així com sobre les conseqüències mèdiques en cas que els resultats siguin positius, en particular sobre la necessitat de fer més proves i l'adopció de mesures preventives i terapèutiques. L'atleta i els seus representants també haurien de ser informats sobre el finançament de la prova i el seguiment mèdic.</p><p class="elsevierStylePara"> Caldrà parar una atenció especial a la protecció de la privacitat de l'atleta. Els resultats es comunicaran únicament a l'atleta i als seus representants legals.</p><p class="elsevierStylePara"><span class="elsevierStyleBold"><span class="elsevierStyleBold">LLISTA DE PARTICIPANTS</span></span></p><p class="elsevierStylePara">Metge forense Denis Oswald, advocat, membre del COI, President de FISA, Suïssa<br></br> Prof. Jon Dvorak, Cap del servei mèdic de la FIFA, Clínica Schulthess, Zuric, Suïssa<br></br> Prof. Domenico Corrado, Director del Laboratori de Cardiologia, Universitat de Pàdua, Itàlia<br></br> Prof. Joel I. Brenner, Prof. de cardiologia pediàtrica, Hospital Johns Hopkins, Baltimore, MD, EUA<br></br> Prof. Jan Hoogsten, Cap del centre de formació, Cardiologia, Veldhoven, Països Baixos<br></br> Prof. William McKenna, Director de l'Hospital Heart, Londres, Regne Unit <br></br> Prof. Folkert J. Meijboom, Thoraxcentre, Universitat Erasmus, Rotterdam, Països Baixos<br></br> Prof. Gaetano Thiene, Director de l'Institut d'Anatomia Patològica, Universitat de Pàdua, Itàlia<br></br> Prof. Lukas Kappenberger, Cap de serveis de cardiologia, CHUV, Lausana, Suïssa<br></br> Dr. Mario Zorzoli, UCI, Director de serveis sanitaris, Aigle, Suïssa<br></br> Prof. Laurent Rivier, Toxicòleg, Lausana, Suïssa<br></br> Dra. Patricia Sangenis, Cardiòloga, Coordinadora del grup de treball Dones i Esports de la Comissió Mèdica del COI, Directora científica i mèdica<br></br> Sra. Susan Greinig, Directora de programes mèdics per al COI Prof. Erik J. Meijboom, Prof. de cardiologia congènita, CHUV, Lausana, Suïssa <br></br> Sra. Karin Bille, resident de pediatria, CHUV, Lausana, Suïssa<br></br> Sr. David Figueiras, Departament de ciències esportives, Universitat de Lausana, Suïssa<br></br> Sra. Dominique Sprumont, Directora de l'Institut de Llei Sanitària, Universitat de Neuchâtel, Suïssa</p><p class="elsevierStylePara"><span class="elsevierStyleItalic"><span class="elsevierStyleItalic">En cas de divergències entre la versió en anglès i les versions traduïdes de la declaració de consens, prevaldrà la versió en anglès.</span></span></p>" "pdfFichero" => "278v43n158a13125186pdf001.pdf" "tienePdf" => true "multimedia" => array:6 [ 0 => array:7 [ "identificador" => "fig1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "copyright" => "Elsevier España" "figura" => array:1 [ 0 => array:4 [ "imagen" => "278v43n158-13125186fig01.jpg" "Alto" => 540 "Ancho" => 700 "Tamanyo" => 57551 ] ] "descripcion" => array:1 [ "ct" => "Taula 1" ] ] 1 => array:7 [ "identificador" => "fig2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "copyright" => "Elsevier España" "figura" => array:1 [ 0 => array:4 [ "imagen" => "278v43n158-13125186fig02.jpg" "Alto" => 335 "Ancho" => 700 "Tamanyo" => 40278 ] ] "descripcion" => array:1 [ "ct" => "Taula II" ] ] 2 => array:7 [ "identificador" => "fig3" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "copyright" => "Elsevier España" "figura" => array:1 [ 0 => array:4 [ "imagen" => "278v43n158-13125186fig03.jpg" "Alto" => 247 "Ancho" => 700 "Tamanyo" => 22127 ] ] "descripcion" => array:1 [ "ct" => "Taula II (Continuació)" ] ] 3 => array:5 [ "identificador" => "fig4" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "copyright" => "Elsevier España" ] 4 => array:5 [ "identificador" => "fig5" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "copyright" => "Elsevier España" ] 5 => array:5 [ "identificador" => "fig6" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "copyright" => "Elsevier España" ] ] ] "idiomaDefecto" => "ct" "url" => "/X8866581/0000004300000158/v0_201801081413/XX886658108251861/v0_201801081413/ct/main.assets" "Apartado" => array:4 [ "identificador" => "71947" "tipo" => "SECCION" "es" => array:2 [ "titulo" => "Documents de consens del COI" "idiomaDefecto" => true ] "idiomaDefecto" => "es" ] "PDF" => "https://static.elsevier.es/multimedia/X8866581/0000004300000158/v0_201801081413/XX886658108251861/v0_201801081413/ct/278v43n158a13125186pdf001.pdf?idApp=UINPBA00004N&text.app=https://apunts.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/XX886658108251861?idApp=UINPBA00004N" ]
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