EFFECTIVENESS OF CARDIAC SCREENING INCLUSIVE OF ECG IN YOUNG ATHLETES. Issue 7 (11th March 2014)
- Record Type:
- Journal Article
- Title:
- EFFECTIVENESS OF CARDIAC SCREENING INCLUSIVE OF ECG IN YOUNG ATHLETES. Issue 7 (11th March 2014)
- Main Title:
- EFFECTIVENESS OF CARDIAC SCREENING INCLUSIVE OF ECG IN YOUNG ATHLETES
- Authors:
- Toresdahl, B
Pelto, H
Fudge, J
Harmon, K
Rao, A
Asif, I
Owens, D
Prutkin, J
Salerno, J
Drezner, J - Abstract:
- Abstract : Background: The primary objective of pre-participation screening in athletes is the detection of potentially lethal cardiac conditions. The American Heart Association (AHA) recommends a directed history and physical examination. The added value of electrocardiogram (ECG) screening is debated . Objective: To determine the effectiveness of different cardiac screening strategies in young competitive athletes. Setting: Heart screening events in U.S. high schools from October 2010 through June 2013. Patients: Competitive athletes ages 13-19. Interventions: Heart health questionnaire and physical examination based on AHA recommendations, resting 12-lead ECG, and echocardiogram if indicated. Main outcome measurements: Prevalence of potentially lethal cardiac conditions, false-positive results, and positive predictive value for testing procedures. Results: 4, 812 athletes underwent cardiac screening (54% male, 46% female; 65% Caucasian, 10% Asian, 6% African-American, and 19% other). 23 athletes (0.5%, 1 in 209) were identified with a potentially lethal cardiac condition including 9 Wolff-Parkinson-White, 4 coronary artery anomaly, 3 dilated aortic root/aneurysm, 3 long QT syndrome, 2 hypertrophic cardiomyopathy, 1 ventricular arrhythmia, and 1 short QT syndrome. Abnormal history or physical findings led to the diagnosis in 14/23 (61%) disorders and an abnormal ECG led to the diagnosis in 16/23 (70%). The addition of ECG led to detection of 7/23 (30%) athletes notAbstract : Background: The primary objective of pre-participation screening in athletes is the detection of potentially lethal cardiac conditions. The American Heart Association (AHA) recommends a directed history and physical examination. The added value of electrocardiogram (ECG) screening is debated . Objective: To determine the effectiveness of different cardiac screening strategies in young competitive athletes. Setting: Heart screening events in U.S. high schools from October 2010 through June 2013. Patients: Competitive athletes ages 13-19. Interventions: Heart health questionnaire and physical examination based on AHA recommendations, resting 12-lead ECG, and echocardiogram if indicated. Main outcome measurements: Prevalence of potentially lethal cardiac conditions, false-positive results, and positive predictive value for testing procedures. Results: 4, 812 athletes underwent cardiac screening (54% male, 46% female; 65% Caucasian, 10% Asian, 6% African-American, and 19% other). 23 athletes (0.5%, 1 in 209) were identified with a potentially lethal cardiac condition including 9 Wolff-Parkinson-White, 4 coronary artery anomaly, 3 dilated aortic root/aneurysm, 3 long QT syndrome, 2 hypertrophic cardiomyopathy, 1 ventricular arrhythmia, and 1 short QT syndrome. Abnormal history or physical findings led to the diagnosis in 14/23 (61%) disorders and an abnormal ECG led to the diagnosis in 16/23 (70%). The addition of ECG led to detection of 7/23 (30%) athletes not otherwise identified by the AHA protocol. One case was identified by echocardiography without a relevant abnormality on history, physical, or ECG. Conclusions: Standardized history and physical examination has a high false-positive rate in cardiac screening of young athletes. ECG screening using modern interpretation criteria provides a low false-positive rate and increases the likelihood of detecting disorders associated with sudden cardiac death. An integrated screening protocol using history, physical examination, and ECG is recommended for pre-participation screening in young athletes. … (more)
- Is Part Of:
- British journal of sports medicine. Volume 48:Issue 7(2014)
- Journal:
- British journal of sports medicine
- Issue:
- Volume 48:Issue 7(2014)
- Issue Display:
- Volume 48, Issue 7 (2014)
- Year:
- 2014
- Volume:
- 48
- Issue:
- 7
- Issue Sort Value:
- 2014-0048-0007-0000
- Page Start:
- 667
- Page End:
- 667
- Publication Date:
- 2014-03-11
- Subjects:
- Sports medicine -- Periodicals
617.1027 - Journal URLs:
- http://www.bmj.com/archive ↗
http://bjsm.bmj.com/ ↗ - DOI:
- 10.1136/bjsports-2014-093494.286 ↗
- Languages:
- English
- ISSNs:
- 0306-3674
- Deposit Type:
- Legaldeposit
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- Available online (eLD content is only available in our Reading Rooms) ↗
- Physical Locations:
- British Library DSC - BLDSS-3PM
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- 19138.xml