Baggish Aaron L, Borjesson Mats, Pieles Guido E, Schmied Christian, Colombo Clea Simone Sabino de Souza, Gonzales Corcia Cecilia, Drezner Jonathan A, Grimm Katharina, Mak Gary, La Gerche André, Levine Benjamin D, Gati Sabiha, Massey Andrew, Pambo Prince, Pelliccia Antonio, Putukian Margot, Abdelrahman Yasser, Sharma Sanjay, Wilson Mathew G, Serner Andreas
CHUV / ISSUL, University of Lausanne, Lausanne, Switzerland
Department of Cardiology, Lausanne University Hospital, Lausanne, Switzerland.
Br J Sports Med. 2025 May 27;59(11):751-760. doi: 10.1136/bjsports-2025-109751.
Sudden cardiac death is the leading medical cause of death among football players. Determining the optimal cardiac screening, the use of carefully selected medical assessments to detect underlying cardiovascular conditions associated with sudden cardiac arrest/death, is a desired objective of the Fédération Internationale de Football Association (FIFA) for football players of all ages. To date, cardiac screening recommendations in football have primarily focused on adult competitive players. Acknowledging its responsibility for player health worldwide, FIFA convened an international working group of cardiology and sports medicine experts to develop cardiac screening recommendations for youth football players. This group performed structured literature reviews and ultimately congregated in January of 2024, when recommendations were presented, scrutinised and judged using a systematic process. The final FIFA recommendations for youth cardiac screening include personal medical history, family medical history, focused physical examination and resting 12-lead electrocardiography. This document provides detailed rationale and clinical recommendations for youth cardiac screening and emphasises the importance of emergency action planning.
心脏性猝死是足球运动员中主要的医学死因。确定最佳的心脏筛查方法，即使用精心挑选的医学评估来检测与心脏骤停/死亡相关的潜在心血管疾病，是国际足球联合会（FIFA）对所有年龄段足球运动员的期望目标。迄今为止，足球领域的心脏筛查建议主要集中在成年竞技球员身上。国际足联认识到其对全球球员健康的责任，召集了一个由心脏病学和运动医学专家组成的国际工作组，为青少年足球运动员制定心脏筛查建议。该小组进行了结构化的文献综述，并最终于2024年1月聚集在一起，当时通过系统的流程提出、审查并评判了相关建议。国际足联针对青少年心脏筛查的最终建议包括个人病史、家族病史、重点体格检查和静息12导联心电图检查。本文档为青少年心脏筛查提供了详细的基本原理和临床建议，并强调了应急行动计划的重要性。
