Wrist and Hand Conditions

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Exclusion from contact sports. Patients with aortic regurgitation <strong>and</strong> marked dilatation of the aorta are excluded from all competitive sports. Others may participate in low-intensity sports, with biannual echocardiography.
Commotio cordis or cardiac concussion Commotio cordis is an electrophysiological event caused by precordial chest impact that occurs in individuals free from structural cardiac disease. The mechanism of SCD appears to be ventricular fibrillation that is produced when the chest impact is delivered within a narrow, electrically vulnerable period of the cardiac cycle. Specifically, the susceptible time is during repolarization, 10–30 msec before the peak of the T wave. Resuscitation of these victims is possible with prompt CPR <strong>and</strong> defibrillation.
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Sudden Cardiac Death in Athletes Fa
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Other definitions limit the time fr
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History The first recorded sudden d
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professional basketball All-Star Re
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Landmark studies Maron et al: 134 S
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France Institute of Forensic Medici
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Etiology (Brukner) Common: Hypertro
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Etiology USA Hypertrophic cardiomyo
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Italy To establish the impact of sp
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France 31 SCDs: 29 male subjects, r
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Among non sports-related SCDs in th
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Hypertrophic cardiomyopathy is gene
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Unfortunately, often the first clin
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Physical Findings Rapid, jerky upst
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Note: Elite athletes with left vent
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Electrocardiographic Findings drama
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Apical hypertrophic cardiomyopathy.
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Recommendations for diagnostic eval
Page 43 and 44: Recommendations for participation i
Page 45 and 46: Nonpharmacologic therapies are rese
Page 48 and 49: Coronary Artery Anomalies The secon
Page 50: Anatomy - Coronary Arteries
Page 53 and 54: Both MRI and CT coronary angiograph
Page 55 and 56: Myocarditis Is frequently the resul
Page 57 and 58: Endomyocardial biopsy and histologi
Page 59 and 60: Arrhythmogenic right ventricular dy
Page 61 and 62: The first clinical sign of ARVD is
Page 63 and 64: ECG changes in the majority of case
Page 66: Criteria for the differential diagn
Page 69 and 70: Wolff-Parkinson-White syndrome An a
Page 71 and 72: The resting ECG may demonstrate an
Page 73 and 74: WPW
Page 75 and 76: Brugada syndrome A syndrome of SCD
Page 78 and 79: Brugada syndrome. Note the incomple
Page 80 and 81: Determination of the QT interval. O
Page 82 and 83: Long QT Syndrome
Page 84: V-tach that changes orientation (ch
Page 87 and 88: LQTS is a relatively rare cause of
Page 89 and 90: Aortic rupture Aortic rupture makes
Page 91 and 92: Common manifestations involve the s
Page 93: Diagnosis Positive family history:
Page 97 and 98: Exposure to agents such as erythrom
Page 100 and 101: Preventive Strategies American appr
Page 102 and 103: Family history 6. Premature death (
Page 104 and 105: Prehospital Care Time period betwee
Page 106: Cardiopulmonary resuscitation shoul
Page 109 and 110: 4. Tanaka Y, Yoshinaga M, Anan R, T
Page 111 and 112: 10. Fornes P, Lecomte D. Pathology
Page 113 and 114: 16. Wren C. Sudden death in childre
Page 115 and 116: Questions??
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