Key result
Electrocardiography using European Society of Cardiology and Seattle criteria appears to provide the lowest false-positive rate for identifying dangerous cardiac abnormalities in athletes.
Why the study?
What is the most effective and efficient way to conduct pre-participation screening for student athletes?
What is the most effective and efficient way to conduct pre-participation screening for student athletes?
Targeted advanced screening with ECG using established criteria may be the most beneficial and cost-effective approach for primary prevention in high-risk athletes.
Answers are grounded in this paper and cite their sources.
May reduce false positives in athlete screening; leaves open optimal strategy pending prospective randomized trials.
It has largely been accepted that pre-participation screening for student athletes is necessary, but there is still no consensus on the most effective and efficient ways to accomplish this. Most clinical strategies are based on retrospective case series. By applying the European Society of Cardiology and Seattle criteria, electrocardiography appears to afford the lowest false-positive rate for identifying potentially dangerous cardiac abnormalities in athletes. Prospective, randomised trials may help determine the most effective primary prevention. Normative data for age, gender, and ethnicity for screening tools need to be formulated to further reduce false-positive results. Targeted advanced screening aimed at the highest risk groups may be the most beneficial and cost-effective application of primary prevention.
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Kurtz et al. (2017) conducted a review in Potentially dangerous cardiac abnormalities in athletes. Electrocardiography screening was evaluated. Electrocardiography using European Society of Cardiology and Seattle criteria appears to provide the lowest false-positive rate for identifying dangerous cardiac abnormalities in athletes.
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