CardioExchange Archive

September 15th, 2014

No Endorsement for Routine ECG Screening of Young People

Larry Husten, PHD

In a new scientific statement the American Heart Association and the American College of Cardiology do not recommend the routine initial use of ECGs to screen young people for underlying congenital or genetic heart disease. More aggressive screening for heart disease in young people is often advocated in response to pressure resulting from the rare but […]

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March 3rd, 2014

Case: Palpitations in a Young Runner with Lamin A/C Deficiency

Anna Catino, MD and James Fang, MD

Anna Catino presents our latest case: A young, male, long-distance runner experiencing palpitations, who has lamin A/C deficiency and a family history of cardiac disease. How would you manage this patient?

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May 21st, 2013

Athletes with ICDs Don’t Need to Quit Sports

Larry Husten, PHD

Although the American College of Cardiology and the European Society of Cardiology now advise people with ICDs not to participate in vigorous sports, a new study offers strong support for people with ICDs who want to take part in sports. Now findings from the ICD Sports Safety Registry, published in Circulation, provide vital new information about this important topic. […]

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May 3rd, 2012

The Dark Side of EKG Screening in Athletes

Shengshou Hu, M.D.

The New York Times’ “abysmal” report on screening young athletes for heart risk prompts Wes Fisher to envision how such a misguided recommendation could affect athletes and their families.

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May 2nd, 2012

Half the News That’s Fit To Print: NY Times on ECG Screening for Student Athletes

Larry Husten, PHD

A “dizzy” New York Times article exploring whether to screen young athletes for heart risk leaves out relevant research and exaggerates some pretty important numbers.

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January 27th, 2012

Plaque Rupture with Thrombosis, After Shooting Hoops

Indu Poornima, MD and James Fang, MD

A 22-year-old white man presented to the ER with acute non-ST-segment-elevation MI, after playing basketball. He had experienced chest pain on and off for more than 10 hours before presentation. His initial EKG showed T-wave inversions in leads III and avF (see image), and his troponin T level was 1.2 ng/mL. The patient’s initial pain […]

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January 5th, 2012

Coach Wants Me to Play. Will You Let Me, Doc?

Tariq Ahmad, MD, MPH and James Fang, MD

A 21-year-old Division I college football player presented with palpitations that had started during athletic practice. He was referred to a cardiologist for further evaluation. Vital signs and physical exam were normal. An EKG showed prominent R waves, inverted T waves in leads V1–V2, along with a biphasic T wave in lead V3. QRS axis and QTc […]

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