Interassociation Consensus Statement on Cardiovascular Care of College Student-Athletes

Abstract

Cardiovascular evaluation and care of college student-athletes is gaining increasing attention from both the public and medical communities. Emerging strategies include screening of the general athlete population, recommendations of permissible levels of participation by athletes with identified cardiovascular conditions, and preparation for responding to unanticipated cardiac events in athletic venues. The primary focus has been sudden cardiac death and the utility of screening with or without advanced cardiac screening. The National Collegiate Athletic Association convened a multidisciplinary task force to address cardiovascular concerns in collegiate student-athletes and to develop consensus for an interassociation statement. This document summarizes the task force deliberations and follow-up discussions, and includes available evidence on cardiovascular risk, pre-participation evaluation, and the recognition of and response to cardiac arrest. Future recommendations for cardiac research initiatives, education, and collaboration are also provided. (J Am Coll Cardiol 2016;doi: 10.1016/j.jacc.2016.03.527.)

Keywords: cardiac arrest; electrocardiogram; emergency action plan; pre-participation screening; student-athlete; sudden cardiac death.

CENTRAL ILLUSTRATION A Summary of Cardiovascular Priorities in Collegiate Student-Athletes Cardiovascular priorities in college student-athletes range from more accurately defining the risk of SCD to developing and implementing referral centers and emergency action plans. AED = automated external defibrillator; CPR = cardiopulmonary resuscitation; SCD = sudden cardiac death.