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August 20, 2015Journal of the Royal Army Medical Corps

The British Army recruit cardiac screening system has transitioned from relying solely on history and physical examination to incorporating 12-lead ECG and on-site echocardiography for abnormalities.

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Why the study?

How do different cardiac screening systems perform in identifying cardiovascular disease among potential recruits to the British Army?

Population

Potential recruits to the British Army

Comparison

Newer cardiac screening system incorporating… vs Previous screening system using stereotyped…

Design

Review

Key result

The British Army recruit cardiac screening system has transitioned from relying solely on history and physical examination to incorporating 12-lead ECG and on-site echocardiography for abnormalities.

Authors

ACAndrew T. CoxMSMichael B. SmithFFF Folkes

Discussion

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Overview

May support refined screening in military recruits; leaves open need for outcome trials before wider adoption.

Structured PICO

How do different cardiac screening systems perform in identifying cardiovascular disease among potential recruits to the British Army?

P
Population
Potential recruits to the British Army
E
Exposure
Newer cardiac screening system incorporating 12-lead ECG and on-site echocardiography for individuals with abnormalities on history, examination, or ECG
C
Comparator
Previous screening system using stereotyped history and physical examination
O
Outcome
Identification of cardiac disease

The incorporation of 12-lead ECG and targeted echocardiography represents an evolution in the cardiovascular screening of British Army recruits to meet the high physical demands of service.

Cite This Study

Cox et al. (2015) conducted a review in Cardiovascular disease. Cardiac screening system vs. Previous screening system (history and physical examination) was evaluated. The British Army recruit cardiac screening system has transitioned from relying solely on history and physical examination to incorporating 12-lead ECG and on-site echocardiography for abnormalities.

synapsesocial.com/papers/6a52fbb405ef92d1f13d8ed8https://doi.org/10.1136/jramc-2015-000532
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Assessing Cardiovascular Fitness on Military Recruitment2025
  2. 2Sudden Cardiac Deaths in Young British Army Personnel2011 · 2 citations
  3. 3Sudden Cardiac Deaths in Young British Army Personnel2011 · 3 citations
  4. 4Cardiovascular Screening in the U.S. Military: Time to Reconsider the Electrocardiogram2020 · 16 citations
  5. 5Cardiac evaluation in the armed forces. A statement of the European Association of Preventive Cardiology of the ESC.2026 · 2 citations