Division of Internal Medicine, University Hospital, Zurich, Switzerland.
Swiss Med Wkly. 2013 May 7;143:w13785. doi: 10.4414/smw.2013.13785. eCollection 2013.
STUDY/PRINCIPLES: To assess the effects of an "on-site" prevention and education programme to improve the cardiac screening in competitive amateur athletes.
We integrated an "on-site prevention and education programme" at the 2012 edition of the Swiss Alpine Marathon in Davos, Switzerland. After a specific lecture, the athletes could visit a "Sports-Cardiology-Section" at the official "medical-park". On an anonymised questionnaire, they could state their intention for a screening programme in general and after our "on-site" intervention.
Among the 150 athletes who attended the medical day (3.3% of 4,500 finishers) the response rate was 82%. While 39 (31.7%) athletes were aware of "exercise related SCD", more than twice as many (64.2%) were not. 72.4% of the participants (n = 89) reported that they never had taken part in cardiac screening examinations. 70.7% (n = 87) runners were convinced that they would benefit from such a screening. 65.9% (n = 81) of the runners stated that our "on-site" prevention concept influenced their decision to consider a cardiac screening in the future.
An "on-site prevention and education" concept for the prevention of SCD in competitive amateur athletes is feasible and successfully increased the athletes' awareness of the issue. The vast majority of athletes felt to have benefited from such a programme. The current study confirms that there is an alarming lack of preventive measures in the very large group of ambitious, competitive, amateur athletes that are frequently underprepared for challenging sports events.
研究/原理：评估“现场”预防和教育计划对提高竞技业余运动员心脏筛查的效果。
我们在瑞士达沃斯的 2012 年瑞士阿尔卑斯马拉松比赛中整合了“现场预防和教育计划”。在一次特别讲座后，运动员可以在官方的“医疗公园”参观“运动心脏病科”。在匿名问卷中，他们可以表示对一般筛查计划的意图，以及对我们“现场”干预的意图。
在参加医疗日的 150 名运动员中（占 4500 名完赛者的 3.3%），应答率为 82%。虽然 39 名（31.7%）运动员知道“与运动相关的 SCD”，但不知道的运动员人数是其两倍多（64.2%）。72.4%的参与者（n=89）报告称他们从未参加过心脏筛查检查。70.7%（n=87）的跑步者相信他们将从这种筛查中受益。65.9%（n=81）的跑步者表示，我们的“现场”预防概念影响了他们考虑未来进行心脏筛查的决定。
在竞技业余运动员中预防 SCD 的“现场预防和教育”概念是可行的，并成功提高了运动员对该问题的认识。绝大多数运动员都认为从这样的计划中受益。目前的研究证实，在经常对挑战性体育赛事准备不足的庞大的雄心勃勃的竞技业余运动员群体中，预防措施严重不足。
