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Blacks and screenings... more complex then most think


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Lisa Salberg Find out more about Lisa Salberg
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  • Blacks and screenings... more complex then most think

    Let me first be clear - in the USA we normally refer to those of African decent as African American - in the UK and Europe this population is simply referred to as Black. When reading literature from Europe there are several areas the names of populations come into play including the term "Asian" - which means anyone from the Asian continent - in the USA this would not be the case. So having said that -
    This article came to my attention about the use of ECG's in the young - and athletes. http://www.escardio.org/communities/...se-Sharma.aspx
    the big take home message to me was this section:

    1. Black athletes exhibit more LVH than white athletes.
    2. Black athletes reveal more marked repolarisation abnormalities than white athletes.
    3. LVH of greater than 16mm in a male black athlete, and 14mm in a female black athlete are suggestive of pathological LVH rather than physiological LVH.
    4. Deep T wave inversions in leads V1-V4 are common in black athletes and appear to be benign.
    5. Deep T wave inversions in the inferior or lateral leads raise suspicion of cardiac pathology (HCM) and require further clinical evaluation.

    This data will help to better identify those needing additional follow up.
    Well just one more piece of the puzzle!

    Knowledge is power ... Stay informed!
    YOU can make a difference - all you have to do is try!

    Dx age 12 current age 46 and counting!
    lost: 5 family members to HCM (SCD, Stroke, CHF)
    Others diagnosed living with HCM (or gene +) include - daughter, niece, nephew, cousin, sister and many many friends!
    Therapy - ICD (implanted 97, 01, 04 and 11, medication
    Currently not obstructed
    Complications - unnecessary pacemaker and stroke (unrelated to each other)

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