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March 27, 2013British Journal of Sports Medicine

Screening athletes for cardiovascular disease in Africa: a challenging experience

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Key result

Preparticipation cardiovascular screening in male African athletes identified training-unrelated ECG abnormalities in 12.4% and structural cardiac abnormalities in 5%.

Why the study?

Does preparticipation cardiovascular screening identify cardiovascular abnormalities in native African athletes?

Population

210 male Gabonian football players

Design

Cross-sectional

Authors

CSChristian SchmiedPreventive CardiologyFPFernando M. Di PaoloFederazione Medico Sportiva ItalianaAZA Yacine Zerguini

Discussion

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Member takes

Overview

May warrant targeted screening in African athletes; extends sparse data but leaves open need for prospective validation.

Study Design

Type

Cross-Sectional (n=210)

Structured PICO

Does preparticipation cardiovascular screening identify cardiovascular abnormalities in native African athletes?

P
Population
210 male Gabonian football players who underwent preparticipation cardiovascular screening with history, physical examination, ECG, and echocardiography.
E
Exposure
Preparticipation cardiovascular screening including history, physical examination, ECG, and echocardiography
O
Outcome
Identification of cardiovascular abnormalities (ECG and structural)surrogate

Preparticipation cardiovascular screening in native African athletes identifies training-unrelated ECG abnormalities in approximately 12% and structural abnormalities in 5%, though conclusive diagnosis remains challenging in developing settings.

Limitations

  • Conclusive identification of cardiac diseases is challenging in the scenario of a developing African country.

Cite This Study

Schmied et al. (2013) conducted a cross-sectional in Cardiovascular disease (n=210). Preparticipation cardiovascular screening was evaluated on Training-unrelated ECG abnormalities and structural cardiac abnormalities. Preparticipation cardiovascular screening in male African athletes identified training-unrelated ECG abnormalities in 12.4% and structural cardiac abnormalities in 5%.

synapsesocial.com/papers/6ab4c819e8fdfd10c0c03e7fhttps://doi.org/10.1136/bjsports-2012-091803
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Cardiac findings in the precompetition medical assessment of football players participating in the 2009 African Under-17 Championships in Algeria2009 · 43 citations
  2. 2Prevalence of abnormal electrocardiograms in a large, unselected population undergoing pre-participation cardiovascular screening2007 · 290 citations
  3. 3Evidence for efficacy of the Italian national pre-participation screening programme for identification of hypertrophic cardiomyopathy in competitive athletes2006 · 190 citations
  4. 4Cardiovascular pre‐participation screening of young competitive athletes for prevention of sudden death: proposal for a common European protocol2005 · 375 citations
  5. 5Pre-Participation Screening of Young Competitive Athletes for Prevention of Sudden Cardiac Death2008 · 289 citations