Sanjay Sharma
@SSharmacardio
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Media
622
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Manage best hearts in the UK. Prof of Cardiology. Medical director London marathon. Sports cardiology Don. Author of Rapid Review in Medicine.
London
Joined March 2012
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Finally out. ESC sports cardiology guidelines for exercise in patients with cardiovascular disease.
@s_gati
@MichaelPapadak2
@StGeorgesUni
@DrAneilMalhotra
@DrSarahClarke
@SilCastelletti
@DrTiberi
@DreznerJon
@TJ_Yeo
@CSHeartResearch
#ESCCongress
4
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@DrAneilMalhotra
@CRY_UK
@FA
The proudest moment of my academic life. 20 year experience shows that deaths are 3x greater than expected. Up to 70% players with serious diseases can be tested
#sport
Cardiology
19
88
205
Sport is back BUT there are so many QUESTIONS about how to manage the ATHLETE'S HEART during the
#COVID19
pandemic. Here is our take on how we should proceed!
@StGeorgesUni
@DrRaghavBhatia
@MichaelPapadak2
@DrAneilMalhotra
@LSerratosa
.
#sportscardiology
6
89
162
Meeting CRY was (thanks Alison Cox) the best thing that has happened in my medical and academic career. In turn I have been able to support so many families with inherited cardiac disease and sports people AND train shape the careers of so many magnificent cardiologists.
@CRY_UK
New Blog: CRY’s shared history with our Consultant Cardiologist, Professor Sanjay Sharma (
@SSharmacardio
)
#Charity
0
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Good luck to all the
#marathon
#doctors
#physios
#podiatrists
and
@stjohnambulance
for the
#londonmarathon2023
. Almost 47,000 runners to care for. Work hard, be diligent, adhere to the
#guidelines
. Thank you very much for your support!
#safe
#running
0
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Looking forward for my debate on whether we should use ECG to screen athletes for serious cardiac disease at the
@ACC
2023
@StGeorgesUni
@CRY_UK
@ClevelandClinic
.
#ACC2023
#sports
#cardiology
7
17
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Sudden cardiac death in the young may be unheard but affects 12 young people each week. Please watch and donate
@CRY_UK
@ArjunArtist
@Drstevenjcox
4
59
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Huge thank you to
@stjohnambulance
for their invaluable assistance to the
@LondonMarathon
yesterday. You exuded commitment and professional standards of the highest level.
#congratulation
!
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10
113
Cardiac screening of apparently well and heathy individuals identifies potentially serous cardiac disease in 1 in 300!
Help support
@CRY_UK
with a RT to raise awareness of young sudden cardiac death, and help save young lives
#HeartMonth
#12AWeek
#RaisingAwareness
0
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Ventricular premature beats in
#athletes
.
@drraviele
@StGeorgesUni
@AlessandroZor14
@FlavioDascenzi
#VA2022
2
30
106
Good luck to 43,000+ entrants in
@LondonMarathon
tomorrow. There is a team of 1,500
@stjohnambulance
volunteers,160 docs, 100+ physios and podiatrists, paramedics and cycle response teams to look after you. Here is some last minute advice to help you
3
24
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Nice article describing the role of echocardiography for screening athletes in
@Heart_BMJ
. I particularly liked the proposed cardiac screening protocols for athletes from childhood to master level
@DavidNiederseer
#sport
#cardiology
#athlete
2
22
101
The
#CRY
nationwide ECG screening programme for the young in the UK: It made a difference!
@harshil_dhutia
@DrAneilMalhotra
@MichaelPapadak2
@gherardobis
@s_gati
@DrMaiteTome
@BehrElijah
@RajayNarain
@AndrewJMDSilva
@CRY_UK
@Drstevenjcox
@StGeorgesUni
4
34
102
Exercise is very important in the management of patients with heart failure. Aerobic and high interval studies have yielded good results. Physicians must include exercise in their management plan
#exercise
#HeartFailure
: Top Myths Debunked By Scientists
#HeartFailure2019
#HFA_ESC
#cardionews
#cardiotwitter
1
24
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0
36
101
Among 11,168 adolescent soccer players assessed with 2017 international recommendations for ECG interpretation, Positive ECG rate 2%, sensitivity for detecting disease 92%, specificity for excluding disease 94%
@BJSM_BMJ
@DrAneilMalhotra
1
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Professor Sanjay Sharma FESC | European Heart Journal | Oxford Academic
@ESC_Journals
@StGeorgesUni
@StGeorgesTrust
@CRY_UK
@LondonMarathon
Very proud of this role
#education
#research
11
16
96
Competitive sport and
#hypertrophic
#cardiomyopathy
. How safe is it? Conservative or liberal approach? What is the evidence? A MUST READ for sports cardiologists.
@DreznerJon
@DrAneilMalhotra
@MichaelPapadak2
@DrKimHarmon
@IrfAsif
@BJSM_BMJ
6
34
89
Our illustrated review on high risk ECG markers in athletes. Well illustrated and an easy read for all managing the cardiac health of athletes.
@touchCARDIO
,
@StGeorgesUni
@bdebneygray
@DrAneilMalhotra
4
30
87
I always have concerns about HIIT in patients with established coronary disease but data is mounting in favour of its safety and efficacy
#exercise
Editor’s presentation: Physical activity intensity in coronary patients: Vigorous is better than light, but light is better than nothing
@SSharmacardio
@AnastasiaSMihai
@escardio
@EAPCPresident
@ESC_Journals
3
26
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2
21
87
When managing athletes we must consider the majority, not just the young elite. Read our article on the management of mature athletes in
@Heart_BMJ
@AndrewJMDSilva
@StGeorgesUni
#sports
#cardiology
0
47
84
I am very proud to be the cardiologist for this charity which has helped to evaluate and diagnose numerous young individuals with serious cardiac disease. Apart from assessing asymptomatic people.
Thanks to our supporters and families, we held 38 screening days in September with 3666 young people screened, covering 9197 miles across the UK. Go to
for a list of upcoming screenings.
#TestMyHeart
#RaisingAwareness
1
18
54
4
10
83
#Doctors
working at
@LondonMarathon
or attending to runners afterwards....Exercise associated hyponatraemia presents late. Think about it if someone is confused during or several hours after the run!
#endurance
#running
2
11
85
Good luck to the medical team for the
@LondonMarathon
today. Stay diligent, work within your remit, enlist senior help when required and adhere to our medical guidelines
#london
#marathon
#safe
#sport
0
12
84
#Competitive
#sport
is possible in a select group of low risk adult #
#athletes
with
#hypertrophic
#cardiomyopathy
. No adverse events and no change in cardiac morphology
@BasuJoyee
@MichaelPapadak2
@gherardobis
@DrMaiteTome
@StGeorgesUni
3
24
81
ECG patterns that SHOULD be investigated in athletes. Great punchy talk by Dr
@AKasiakogias
, our former fellow
@MichaelPapadak2
@StGeorgesUni
#sports
#cardiology
1
12
79
Thank you for publishing!!! This was an important knowledge gap in
#sports
#Cardiology
. More studies required to validate our findings
@drlynnemillar
@StGeorgesUni
Differentiation between athlete’s heart and dilated cardiomyopathy in athletic individuals
0
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1
29
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Out of hospital cardiac arrest in the young requires very specific investigation to identify rare genetic diseases. Here is a brief educational video.
#cardiac
#arrest
in the
#young
@StGeorgesUni
@Drstevenjcox
@CRY_UK
@MichaelPapadak2
@DrAneilMalhotra
0
31
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Probably one of the best papers I have co-authored. The interpretation of the black athlete's ECG and echo should be governed by geographic origin
@Nathan_Riding
@Prof_MatWilson
@ehj_ed
@ESC_Journals
#sportscardiology
1
24
77
New tool in the diagnosis of
#ARVC
. Antibodies to
#desmoglein
were positive in almost all patients with ARVC and correlated with disease activity
#cardiomyopathy
1
27
75
80% of all premature cardiac deaths can be prevented by managing risk factors such as pollution, smoking, obesity, HT, sedentary life style and hyperlipidaemia.
#prevention
#ESCCongress
"
@ESC_Journals
Yr in
#Cardiology
: Integrated
#Prevention
" Prof.
@TomLuscher
@ehj_ed
starts with
@SSharmacardio
: all
#smoking
kills as
#SCD
in
#Diabetes
,
#ABPM
is a must B4💊, so
#Exercise
‼️
#cvPrevention
#cvPrev
#Rehabiliation
#SportsCardiology
#ESCCongress
#EAPC_ESC
#ACCWIC
1
8
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72
Good luck to 50k participants in the
@LondonMarathon
. Huge medical team from
@stjohnambulance
and
@Marathonmedics
and our
#paramedics
#nurses
and
#cycle
#responders
.
#medical
team please adhere to the
#guidelines
. Let’s roll!!!
3
7
73
EVERYONE SHOULD PERFORM 150 MINS OF PHYSICAL ACTIVITY OF MOD INTENSITY/ WEEK. Emphasis on optimising therapy + risk stratification before prescribing more intensive exercise. Shared decision making is encouraged.
#ESC2020
@MichaelPapadak2
@s_gati
@StefanoCaselli
@SilCastelletti
2
28
73
Our review on chronic coronary stress in middle aged and older endurance athletes. This is an area that requires more investigation
@StGeorgesUni
@parry_williams
@TheBHF
@CRY_UK
#sports
#cardiology
#master
#athletes
The heart of the ageing endurance athlete : Role of chronic coronary stress Endurance exercise is associated with a transient ⬆️ in serum concentrations of biomarkers of cardiac damage and ventricular dysfunction which improves within 72 hr
@SSharmacardio
0
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Prof
@MichaelPapadak2
reports the cardiac outcomes of 104,369 people aged 14-35 who screened by
@CRY_UK
and followed up for 630k person years. 1 in 300 had serous disease; >40% had intervention. Chances of missing a serious condition was 1 in 1250.
#CRY2022
2
23
72
Humbled by students from
@StGeorgesUni
Cardiology society who kindly donated funds to
@CRY
to save young lives after being inspired by lectures in cardiology
@DrAneilMalhotra
@Drstevenjcox
#education
#is
#key
to
#inspire
and
#prepare
our
#prodigy
3
13
71
Very proud of this paper! Thanks for the info graphic! Results of cardiac screening in a non select young British population
@CRY_UK
@StGeorgesUni
@StGeorgesTrust
@harshil_dhutia
@MichaelPapadak2
@ESC_Journals
Cost effectiveness of ECG in UK athletes screening
1
12
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0
28
70
Our update on endurance exercise and the heart discussing the benefits and potential maladaptations.
Panacea or poison?
@parry_williams
@StGeorgesUni
@NatRevCardiol
1
31
71
So proud of
@CRY_UK
and so grateful to our brave and committed supporters. Thank you!
#preventing
#young
#sudden
#cardiac
#death
As today marks the 25th anniversary of our charity status we have a quick thank you message from
@CRY_UK
's consultant cardiologist
@SSharmacardio
. Thank you to all of our supporters over the years.
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1
16
70
Brexit! An IQ test that our country failed. Sad day for the UK
0
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I really enjoyed giving this talk. All patients with hypertrophic cardiomyopathy should perform some exercise. There are several knowledge gaps that need to be filled. Time for some large trials.
#exercise
#HCM
#Exercise
&
#HCM
#hypertophic
#cardiomyopathy
: practical suggestions by
@SSharmacardio
@CRY_UK
@StGeorgesUni
#sportscardiology
#ESCGuidelines
How much
#sport
is safe & for whom?
0
13
39
3
18
69
Please tune In a highly controversial topic in sports cardiology. The Views are my own
#sportscardiology
Who are the 3 biggest names in Sports Cardiology? Prof Sanjay Sharma is on everbody's list.
@SSharmacardio
Serena Williams/Lionel Messi of his field.
#GOAT
Listen to him here.
#Controversial
Via
@TheAMSSM
#LondonMarathon
BJSM podcast great on BJSM app
5
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2
12
68
Up to 50% people suffering a sudden cardiac arrest during sport have symptoms in the preceding week. Need to educate about risks.
#ESC
2016
2
69
66
Screening identified 42 (0.38%) athletes with diseases capable of causing sudden death and enabled treatment in 70%. Over 90% had no warning symptoms
@DrAneilMalhotra
2
31
67
Idiopathic LVH is a different pathological entity from hypertrophic cardiomyopathy due to sarcomeric mutations
@gherardobis
@StGeorgesUni
@MichaelPapadak2
@DrAneilMalhotra
.
5
33
67
Interesting study in
@JAMACardio
BUT (1)no control population; (2)no normative data in athletes e.g. RV insertion point fibrosis present in 40% athletes, (3)what would be seen people went in a magnet after a cold? Must avoid knee jerk conclusions until systematic data available.
This one is getting a lot of attention: Cardiac MRI in US football players after COVID-19 Infection. FREE via
@JAMACardio
. What do our experts think?
@DreznerJon
@SSharmacardio
0
4
18
2
11
69
Good luck to all the
#runners
participating in the 42nd London marathon. Largest number of entrants!!! We have a fabulous team of
@stjohnambulance
staff (1500), 130 doctors,
#physiotherapists
#podiatrists
and
#paramedics
to ensure safe endurance running!! See you at the finish!
2
1
67
We are more aware of how common sudden death in the young is. We know about several causes and how they can be identified. We know 1 in 300 young people in the UK have potentially serious heart disease. Making progress in determining how to test the young using cheap methods.
How has CRY’s research changed the way we screen young people for cardiac conditions?
@SSharmacardio
explains in his brilliant presentation from 2019
#CRYResearch
#HeartHealth
#TestMyHeart
0
10
23
0
27
68
What an incredible story!
@sammo800m
shares his on-going journey about the possibility of exercise induced arrhythmogenic cardiomyopathy. We have so much to learn as you will read in this fascinating account
@StGeorgesUni
@CRY_UK
@PauloBulleros
@LondonMarathon
Can too much exercise be bad for you? Earlier this year I narrowly dodged 5 cardiac arrests caused by a buildup of years of excessive endurance exercise. Here's my story:
4
3
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3
14
66
Great enthusiastic audience at the
#marathon
#medicine
conference this morning. Focus on heatstroke which affects 1 in 3000 runners at the
#LondonMarathon
#MM2019
4
10
65
@ESCardioNews
@escardio
@ESC_Journals
@MichaelPapadak2
@LSerratosa
@paolo_emilio
@StefanoCaselli
European exercise recommendations for athletes with cardiomyopathies and myocarditis. Long awaited but well worth it!
#sports
#cardiology
#cardiomyopathy
3
38
66
Our approach to investigating athletes at all exercising individuals. Thank you
@AdamVirgile
.
@DrRaghavBhatia
@MichaelPapadak2
@DrAneilMalhotra
@sportsdrzaf
@LSerratosa
#COVID
#SPORT
1
17
65
@GG2Diversity
@EasternEye
Delighted to be shortlisted as a finalist at the GG2 Awards in on 24 October this year.
#GG2Awards
7
14
63
Just seen hoards of enthusiastic
#runners
going to start line for the
@LondonMarathon
. Good luck to all of you. We have a great
#medical
team to take care of you!!!
#endurance
#running
#marathons
1
3
59
CRY's Consultant Cardiologist
@SSharmacardio
has provided some advice on exercise during the COVID-19 lockdown, please read and share.
#COVID19
#HealthAdvice
0
37
60
2
27
61
Great to be amongst some super weights to discuss the 2020 ESC sports cardiology guidelines
@MichaelPapadak2
@DrAneilMalhotra
@s_gati
@StGeorgesUni
@gherardobis
@SilCastelletti
@HanCardiomd
@Prof_MatWilson
@FlavioDascenzi
Happening now: Final social blast!
#ESCCongress
Twitter Highlights with ESC Social Media Ambassadors and their special guests
@drjohnm
and
@SSharmacardio
#cardiotwitter
#medtwitter
1
50
115
3
15
60
So proud of her honesty and concern for colleagues and the population at large
@StGeorgesTrust
@AndrewMarr9
Dr Lisa Anderson Cardiologist at St Georges Hospital London
@StGeorgesTrust
speaking to
@BBCNews
on concerns about
#PPE
for
#Doctors
#Nurses
&
#Healthcare
professionals in the
#NHS
in
#UK
#NHSheroes
#BBC
#SkyNews
#COVID
ー19
#ITV
#TheTimes
#StayHomeSaveLives
#StayAtHome
0
10
33
2
16
60
Delighted to score highly on our impact case for promoting safe sport. Thank you to my fellows for their commitment and to
@StGeorgesUni
and
@CRY_UK
for their support
#athletes
#exercise
#scd
Tomorrow marks the announcement of the
#REF2021
results. In recognition, we’ll be celebrating the impact of our research to improve health.
We start today with
@SSharmacardio
’s team’s work improving care for athletes with heart conditions 💓:
1
6
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1
9
59
Excellent article on the fact that it is never too late to start exercising to reduce CV morbidity and mortality. Here is our view on the paper.
@DrAneilMalhotra
@StGeorgesUni
#exercise
is
#medicine
#preventive
#Cardiology
Never too old to exercise! Among older adults, engaging in higher frequency of moderate-vigorous physical activity or maintaining its level was associated with ⬇️risk of CV disease
#EHJ
@TomLuscher
#riskfactors
#CVD
2
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280
0
30
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Master athletes have more coronary calcium and mote plaques. The number of plaques may be less in cyclists than runners. Plaques are calcified which may mitigate risk of myocardial infarction
#Europrevent
2019
1
24
60
We are in an era where participation in competitive sport with an
#ICD
may be possible but the debate continues.
#venicearrhythmias2022
4
9
58
Atrial fibrillation in athletes at the
#ESCCongress
. Here are some key messages on the management of
#AF
in athletes from
@MichaelPapadak2
. I am still skeptical about pulmonary vein isolation as a first line therapy in this cohort.
#ESCCongress
2
21
59
0
7
57
Should RBBB on ECG be moved into abnormal category when evaluating sports people? Compelling evidence from
@MichaelPapadak2
@StGeorgesUni
@cry_uk
@Drstevenjcox
3
16
59
Inferolateral T wave inversion should be investigated in detail in all sports persons irrespective of ethnicity and sporting discipline
#europrevent
2018
1
27
58
140 docs, 1500
@stjohnambulance
staff,physios and podiatrists-good luck for biggest sporting event of the year.
#LondonMarathon
2016
2
37
58
3
9
58
Why do some master male athletes show high coronary calcium? What is the significance? How does one manage these athletes? Have a read of the review
@CircAHA
@ThijsEijsvogels
@VAengevaeren
#sportscardiology
#marathon
Proud to present our State-of-the-Art review
@CircAHA
about
#exercise
and
#coronary
#atherosclerosis
.
We summarize current observations, discuss underlying mechanisms, and present a clinical management strategy for
#athletes
with atherosclerosis.
2
24
90
0
22
58
We were concerned that too many athletes had trabeculations. Some fulfilled criteria for LVNC. This is no specific in most athletes. The Australian experience is also the same
@CSHeartResearch
Increased left ventricular trabeculation in highly trained athletes
2
9
20
1
14
57
Helping to prevent Young sudden cardiac death and managing families with serious genetic heart disease
#cry
Tune into
#InsideOut
tonight at 7:30pm on
@BBCOne
in London and the South East to hear from our very own
@SheppardNoelle
,
@SSharmacardio
and
@BehrElijah
, who will be talking about their life-changing work on congenital heart conditions ❤️
2
8
24
0
9
56
Looking forward to presenting the abnormal aspect of the ECG in athletes
#sports
#Cardiology
Next Monday
@MichaelPapadak2
will host a very interesting webinar in
#sportscardiology
: How to read an athlete's ECG. With none other than
@SSharmacardio
and
@antoniopellic10
. And above all, it is free for everyone.
#EAPC_ESC
#education
#cvprev
4
32
67
3
11
56
Looking forward to working with a top
#medcial
team at the
@LondonMarathon
tomorrow. October is cooler than April but
#heatstroke
occurs at low temps. Effect of
#COVID
on autonomic regulation unclear. Check stats for heatstroke and adhere to management
#guidelines
. Good luck!
1
4
55
Great sports cardiology course in Paris just prior to the
#ESCCongress
. Keynote lectures on investigating arrhythmias, dyspnoea and whether pulmonary circulation can be trained + numerous cases
@MichaelPapadak2
@EloiMarijon
@SilCastelletti
@s_gati
@VAengevaeren
@Chrigi_Schmied
1
7
56
Enjoyed the thought provoking debate with
@JacobTfelt
. Preventing sudden cardiac death in the young is very close to my heart
@CRY_UK
@CSHeartResearch
@StGeorgesUni
2
14
54
Great sports cardiology conference at Wembley Stadium to help understand causes of sudden death and current provisions to mitigate risk
#FA
#sports
#cardiology
@DrAneilMalhotra
@DanXAugustine
@harshil
@harshil_dhutia
@AmandaVarnava
0
8
54
1
9
54
Can detraining
#reduce
the
#RISK
of
#ATRIAL
#FIBRILLATION
in
#ENDURANCE
#ATHLETES
Let’s wait for the exciting results from the prospective study by
@MariusMyrstad
4
14
55
The ESC 2020 guidelines in sports cardiology and exercise prescription in individuals with CVD are very comprehensive. Here are the TOP 10 MESSAGES at your fingertips
#sport
#exercise
#safe
#health
GUIAS ESC CARDIOLOGIA DEPORTIVA Y EJERCICIO
10 MANDAMIENTOS
Vía
@ESC_Journals
@s_gati
@SSharmacardio
@escardio
Punto 1 y 10 los más importantes (para mi)
0
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3
16
53
One thing that
#sudden
#cardiac
#arrest
in a
#sporting
event can do is raise
#awareness
and show that a witnessed event with immediate
#CPR
and
#AED
use has high
#survival
rate.
#STEMILIVE2023
1
14
52
Very proud to be part of these pragmatic recommendations
@BJSM_BMJ
@Prof_MatWilson
@Breathe_to_win
@DrAneilMalhotra
@StGeorgesUni
0
21
54
It is definitely not outdated. Indeed, it is now widely accepted in Europe and US even among the athletes themselves. I still don’t think it should be MANDATORY
#Sport
#cardiology
4
9
53
This documentary highlights the great work that
@CRY_UK
facilitates. The charity funds expert cardiac autopsy of victims and first class assessment of surviving relatives at
@StGeorgesUni
and
@StGeorgesTrust
.
#CRY
0
14
53
Significance of ventricular extrasystoles in middle aged athletes. Twelve-lead ECG monitoring in athletes: Positive strides on the master athlete’s track - Sanjay Sharma, Efstathios Papatheodorou, 2018
#sports
#cardiology
0
26
52
Help me to support heart charity
@CRY_UK
with a RT to raise awareness of young sudden cardiac death, and help save young lives
#12AWeek
#RaisingAwareness
#YSCD
via
@CRY_UK
0
59
50
0
18
50
The greatest strength of this paper is to highlight the fact that although SCD in female athletes is much less common than males, IT STILL OCCURS hence and they should receive the same attention as male athletes in relation to cardiac screening
#female
#athletes
Sudden Death in Female Athletes: Insights From a Large Regional Registry in the United Kingdom
@gherardobis
@MichaelPapadak2
@SSharmacardio
@SilCastelletti
@seccCFyGenetCV
@Cardio_delaGuia
2
22
57
0
8
50
Good luck to all the medics in a fabulous team of over 160! Thanks for your help.Give it your best and have a great day!
#LondonMarathon
3
9
49
Hot debates in sports cardiology with our international speakers at the 2022
@CRY_UK
conference
@AlessandroZor14
@MichaelPapadak2
@KristinaHaugaa
@vivimaestrini
@DOCTORASANZM
@Drstevenjcox
#sports
#cardiology
0
8
50
Diagnostic yield of hypertrophic cardiomyopathy in first-degree relatives of decedents with idiopathic left ventricular hypertrophy
@gherardobis
@SSharmacardio
📎
3
19
30
1
16
49
Here is my take on some of the best abstracts in "Exercise and cardiac health"
Is exercise the best medicine?
#ESCCongress
0
21
48
Great insight into the scientific contribution arising from the Boston marathon by Dr Aaron Baggish. Marathon running improves lipid and BP profile
#Europrevent
2019
1
14
47
Heart check that could reveal if YOUR teen has a hidden problem.
1 in 300 young people in the UK have a potentially serious cardiac fault.
@CRY_UK
@StGeorgesUni
@MailOnline
@AdrianMonti
1
29
47