Sedro-Woolley/ Concrete Schools

November 2019Outcomes & Findings

• Cardiac related death is the most common reason for non-traumatic death during sports in young athletes (70%)

• Affects approximately 33.3 /100,000 athletes

Sudden Cardiac Death in Athletes

Figure 5. Other notable athlete sudden deaths in the U.S. (A) Hank Gathers (1990) age 28 years; (B) “Pistol Pete” Maravich (1988) age 40 years; (C) Chuck Hughes (1971) age 28 years; (D) Korey Stringer (2001), age 27 years; (E) Len Bias (1986) age 22 years; (F)…….

Barry J. Maron, MDHistorical Perspectives on Sudden Deaths in Young Athletes With Evolution over 35 YearsThe American Journal of Cardiology, Volume 116, Issue 9, 2015, 1461–1468http://dx.doi.org/10.1016/j.amjcard.2015.07.072

Sudden Cardiac Death in Athletes

• Hypertrophic Cardiomyopathy“Thickened heart muscle”

• Abnormal coronary arteries• Arrhythmias• Enlarged aorta• Valve problems

• Current sports screening recommendations only require physical exam and basic questionnaire• ECG can increase the sensitivity to detect causes for SCD ---saved 2.06 life-years per 1,000 athletes• Echocardiography can detect otherwise unrecognized aortic enlargement in selected individuals

Sedro Woolley Schools Special Recognition

Kerri Carlton, Principal

All The Staff & Student Volunteers From Sedro Woolley High School

Program Partners

Partnerships

Participating Schools

Whatcom Community College

Linking head and heart, home and school, child and God. Lynden School District

234 Students Were Screened• 116 Female Students• 118 Male Students

Statistics & Findings

All Of The 234 Students Screened Had a Chart Created and The Records of Their Screening Were Entered Into The PeaceHealth St. Joseph Medical Center Electronic Medical Record System

0

38

59

37

66

28

1 1 0 1 30

10

20

30

40

50

60

70

Age 13 Age 14 Age 15 Age 16 Age 17 Age 18 Age 19 Age 20 Age 21 Age 22 Age 23

Number of Students by Age

212

184

Sedro Woolley HighSchool

Concrete High School Community

Students by School

Screening Stations & Medical Staff Volunteers

RegistrationStation # 1 – Height & WeightStation # 2 – Blood Pressure & PulseStation # 3 – 12 Lead EKGStation # 4 – CPR (Chest Compressions) & AED UseStation # 5 – Physician EvaluationStation # 6 – Echocardiography (If Indicated)Check Out

Screening Stations

Dr. Rex Liu – Physician LeadNickie Snyder, NPDr. Tabitha Nenninger Rosey Horner, NPDr. Lessli Putney

Statistics & Findings

83

73

50

21

Number of Hours Students Indicated They Were Involved in Exercise Per

Week

More Than 10 Hours

5-10 Hours

2-5 Hours

Less Than 2 Hours

10979

Number of Students Enrolled in PE

Yes No

Statistics & Findings

177

33

0 50 100 150 200

YES, IN SPORTS

NO, NOT IN A SPORT

Stundent Participation in Sport Activities

57 Students Were Found to Have Positive Findings

• 6 Students With Significant Findings (Requiring More Immediate Follow-Up)• 16 Year Old Female Student With Abnormal & U Waves; Dilated Sinus of Valsalva• 17 Year Old Male Student With Ectopic Atrial Rhythm • 16 Year Old Female Student Right Bundle Branch Block, Slightly Short PQ Interval; MV “Bowing” without MR• 16 Year Old Male Student With Sinus Arrhythmia; Borderline Left Ventricular End Diastolic Diameter• 15 Year Old Male Student With Sinus Arrhythmia; Borderline Elevation of PAP• 18 Year Old Female Student With Sinus Arrhythmia, Incomplete Right Bundle Branch Block

• 51 General Positive Findingso 27 Students With Generalized Hypertension (All BP’s Were Re-Checked)o 11 Students With Persistent Symptomso 10 Students With Abnormal EKGo 1 Student With Murmuro 1 Student With Mild TR w/ Normal PAPo 1 Student with Indication Dyspnea w/Exertion

Key Clinical Findings

Clinical Findings

All 57 Students Have Been Notified Along With Their Parents and Primary Care Physicians With Screening Findings Faxed