Paro Cardiaco Subito en los Jovenes es un problema de Salud Publica que tiene Solucion!

El paro cardíaco súbito (PCS) es la principal causa de muerte en atletas jóvenes durante la práctica de deportes. Las principales organizaciones médicas están de acuerdo en realizar exámenes cardíacos para la detección temprana de afecciones cardíacas. Los métodos, sin embargo, siguen siendo objeto de debate.

En Parent Heart Watch sitio web reporta datos alarmantes  informan de jovenes que perdieron la vida por (PCS) por una condicion cardiaca no detectada

El equivalente a casi un joven cada hora, diariamente , cada año en los Estados Unidos .1 de cada 300 Jovenes puede tener una afeccion cardiaca no detectada. La mayoria de estas muertes se pueden prevenir con examenes regularmente y continuos

La Academia Estadounidense de Pediatría (AEP) y Parent Heart Watch recomiendan y abogan por el examen cardíaco de todos los niños, ya sea que participen en deportes organizados o no. Las nuevas pautas de detección se pueden ver aquí.

En Arizona, otra defensora y campeona proactiva de la prevención de (PCS) a través de exámenes regulares es Sharon Bates, fundadora y directora ejecutiva de la Foundation Anthony Bates (FAB). La FAB  programa eventos de detección continuos en todo el valle y en todo el estado. Cabe destacar que el FAB supera las recomendaciones nacionales de detección y los coloca a la vanguardia para cerrar la brecha entre la evidencia, la política y la práctica.

Datos sobre PCS

• El corazón deja de latir repentinamente, deteniendo el flujo de sangre al   cerebro y otros órganos vitales.
• Afecta a atletas jóvenes Y niños y adolescentes sanos que no participan en deportes organizados.
• Es fatal si no se trata inmediatamente. Con  reanimación cardiopulmonar (RCP) debe iniciarse de inmediato, activando un plan de acción de emergencia y usando un desfibrilador externo automático (DEA) utilizado dentro de los 5 minutos.
• Las condiciones del corazón pueden cambiar o evolucionar con el tiempo, lo que significa que un corazón que alguna vez fue normal puede desarrollar una enfermedad a medida que el niño crece. La evaluación continua es esencial.
• Cualquier niño que tenga síntomas debe ser examinado todos los años. FAB  remite las pruebas de detección anormales al médico de familia o al médico de atención primaria . Si se justifica, el doctor Primario lo referirá a un cardiólogo.

Cuales son las causa mas communes de PCS en Jovenes

• Enfermedad cardíaca eléctrica o problemas del ritmo cardíaco 
• Enfermedad estructural del músculo cardíaco o de las arterias que suministra sangre al corazón
• Un golpe repentino en el pecho, infección del músculo cardíaco, electrocución, uso recreativo de drogas.

¿Qué debe incluir el examen del corazón?

• Visitas periódicas de niño sano con su médico de cabecera
• Antecedentes familiares de enfermedades del corazón.
• Evaluación previa a la participación deportiva
• Cuestionario cardiovascular para atletas/estudiantes, controles de presión arterial, ECG/EKG (electrocardiograma), cardiograma ECHO (ultrasonido) (prueba estándar en eventos  de detección de FAB)
• Capacitación en RCP y DEA basada en la comunidad
• Colocación de DEA en terrenos escolares, cerca de campos deportivos y de entrenamiento, y en lugares públicos donde juegan los niños

 ¿Quién debe ser evaluado para el riesgo de PCS?

• TODOS los niños deben someterse a pruebas de detección de problemas cardíacos, no solo los atletas jóvenes que necesitan exámenes físicos deportivos. Las pruebas de detección deben incorporarse a las visitas regulares de niño sano, al menos cada dos o tres años, lo que respalda la necesidad y la importancia de las pruebas de seguimiento continuas.
• TODOS los niños de primaria, secundaria y preparatoria deben ser evaluados ya sea que estén practicando deportes o no.
• Considere evaluar a los niños que tuvieron la infección por COVID-19.
• Llame a (FAB)  para organizar un evento.
  
• programe la evaluación de su hijo en un evento de FAB cerca de usted.
  

Puntos principales para llevar:

• TODOS los niños deben someterse a pruebas de detección en las visitas regulares de control de niños sanos y cada año para detectar afecciones relacionadas con el corazón que puedan provocar un PCS.
• Se debe requerir un historial médico y de condiciones cardíacas detallado, y un examen físico.
• Se recomienda un ECG/EKG y/o un ECHOcardiograma, leído por un cardiólogo pediátrico (estándar en un evento de detección de FAB).
• Remisión al médico de familia , primero. Luego, si se necesitara  mandar  a los pacientes a un especialista cuando esté indicado.
• Repita la prueba del corazón al menos cada 2 o 3 años, preferiblemente una vez al año (menores de 19 años). Los adultos deben hacerse la prueba cada 5 años.
• Identificar factores de riesgo, signos y síntomas de PCS (a menudo sin advertencia)
• Un plan de acción de emergencia, capacitación en RCP basada en la comunidad y colocación de DEA en áreas públicas donde juegan los niños.

Recursos
1. https://parentheartwatch.org/aap-heart-screening-policy/ healthychildren.org
2. https://www.ahajournals.org/doi/10.1161/JAHA.119.012235
3.https://publications.aap.org/pediatrics/article/148/1/e2021052044/179969/Sudden-Death-in-the-Young-Information-for-the? autologincheck=redirected#sec-25  
4. https://www.anthonybates.org/

Sudden Cardiac Arrest in the young is a public health problem with a solution!

Sudden Cardiac Arrest (SCA) is the leading cause of death in young athletes during sports. Major medical organizations agree on heart screening for early detection of heart conditions. The methods, however, remain debated.

The Parent Heart Watch website reports alarming data. They report that youth lost to SCA from an undetected heart condition is equivalent to nearly one youth every hour, daily, every year in the United States. 1 in 300 youth can have an undetected heart condition. The majority of these deaths can be prevented with regular, ongoing screening.

Prevention should include a detailed medical history at regular well-child visits, life- saving heart screenings, and follow up care. The importance of regular AND follow-up screenings should be stressed. This is not a one and done event.
 
The American Academy of Pediatrics (AAP) and Parent Heart Watch recommend and advocate for the heart screening of all children, whether they engage in organized sports or not. The New screening guidelines can be viewed here.
 
In Arizona, another advocate and proactive champion for prevention of SCA through regular screening is Sharon Bates, founder and CEO of the Anthony Bates Foundation (ABF). The ABF schedules ongoing screening events throughout the valley and across the state. Noteworthy, the ABF exceeds the national screening recommendations placing them at the fore-front of bridging the gap between evidence, policy, and practice.
Facts About SCA

• The heart suddenly stops beating, stopping blood flow to the brain and other vital organs.
• It affects young athletes AND healthy children and adolescents who don’t participate in organized sports.
• It is fatal if not treated immediately. Cardiopulmonary Recuscitation (CPR) should be started immediately, activating an emergency action plan, and using an automated external defibrillator (AED) used within 5 minutes.
• Heart conditions can change or evolve over time, meaning that a once normal heart can develop disease as the child ages. On going screening is essential.
• Any child having symptoms should be screened every year. ABF refers abnormal screening tests to the family doctor or Primary Care Physician (PCP.) If warranted, the PCP will make referrals to a cardiologist.

What Are Some Main Causes of SCA in Young People?

• Electrical heart disease or heart rhythm problems
• Structural disease of the heart muscle or of the arteries that supply the heart with blood
• A sudden blow to the chest, infection of the heart muscle, electrocution, recreational drug use.

What Should Heart Screening Include?

• Regular well-child visits with your family doctor
• Family history of heart disease
• Sports Pre-Participation Evaluation
• Athlete/Student Cardiovascular Questionnaire, blood pressure checks, ECG/ EKG (electrocardiogram), ECHO cardiogram (Ultrasound) (standard testing at ABF screening events)
• Community-based CPR and AED training
• AED placement on school grounds, near athletic and training fields, and in public places where children play

Who Should be Screened for SCA Risk?

• ALL children should be screened for heart problems, not just young athletes who need sports physicals. Screening should be incorporated into regular well-child visits, at least every two to three years, supporting the need for and importance of on-going, follow-up screenings.
• ALL elementary, middle school and high school kids should be screened whether or not they are playing sports.
• Consider screening children who had COVID-19 infection.
• Call ABF to host a screening event at your location.
• Or schedule your child’s screening at an ABF event near you.

Main Takeaway Points:

• ALL children should be screened at regular, routine well-child visits, and every year for heart-related conditions that can lead to SCA.
• A detailed medical and heart conditions history, and physical examination should be required.
• An ECG/EKG and/or ECHOcardiogram, read by a pediatric cardiologist is recommended (Standard at an ABF screening event).

 
Referral to family doctor or PCP, first. Then if warranted, PCP will refer patients to a

• specialist when indicated.
• Repeat heart screening at least every 2-3 years, yearly is preferred (under 19 years of age.) Adults should be screened every 5 years.
• Identify SCA risk factors, signs and symptoms (Often no warning)
• An Emergency Action Plan, community-based CPR training and AED placements in public areas where children play.

Sources 
1.    https://parentheartwatch.org/aap-heart-screening-policy/ healthychildren.org
 2. https://www.ahajournals.org/doi/10.1161/JAHA.119.012235
3.https://publications.aap.org/pediatrics/article/148/1/e2021052044/179969/Sudden-Death-in-the-Young-Information-for-the? autologincheck=redirected#sec-25
 4. https://www.anthonybates.org/

October is also Anthony's birth month!
October 6, 2019, Anthony would have been 40, but…

his life was snuffed out due to undiagnosed heart disease or HCM - Hypertrophic Cardiomyopathy,
 
Why?  Because 19 years ago there was little being done to prevent Sudden Cardiac Arrest (SCA)! There was no “Sudden Cardiac Arrest Awareness Month”
 
But, his untimely death launched the rise of the foundation that bears his name and his legacy

Today, 19 years later, not a day goes by that I don't still miss my son. And 19 years later
 
nearly 1 million hearts have been screened with over 45,000 possible lives saved through the teams that have been trained by the program built in his honor.

The lives we have impacted, the lives we have saved are in a very large part due to our loyal supporters like YOU:  DONORS, VOLUNTEERS and RECIPIENTS of the ABF heart screenings that gave YOU peace of mind that YOU are “heart healthy.”
 
Today, 19 years later, we face new, crucial challenges.  ABF MUST replace worn out sonogram machines, at $15,000 each!  How will we do this?  We hope through YOUR vigorous generosity as YOU realize all the vital work we have done and what we need to do in 2020 and beyond.  Our goal, simply stated is to continue to “screen more hearts and save more lives”. But we can’t do this without YOU! Help us get new sonogram machines! PLEASE make a heart-felt donation of $40 in Anthony’s honor, for what would have been his 40thbirthday.  YOUR timely donation will make a pivotal difference at this financial crossroad and have a lasting impact, hopefully for decades to come. 
 
Thank you, in advance!
 
From my heart to yours,
 
Sharon
Anthony’s Mom

P.S. Here is the link for YOU to make a difference TODAY!  igfn.us/form/OaOVNA

Besides the ladies taking care of your breast health, October is also Sudden Cardiac Arrest (SCA) Awareness Month in the USA.

• Children do have heart disease
• 1 out of 110 babies born in the USA have a congenital heart issue
• 1 out of 250 people develop HCM - Hypertrophic Cardiomyopathy
• HCM is the leading killer of young athletes in the USA
• Anthony had ALL of these statistics and 19 years ago he suffered a deadly SCA

SCA happens to over 300,000 adults & approximately 12,000 of those are children!

891 broken hearts every day!

Do you know CPR? Do you know what to do in an emergency?

We will share some tips and tricks over the next month to help you become engaged in the heart health of you and your family!

#GotHeartGetScreened

#CallPushShock

https://emergacenter.com/whyitmatters-anthony-bates/