Why the study?
The study aimed to evaluate the impact of adding constant-load ECG stress testing to assess ventricular arrhythmia inducibility to standard preparticipation evaluation protocols.
Does adding constant-load ECG stress testing to standard preparticipation evaluation improve the diagnostic yield for identifying cardiac diseases at risk of sudden cardiac death in young athletes?
Population
10,985 young athletes (median age 15 years, 66% males)
Comparison
Standard PPE plus constant-load EST vs standard PPE alone
Design
Consecutive cohort study
Follow-up
32 ± 21 months
Authors
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Adding EST to PPE may increase VA detection in athletes; leaves open whether it improves risk stratification before practice change.
Does adding constant-load ECG stress testing to standard preparticipation evaluation improve the diagnostic yield for identifying cardiac diseases at risk of sudden cardiac death in young athletes?
Adding ECG stress testing to standard preparticipation screening in young athletes increases the detection of at-risk cardiac conditions but at the expense of increased false-positive findings.
Zorzi et al. (2019) studied this question.
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