Why the study?
Does routine screening ECG improve the detection of silent cardiac abnormalities compared to history and physical exam in ROTC cadets applying for flight status?
Population
1,099 ROTC cadets applying for aviator status (healthy young adults)
Comparison
Routine screening electrocardiograms (ECGs) vs Traditional history and physical exam
Design
Cross-sectional
Key result
Screening electrocardiograms in 1,099 ROTC cadets identified 7 (0.6%) with disqualifying cardiac abnormalities that were missed by traditional history and physical examination.
Authors
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May support targeted ECG screening in select young adults; leaves open outcome impact without prospective trials.
Cross-Sectional (n=1,099)
Does routine screening ECG improve the detection of silent cardiac abnormalities compared to history and physical exam in ROTC cadets applying for flight status?
Absolute Event Rate: 0.6% vs 0%
Routine screening ECGs identified silent, potentially arrhythmogenic cardiac abnormalities in 0.6% of healthy young ROTC cadets that were missed by standard history and physical exams.
Liesemer et al. (2010) conducted a cross-sectional in Healthy young adults (n=1,099). Screening electrocardiograms (ECGs) vs. History and physical exam was evaluated on Disqualification because of ECG abnormalities. Screening electrocardiograms in 1,099 ROTC cadets identified 7 (0.6%) with disqualifying cardiac abnormalities that were missed by traditional history and physical examination.
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