What question did this study set out to answer?

To evaluate the efficacy and diagnostic utility of a cardiovascular preparticipation screening protocol including 12-lead ECG across athletes from diverse sporting disciplines.

October 25, 2009British Journal of Sports MedicineOpen Access

ECG as a part of the preparticipation screening programme: an old and still present international dilemma

Q: What is the clinical evidence from this study?

Study design: Cross-Sectional. Population: Young athletes (n=1220). Intervention: Preparticipation screening with 12-lead ECG, history, and physical examination. Primary outcome: Abnormal findings requiring additional tests.

View Full Paper

Ask AI

Bookmark

Key result

Preparticipation screening with a 12-lead ECG identified abnormal findings requiring additional tests in 7.4% of 1220 young athletes, leading to 2 diagnoses of hypertrophic cardiomyopathy.

Why the study?

Does a preparticipation screening program including a 12-lead ECG improve the detection of structural heart disease in young athletes?

Population

1,220 young athletes from different sports disciplines, mean age 23 (SD 4) years, 96% male.

Design

Cross-sectional

Authors

MFMar Fernández‐GutiérrezInstituto de Investigación Biosanitaria de Granada JPJ M A PalacioUniversidad de Oviedo EMEloya MartínUniversidad Nacional de Educación a Distancia

Discussion

Member takes

Implication

ECG screening detected rare HCM cases in young athletes; hypothesis-generating and should not yet change practice without prospective outcome data.

Key Points

To evaluate the efficacy and diagnostic utility of a cardiovascular preparticipation screening protocol including 12-lead ECG across athletes from diverse sporting disciplines.
Screened 1,220 young athletes (96% male, mean age 23 ± 4 years) across multiple sports disciplines between September 2006 and June 2008.
Conducted baseline cardiovascular assessments comprising personal history, family history, physical examination, and resting 12-lead ECG, with abnormal findings referred for advanced imaging.
A total of 90 athletes (7.4%) required secondary evaluation, with abnormal findings identified by 12-lead ECG in 75 cases (6.14%), personal or family history in 11 cases (0.9%), and physical examination in 4 cases (0.08%).
Echocardiographic assessment confirmed left ventricular hypertrophy in 8 of the 90 referred athletes, categorized as athlete's heart in 1 athlete and hypertrophic cardiomyopathy (23 mm septum) in another.
Advanced evaluation of 6 indeterminate cases via cardiac MRI revealed an additional case of hypertrophic cardiomyopathy with an apical variant.

Study Design

Type

Cross-Sectional (n=1,220)

Structured PICO

Does a preparticipation screening program including a 12-lead ECG improve the detection of structural heart disease in young athletes?

Population

1220 young athletes (96% male, mean age 23 years) from different sports disciplines undergoing cardiovascular preparticipation screening.

Exposure

Preparticipation cardiovascular screening including personal and family history, physical examination, and a resting 12-lead ECG.

Outcome

Detection of abnormal findings requiring additional tests and identification of structural heart disease.surrogate

Adding a 12-lead ECG to history and physical examination in preparticipation screening of young athletes effectively identifies individuals with potentially lethal structural heart diseases like hypertrophic cardiomyopathy.

Cite This Study

Fernández‐Gutiérrez et al. (2009) conducted a cross-sectional in Young athletes (n=1,220). Preparticipation screening with 12-lead ECG, history, and physical examination was evaluated on Abnormal findings requiring additional tests. Preparticipation screening with a 12-lead ECG identified abnormal findings requiring additional tests in 7.4% of 1220 young athletes, leading to 2 diagnoses of hypertrophic cardiomyopathy.

synapsesocial.com/papers/6a9f87244d0038231e2b630e https://doi.org/10.1136/bjsm.2009.063958

Topics

Echocardiography

View Full Paper

Ask AI

Bookmark

Implication

ECG screening detected rare HCM cases in young athletes; hypothesis-generating and should not yet change practice without prospective outcome data.

ECG as a part of the preparticipation screening programme: an old and still present international dilemma

Discussion

Member takes

Implication

Key Points

Study Design

Structured PICO

Cite This Study

Topics

ECG as a part of the preparticipation screening programme: an old and still present international dilemma

Discussion

Member takes

Implication

Key Points

Study Design

Structured PICO

Cite This Study

Also Consider

Topics

Also Consider