To, The Principal, NCDS.

Subject: member PTM executive committee.

Respected Madam, I would suggest that your school should have a athlete / sport fitness program. I would like to become member PTM executive committee and make the athlete / sport fitness program a success across the defense schools.

Thanking You,

Sincerely, Dr.U.Satyanarayana. Y-348, SAROJINI NAGAR, NEW DELHI-23 email: ifort@in.com , u2satya@gmail.com, u2satya@rediffmail.com 7503375830, 7503375820

INTRODUCTION IFORT (International Fund Optimization For Research Trust) is a not for profit organization, a meta-association which is autonomous and research oriented. SPORT FITNESS They are young, strong, competitive athletes, in top physical condition. Yet about 90 of them drop dead every year, often in the heat of competition. For almost 30 years, the Italian Ministry of Health has required screening for competitive athletes and tracked the results. Using those data, the study found that screening reduced the number of cardiac deaths by 89 percent among athletes 14 to 35 years old, making the rate similar to that among non athletes of the same age.

BACKGROUND The success of the Italian approach has led the European Society of Cardiology and the International Olympic Committee to recommend EKG screening for all competitive athletes. But the American Heart Association suggests only a medical history and physical exam. They found that compared with no screening at all, screening with only a medical history and a physical examination saves just 0.56 life-years per 1,000 athletes. But adding an EKG would save 2.06 more lifeyears per 1,000 athletes. SCREENING Following conditions associated with adverse events during

competitive sport in athletes will be screened for preventive strategies.

1) Hypertrophic Cardiomyopathy 2) Aortic valve stenosis 3) Marfans aorta: 4) Mitral valve prolapse 5) RHD 6) CHD 7) CAD 8) Hypertrophic cardiomyopathy ( 90% of ECGs are abnormal) 9) Myocarditis 10) 11) 12) 13) 14) Arrhythmogenic right ventricular dysplasia long-and short-QT syndrome Congenital atrioventricular block Brugada syndrome Preexcitation syndrome.

SPORTS SCREENING FACT SHEET The screening echocardiogram is a painless test, involves no ionizing radiation, is portable, repeatable, and a very cost effective methodology to help identify several leading causes of congenital cardiovascular conditions placing athletes / sportspersons at risk for sudden collapse and / or death. The screening echocardiogram is obtained using a 2-dimensional ultrasound machine. Leading causes of cardiovascular compromise (including sudden death) in young athletes / sportspersons will be screened for: 1) Hypertrophic Cardiomyopathy 2) Aortic valve stenosis 3) Marfans aorta: 4) Mitral valve prolapse 5) RHD 6) CHD 7) CAD 8) Hypertrophic cardiomyopathy ( 90% of ECGs are abnormal) 9) Myocarditis 10) 11) Arrhythmogenic right ventricular dysplasia long-and short-QT syndrome

12) 13) 14)

Congenital atrioventricular block Brugada syndrome Preexcitation syndrome

While the screening echocardiogram is very helpful in identifying these conditions it is by no means perfect and does not represent the full 2-D Echocardiographic / Doppler examination. As the focus of this screening echocardiogram examination is on the above 14 conditions, other cardiac abnormalities may not be detected or may be missed. Furthermore, obtaining the screening 2-D Echo at this time does not preclude development of other cardiovascular problems in the future. The screening echocardiogram may not reveal coronary blockages directly but it may detect functional (wall motion) abnormalities in territories supplied by the blocked arteries. However there may be functional (wall motion) abnormalities without any coronary blockages and vice versa. RESULTS: will be given immediately after the Screening Echo examination which may take 2-4 minutes. Screening Echo

examination may be repeated once in two to three years.

SPORTS FITNESS SCREENING ECHO FOR ATHLETES Name: 1) Hypertrophic Cardiomyopathy 2) Aortic valve stenosis 3) Marfans aorta: 4) Mitral valve prolapse 5) RHD 6) CHD 7) CAD 8) Hypertrophic cardiomyopathy 9) Myocarditis 10) 11) 12) 13) 14) Arrhythmogenic right ventricular dysplasia long-and short-QT syndrome Congenital atrioventricular block Brugada syndrome Preexcitation syndrome ID:

Advise:

Detailed Echo

Stress Echo

DSE

CAG BMV

Cardiac CT

Cardiac MRI

SPECT Thallium

Activity: Life Style

Yoga Meditation Walking Jogging Swimming Non Competitive

Aerobics Gym Games Sport Competitive Sport All

Y-348, SAROJINI NAGAR, NEW DELHI-23 email: ifort@in.com , u2satya@gmail.com, u2satya@rediffmail.com 7503375830, 7503375820