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Julianna Shappy

Edited by Lindsey E. Eberman

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Anthony Rossi, Tina Claiborne and Jamie Fetter

A 19-year-old male collegiate wrestler was diagnosed with bicuspid aortic valve disease and aortic insufficiency due to the presence of an aortic-ventricular tunnel. The athlete underwent an electrocardiogram, transthoracic echocardiogram, transesophageal echocardiogram, as well as a diagnostic ultrasound of his carotid arteries and abdominal aorta in order to diagnose this underlying structural abnormality. This diagnosis resulted in the athlete being disqualified for the remainder of the wrestling season and undergoing open-heart surgery to repair his bicuspid aortic valve. This case study will explain the events surrounding the recognition of this disease as well as advocate for the use of cardiac screening in preparticipation exams (PPEs). It is imperative that we implement more advanced diagnostic testing in the PPEs of young athletes in order to diagnose underlying structural heart abnormalities that may lead to sudden cardiac death.

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Anthony Rossi, Tina Claiborne and Jamie Fetter

Sudden cardiac death (SCD) is the leading cause of sudden death in young athletes. It has been estimated that SCD occurs three times more often in athletes than in nonathletes and is defined as a sudden unexpected death due to a previously undiagnosed cardiac structural abnormality. The precise incidence of SCD is unclear, but various studies have estimated that 2–3% of the general population have some cardiovascular anomaly and that the SCD rate in athletes ranges from 1:50,000 to 1:200,000 athletes per year. According to the National Athletic Trainers’ Association (NATA) position statement on preventing sudden death, a report from the National Collegiate Athletic Association stated that the SCD rate in student-athletes is slightly higher, at 1:43,000 per year.

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Kristina L. Dunn, R. Curtis Bay, Javier F. Cárdenas, Matthew Anastasi, Tamara C. Valovich McLeod and Richelle M. Williams

that are affordable and easily completed in the clinical setting or on the athletic field. Development of the Sway Balance™ mobile application allows for improved objective measurements of postural control in the field setting. The use of this application on multiple devices during preparticipation

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Stephen M. Glass, Alessandro Napoli, Elizabeth D. Thompson, Iyad Obeid and Carole A. Tucker

be considered interchangeable with a human rater for purposes of registering BESS error behaviors in clinical settings. Efficient collection of high-quality data has been identified as a major concern for organizations conducting large-scale medical or preparticipation exams. 7 , 8 , 23 Although not

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Gary Allen, Kristy Smith, Brady Tripp, Jason Zaremski and Seth Smith

etiologies. Although coronary artery anomalies are uncommon, they are the second most common cause of autopsy-positive findings of SCD in athletes. 2 , 4 Because coronary artery anomalies are rarely found on preparticipation exam, SCD is a common initial presentation. However, warning symptoms may occur and

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Victoria Fauntroy, Marcie Fyock, Jena Hansen-Honeycutt, Esther Nolton and Jatin P. Ambegaonkar

, professional dancers routinely participate in technique classes during most of any given day, followed by rehearsals and performances through the late afternoons and evenings. Preparticipation exams are frequently performed in athletic sport participation, yet this is not commonly performed for dancers. A

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Marisa A. Colston, Gary B. Wilkerson, Hillary Dreyfus and Ryan Ross

), which was not available for the analysis. We would not expect high exposure to have a confounding effect on SFI, Y-AR, or HTH, however, the exposure factor would probably strengthen the model. The measures used to develop the binary prediction model can be efficiently acquired during a preparticipation

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Jeffrey G. Williams, Lauryn Darnall and Conrad Schumann

involved measuring participants during their preparticipation exam screenings in a fall academic term. It is unknown if and how this timing might have influenced TLR and GH motion among the participants. TLR and GH motions need to be studied throughout the periods of a season to explore whether or not