Key result
Adding electrocardiography to pre-participation screening detects significantly more athletes with silent cardiovascular disorders at risk of sudden death, as 153 of 159 true positives in a linked study would have been overlooked by history and physical examination alone.
May support ECG-augmented screening in athletes; leaves open impact on sudden death without randomized trials.
Evidence supports a systematic screening programme before participation
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Drezner et al. (2008) conducted an editorial in Sudden cardiac death. Electrocardiography screening vs. History and physical examination alone was evaluated. Adding electrocardiography to pre-participation screening detects significantly more athletes with silent cardiovascular disorders at risk of sudden death, as 153 of 159 true positives in a linked study would have been overlooked by history and physical examination alone.
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