Key result
Study outlines rationale and design for meta-analysis evaluating International Criteria for athlete ECG screening.
Why the study?
To comprehensively review and determine the diagnostic accuracy of the International Criteria compared with previous ECG criteria for detecting sudden cardiac death-related cardiac anomalies in athletes during preparticipation screening.
Do the International Criteria for ECG interpretation improve diagnostic accuracy for detecting cardiac anomalies related to sudden cardiac death in athletes compared to previous criteria?
Meta-Analysis
Do the International Criteria for ECG interpretation improve diagnostic accuracy for detecting cardiac anomalies related to sudden cardiac death in athletes compared to previous criteria?
This paper outlines the rationale and design for a diagnostic meta-analysis to evaluate the accuracy of the International Criteria for ECG screening in athletes.
No change to athlete ECG screening; planned meta-analysis will determine if International Criteria enhance diagnostic accuracy.
INTRODUCTION: The impact of the International Criteria for ECG interpretation in athletes has further improved the diagnostic accuracy of the 12-lead ECG use for preparticipation screening (PPS); moreover, these criteria have been evaluated in different populations of athletes and settings proving good results.EVIDENCE ACQUISITION: We aimed to perform a comprehensive review of the use of the International Criteria for ECG interpretation in athletes, stemming from a systematic review to diagnostic meta-analysis, limiting our inclusion only to observational studies to determine the diagnostic accuracy of ECG for detecting cardiac anomalies related to sudden cardiac death in athletes.EVIDENCE SYNTHESIS: This meta-analysis is expected to include several important studies related to PPS on different populations of athletes comparing different ECG criteria and detail important data on the diagnostic accuracy of ECG in PPS. Furthermore, we intend to highlight the advantage of using ECG in PPS.CONCLUSIONS: The present diagnostic meta-analysis results will aid sports medicine physicians and cardiologist in adhering to the most accurate criteria for ECG evaluation in athletes and it may help to solve controversies aroused regarding the excess cost of ECG in PPS related to the amount of false positive cases.
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Cavarretta et al. (2022) conducted a meta-analysis in Cardiac anomalies related to sudden cardiac death in athletes. International Criteria for ECG interpretation vs. Previous published criteria was evaluated on Diagnostic accuracy of ECG for detecting cardiac anomalies related to sudden cardiac death. This paper outlines the rationale and design for a diagnostic meta-analysis to evaluate the accuracy of the International Criteria for ECG screening in athletes; no results are reported.
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