Key result
Routine electrocardiogram screening detected cardiac abnormalities in 3.3% of asymptomatic children and adolescents, identifying potentially life-threatening arrhythmias missed by clinical examination.
Why the study?
Guidelines diverge on whether to routinely include an ECG when screening children and adolescents for cardiac abnormalities before sports participation.
Does the addition of a resting 12-lead ECG to clinical examination improve the detection of cardiac abnormalities in asymptomatic children and adolescents before starting physical exercise?
Cross-Sectional (n=983)
No
Does the addition of a resting 12-lead ECG to clinical examination improve the detection of cardiac abnormalities in asymptomatic children and adolescents before starting physical exercise?
Routine resting ECG during pre-participation screening in children and adolescents can identify potentially life-threatening arrhythmias that are missed by clinical examination and medical history alone.
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Silva et al. (2023) conducted a cross-sectional in Asymptomatic children and adolescents (n=983). Electrocardiogram (ECG) screening vs. Clinical examination was evaluated on Electrocardiographic abnormalities. Routine electrocardiogram screening detected cardiac abnormalities in 3.3% of asymptomatic children and adolescents, identifying potentially life-threatening arrhythmias missed by clinical examination.
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