Journal article
Safety of Sports for Young Patients With Implantable Cardioverter-Defibrillators: Long-Term Results of the Multinational ICD Sports Registry
Circulation. Arrhythmia and electrophysiology, Vol.11(11), pp.e006305-e006305
11/2018
DOI: 10.1161/CIRCEP.118.006305
PMID: 30520349
Abstract
Despite safety concerns, many young patients with implantable cardioverter-defibrillators (ICDs) participate in sports. We undertook a prospective, multinational registry to determine the incidence of serious adverse events because of sports participation. The primary end points were death or resuscitated arrest during sports or injury during sports because of arrhythmia or shock. Secondary end points included system malfunction and incidence of ventricular arrhythmias requiring multiple shocks for termination.
Athletes with ICDs aged ≤21 years were included in this post hoc subanalysis of the ICD Sports Registry. Data on sports and clinical outcomes were obtained by phone interview and medical records review. ICD shocks and clinical details of lead malfunction were classified by 2 electrophysiologists.
A total of 129 young athletes participating in competitive (n=117) or dangerous (n=12) sports were enrolled. The mean age was 16 years (range, 10-21; 40% female; 92% white). The most common diagnoses were long QT syndrome (n=49), hypertrophic cardiomyopathy (n=30), and congenital heart disease (n=16). The most common sports were basketball and soccer, including 79 varsity/junior varsity high school and college athletes. During a median follow-up of 42 months, 35 athletes (27%) received 38 shocks. There were no occurrences of death, arrest, or injury related to arrhythmia, during sports. There was 1 ventricular tachycardia/ventricular fibrillation storm during competition. Freedom from lead malfunction was 92.3% at 5 years and 79.6% at 10 years.
Although shocks related to competition/practice are not uncommon, there were no serious adverse sequelae. Lead malfunction rates were similar to previously reported in unselected pediatric ICD populations.
URL: https://www.clinicaltrials.gov . Unique identifier: NCT00637754.
Details
- Title: Subtitle
- Safety of Sports for Young Patients With Implantable Cardioverter-Defibrillators: Long-Term Results of the Multinational ICD Sports Registry
- Creators
- Elizabeth Vickers Saarel - Pediatric Cardiology, Cleveland Clinic Children's & Electrophysiology, Cleveland Clinic, OH (E.V.S.)Ian Law - University of Iowa Stead Family Children's Hospital (I.L.)Charles I Berul - Children's National Medical Center, Washington, DC (C.I.B.)Michael J Ackerman - Departments of Cardiovascular Medicine, Pediatric & Adolescent Medicine, and Molecular Pharmacology & Experimental Therapeutics, Mayo Clinic, Rochester, MN (M.J.A.)Ronald J Kanter - Nicklaus Children's Hospital, Miami, FL (R.J.K.)Shubhayan Sanatani - Division of Cardiology, Department of Pediatrics, University of British Columbia, Vancouver, Canada (S.S.)Mitchell I Cohen - Inova Children's Hospital, Falls Church, VA (M.I.C.)Stuart Berger - Ann and Robert H. Lurie Children's Hospital, Chicago, IL (S.B.)Peter S Fischbach - Emory University, Atlanta, GA (P.S.F.)David A Burton - Children's Hospital Minnesota, Minneapolis (D.A.B.)James Dziura - Yale University School of Medicine, New Haven, CT (J.D., C.B., L.S., F.L., R.J.L.)Cynthia Brandt - Yale University School of Medicine, New Haven, CT (J.D., C.B., L.S., F.L., R.J.L.)Laura Simone - Yale University School of Medicine, New Haven, CT (J.D., C.B., L.S., F.L., R.J.L.)Fangyong Li - Yale University School of Medicine, New Haven, CT (J.D., C.B., L.S., F.L., R.J.L.)Brian Olshansky - University of Iowa (B.O.)David S Cannom - Good Samaritan Hospital, Cedars-Sinai Heart Institute, Los Angeles, CA (D.S.C.)Rachel J Lampert - Yale University School of Medicine, New Haven, CT (J.D., C.B., L.S., F.L., R.J.L.)
- Resource Type
- Journal article
- Publication Details
- Circulation. Arrhythmia and electrophysiology, Vol.11(11), pp.e006305-e006305
- DOI
- 10.1161/CIRCEP.118.006305
- PMID
- 30520349
- ISSN
- 1941-3149
- eISSN
- 1941-3084
- Language
- English
- Date published
- 11/2018
- Academic Unit
- Cardiology; Stead Family Department of Pediatrics; Internal Medicine
- Record Identifier
- 9984093464002771
Metrics
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