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March 1, 2016Current Sports Medicine Reports

Cardiovascular Screening in Young Athletes

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Why the study?

Does preparticipation cardiovascular screening inclusive of an ECG improve the identification of conditions predisposing to sudden cardiac death in young athletes compared to history and physical examination alone?

Population

Young athletes

Comparison

Preparticipation cardiovascular screening… vs Traditional model of medical history and…

Design

Review

Key result

ECG-inclusive cardiovascular screening enhances the detection of conditions predisposing young athletes to sudden cardiac death compared to medical history and physical examination alone.

Authors

IAIrfan M. AsifJDJonathan A. Drezner

Discussion

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Overview

May support ECG-inclusive screening in athletes; leaves open need for prospective outcome trials before practice change.

Key Points

  • To review the evidence supporting the inclusion of an electrocardiogram in preparticipation cardiovascular screening programs for young competitive athletes.
  • Evaluated current literature regarding the incidence and mechanisms of sudden cardiac death in competitive athletes.
  • Compared diagnostic sensitivity, false-positive rates, and cost-effectiveness between standard history and physical examinations and electrocardiogram-inclusive screening protocols using modern interpretation criteria.
  • Standard preparticipation screening with history and physical examination alone demonstrates poor sensitivity for uncovering cardiovascular conditions associated with sudden cardiac death.
  • The addition of an electrocardiogram substantially increases disease detection rates among young athletes.
  • Modern athlete-specific electrocardiogram interpretation criteria significantly reduce false-positive findings, improving overall cost-effectiveness and diagnostic accuracy.

Structured PICO

Does preparticipation cardiovascular screening inclusive of an ECG improve the identification of conditions predisposing to sudden cardiac death in young athletes compared to history and physical examination alone?

P
Population
Young athletes
I
Intervention
Preparticipation cardiovascular screening inclusive of an electrocardiogram (ECG)
C
Comparator
Traditional model of medical history and physical examination
O
Outcome
Identification of athletes with conditions that predispose them to sudden cardiac death (SCD)

ECG-inclusive cardiovascular screening strategies are recommended as best practice for high-risk young athletes to better identify conditions predisposing to sudden cardiac death.

Cite This Study

Asif et al. (2016) conducted a review in Sudden cardiac death risk in young athletes. ECG-inclusive cardiovascular screening vs. Medical history and physical examination was evaluated. ECG-inclusive cardiovascular screening enhances the detection of conditions predisposing young athletes to sudden cardiac death compared to medical history and physical examination alone.

synapsesocial.com/papers/6a0ebc17a14f152feaf9c4f3https://doi.org/10.1249/jsr.0000000000000247
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