Consensus document regarding cardiovascular safety at sports arenas: position stand from the European Association of Cardiovascular Prevention and Rehabilitation (EACPR), section of Sports Cardiology.

Mass gathering events in sports arenas create challenges regarding the cardiovascular safety of both athletes and spectators. A comprehensive medical action plan, to ensure properly applied cardiopulmonary resuscitation, and wide availability and use of automated external defibrillators (AEDs), is essential to improving survival from sudden cardiac arrest at sporting events. This paper outlines minimum standards for cardiovascular care to assist in the planning of mass gathering sports events across Europe with the intention of local adaptation at individual sports arenas, to ensure the full implementation of the chain of survival.

[1]  B. Chaitman,et al.  Joint Position Statement: automated external defibrillators in health/fitness facilities , 2011 .

[2]  J. Soar,et al.  European Resuscitation Council Guidelines for Resuscitation 2010 Section 1. Executive summary. , 2010, Resuscitation.

[3]  J. Soar,et al.  European Resuscitation Council Guidelines for Resuscitation 2010 Section 4. Adult advanced life support. , 2010, Resuscitation.

[4]  L. Richiardi,et al.  It is just a game: lack of association between watching football matches and the risk of acute cardiovascular events. , 2010, International journal of epidemiology.

[5]  A. Pelliccia,et al.  Time for action regarding cardiovascular emergency care at sports arenas: a lesson from the Arena study. , 2010, European heart journal.

[6]  M Borjesson,et al.  Incidence and aetiology of sudden cardiac death in young athletes: an international perspective , 2009, British Journal of Sports Medicine.

[7]  K. Harmon,et al.  Effectiveness of Emergency Response Planning for Sudden Cardiac Arrest in United States High Schools With Automated External Defibrillators , 2009, Circulation.

[8]  F. Carré,et al.  Sports-related acute cardiovascular events in a general population: a French prospective study , 2009, European journal of cardiovascular prevention and rehabilitation : official journal of the European Society of Cardiology, Working Groups on Epidemiology & Prevention and Cardiac Rehabilitation and Exercise Physiology.

[9]  Robert A. Berg,et al.  Gasping During Cardiac Arrest in Humans Is Frequent and Associated With Improved Survival , 2008, Circulation.

[10]  L. Faber,et al.  Athlete screening for occult cardiac disease: no risk, no fun? , 2008, Journal of the American College of Cardiology.

[11]  G. Whyte,et al.  Prevalence of hypertrophic cardiomyopathy in highly trained athletes: relevance to pre-participation screening. , 2008, Journal of the American College of Cardiology.

[12]  V. Umans,et al.  Usefulness of emergency medical teams in sport stadiums. , 2008, The American journal of cardiology.

[13]  S. Greven,et al.  Cardiovascular events during World Cup soccer. , 2008, The New England journal of medicine.

[14]  Barry J Maron,et al.  Inter-association task force recommendations on emergency preparedness and management of sudden cardiac arrest in high school and college athletic programs: a consensus statement. , 2007, Clinical journal of sport medicine : official journal of the Canadian Academy of Sport Medicine.

[15]  Maurizio Schiavon,et al.  Trends in sudden cardiovascular death in young competitive athletes after implementation of a preparticipation screening program. , 2006, JAMA.

[16]  J. Drezner,et al.  Sudden cardiac arrest in intercollegiate athletes: detailed analysis and outcomes of resuscitation in nine cases. , 2006, Heart rhythm.

[17]  C. Wren Screening children with a family history of sudden cardiac death , 2006, Heart.

[18]  S. Sen-Chowdhry,et al.  Sudden Cardiac Death in the Young: A Strategy for Prevention by Targeted Evaluation , 2006, Cardiology.

[19]  Alfio Marazzi,et al.  Increase of sudden cardiac deaths in Switzerland during the 2002 FIFA World Cup. , 2006, International journal of cardiology.

[20]  C. Madler,et al.  [Management of cardiac arrest in a German soccer stadium. Structural, process and outcome quality]. , 2005, Der Anaesthesist.

[21]  T. Luiz,et al.  Management des Kreislaufstillstands in einer Fußballarena , 2005, Der Anaesthesist.

[22]  Roger D. White,et al.  Evolution of a community-wide early defibrillation programme experience over 13 years using police/fire personnel and paramedics as responders. , 2005, Resuscitation.

[23]  J. Brice,et al.  Method for determining automatic external defibrillator need at mass gatherings. , 2005, Resuscitation.

[24]  V. Brossa,et al.  [Acute coronary events among spectators in a soccer stadium]. , 2005, Revista espanola de cardiologia.

[25]  V. Brossa,et al.  Eventos coronarios agudos entre los espectadores de un estadio de fútbol , 2005 .

[26]  C. Wren,et al.  Cardiovascular pre-participation screening of young competitive athletes for prevention of sudden death: proposal for a common European protocol. , 2005, European heart journal.

[27]  Greg Sinibaldi,et al.  Incidence of EMS-treated out-of-hospital cardiac arrest in the United States. , 2004, Resuscitation.

[28]  J. Ornato,et al.  Public-access defibrillation and survival after out-of-hospital cardiac arrest. , 2004, The New England journal of medicine.

[29]  M. Sayre,et al.  Mathematical determination of external defibrillators needed at mass gatherings. , 2004, Prehospital emergency care : official journal of the National Association of EMS Physicians and the National Association of State EMS Directors.

[30]  A. Capucci,et al.  ESC-ERC recommendations for the use of automated external defibrillators (AEDs) in Europe. , 2004, European heart journal.

[31]  Maurizio Schiavon,et al.  Does sports activity enhance the risk of sudden death in adolescents and young adults? , 2003, Journal of the American College of Cardiology.

[32]  R. Kloner,et al.  Stress and myocardial infarction , 2003, Heart.

[33]  M. Copass,et al.  Changing incidence of out-of-hospital ventricular fibrillation, 1980-2000. , 2002, JAMA.

[34]  Lance B Becker,et al.  Public use of automated external defibrillators. , 2002, The New England journal of medicine.

[35]  R. Waalewijn,et al.  Prevention of deterioration of ventricular fibrillation by basic life support during out-of-hospital cardiac arrest. , 2002, Resuscitation.

[36]  M. Hlynka,et al.  Rapid On-site Defibrillation versus Community Program , 2002, Prehospital and Disaster Medicine.

[37]  J. F. Keane,et al.  Surgical Management of Mitral Regurgitation After Repair of Endocardial Cushion Defects: Early and Midterm Results , 2000, Circulation.

[38]  D K McKenas,et al.  Use of automated external defibrillators by a U.S. airline. , 2000, The New England journal of medicine.

[39]  D J Roe,et al.  Outcomes of rapid defibrillation by security officers after cardiac arrest in casinos. , 2000, The New England journal of medicine.

[40]  J. Wassertheil,et al.  Cardiac arrest outcomes at the Melbourne Cricket Ground and shrine of remembrance using a tiered response strategy-a forerunner to public access defibrillation. , 2000, Resuscitation.

[41]  R W Koster,et al.  Out-of-hospital cardiac arrests in Amsterdam and its surrounding areas: results from the Amsterdam resuscitation study (ARREST) in 'Utstein' style. , 1998, Resuscitation.

[42]  P. Paris,et al.  Use of automated external defibrillators by police officers for treatment of out-of-hospital cardiac arrest. , 1998, Annals of emergency medicine.

[43]  C. Fahrenbruch,et al.  Public locations of cardiac arrest. Implications for public access defibrillation. , 1998, Circulation.

[44]  W. Dick,et al.  Checking the carotid pulse check: diagnostic accuracy of first responders in patients with and without a pulse. , 1996, Resuscitation.

[45]  J. Muller,et al.  Triggering of acute myocardial infarction onset by episodes of anger. Determinants of Myocardial Infarction Onset Study Investigators. , 1995, Circulation.

[46]  R. Cantu,et al.  Nontraumatic sports death in high school and college athletes. , 1995, Medicine and science in sports and exercise.

[47]  A. Hallstrom,et al.  Predicting survival from out-of-hospital cardiac arrest: a graphic model. , 1993, Annals of emergency medicine.

[48]  Indoor Air Pollution: A Health Perspective , 1992, Annals of Internal Medicine.

[49]  J. Ornato,et al.  Improving survival from sudden cardiac arrest: the "chain of survival" concept. A statement for health professionals from the Advanced Cardiac Life Support Subcommittee and the Emergency Cardiac Care Committee, American Heart Association. , 1991, Circulation.

[50]  M. Nordberg EMS and mass gatherings. , 1990, Emergency medical services.

[51]  It Istituto Superiore di Sanit,et al.  Cardiovascular pre-participation screening of young competitive athletes for prevention of sudden death: proposal for a common European protocol Consensus Statement of the Study Group of Sport Cardiology of the Working Group of Cardiac Rehabilitation and , 2005 .

[52]  R. Myerburg Cardiac arrest and sudden cardiac death , 2005 .

[53]  C J Holliman,et al.  International Emergency Medicine Reference List. , 1999, The Journal of emergency medicine.