Key result
Pre-participation cardiac screening using the Lausanne recommendations identified serious cardiovascular conditions in 3% of male athletes, with a number needed to screen of 33.
Cross-Sectional (n=230)
No
Number Needed to Treat: 33
Number Needed to Treat: 33
Pre-participation screening including 12-lead ECG in male athletes in the UAE successfully identified serious cardiovascular conditions with an acceptable number needed to screen of 33.
Screening data from this cohort may guide local athlete protocols; leaves open need for prospective outcome studies before broader adoption.
This study presents the results of pre-participation musculoskeletal and cardiac screening using the Lausanne recommendations, which include a personal and family history, physical examination and electrocardiography. Cross sectional study using the Lausanne screenings and the European Society of Cardiology (ESC) recommendations carried out at Al-Ahli club in Dubai, United Arab Emirates. 230 male athletes participating in organised sports were included. Exclusion criteria were those under 14 or over 35 years old, females and athletes with established cardiovascular disease. Primary outcome are the results of Lausanne screening with outline of the negative, positive and false positive results and number needed to screen. Secondary outcomes include the results of musculoskeletal and neurological screening. A total of 174 (76%) athletes had a negative screening result. Fifty-four athletes (23%) underwent additional testing. Forty-seven athletes (20.4%) had false positive screening results. Seven athletes (3%) had a positive screening result and four athletes (2%) were restricted from sport. The number of athletes needed to screen to detect one lethal cardiovascular condition was 33 athletes. The Lausanne recommendations are well suited for the United Arab Emirates. The number needed to screen to detect one athlete with serious cardiovascular disease is acceptable at 33.
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Alattar et al. (2014) conducted a cross-sectional in Male athletes participating in organised sports (n=230). Lausanne recommendations pre-participation screening was evaluated on Detection of cardiovascular conditions and number needed to screen (NNS 33). Pre-participation cardiac screening using the Lausanne recommendations identified serious cardiovascular conditions in 3% of male athletes, with a number needed to screen of 33.
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