Key result
AHA 12-element screening yields ~24% positive history rates while abnormal ECGs vary widely by criteria.
Why the study?
The prevalence of athletes screening positive under the AHA 12-element preparticipation examination guidelines combined with three screening ECG criteria required examination.
What is the prevalence of positive screening results using the AHA 12-elements and various ECG interpretation criteria in athletes?
Population
1596 athletes including high school, collegiate, and professional participants
Comparison
AHA history elements in combination with Seattle, Stanford, and ESC ECG criteria
Design
Observational cross-sectional study
Authors
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High positive AHA rates and ECG criterion variability may increase unnecessary evaluations; leaves open optimal preparticipation screening strategy in athletes.
Cross-Sectional (n=1,596)
No
What is the prevalence of positive screening results using the AHA 12-elements and various ECG interpretation criteria in athletes?
The currently recommended AHA 12-element preparticipation screening guidelines yield a high rate of positive responses in athletes, and ECG abnormality rates vary significantly depending on the interpretation criteria used.
Dunn et al. (2015) conducted a cross-sectional in Athletes (n=1,596). AHA 12-element guidelines and ECG criteria was evaluated on Positive response to AHA personal and family history elements. Screening with the AHA 12-element guidelines yielded a 23.8% positive response rate, while abnormal ECG rates varied from 6.0% (Seattle criteria) to 26.8% (ESC recommendations).
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