Debate: challenges in sports cardiology; US versus European approaches
Key result
This debate contrasts US and European approaches to the cardiological management and screening of elite athletes through a series of clinical questions.
Why the study?
Does preparticipation cardiac screening with resting ECG prevent sudden cardiac death in elite athletes without causing excessive iatrogenic harm?
Population
Elite athletes undergoing preparticipation cardiac screening
Comparison
Preparticipation cardiac screening including a… vs Preparticipation cardiac screening without a…
Design
Editorial
Authors
Discussion
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Member takes
Implication
There remains a significant transatlantic divide regarding the mandatory inclusion of resting ECG in the preparticipation screening of elite athletes, centering on the balance of diagnostic sensitivity versus potential iatrogenic harm.
Structured PICO
Does preparticipation cardiac screening with resting ECG prevent sudden cardiac death in elite athletes without causing excessive iatrogenic harm?
P
Population
Elite athletes undergoing preparticipation cardiac screening
I
Intervention
Preparticipation cardiac screening including a resting ECG
C
Comparator
Preparticipation cardiac screening without a resting ECG (history and physical examination alone)
O
Outcome
Prevention of sudden cardiac death versus potential iatrogenic harm (false positives, unnecessary procedures)
There remains a significant transatlantic divide regarding the mandatory inclusion of resting ECG in the preparticipation screening of elite athletes, centering on the balance of diagnostic sensitivity versus potential iatrogenic harm.
Cite This Study
Hamilton et al. (2012) conducted an editorial in Cardiovascular issues in elite athletes. US versus European approaches to sports cardiology was evaluated. This debate contrasts US and European approaches to the cardiological management and screening of elite athletes through a series of clinical questions.