What does this research mean for the field?

Q: What does this research mean for the field?

Electrocardiogram (ECG) screening is significantly more effective than standard cardiac history and physical examination for detecting serious cardiovascular abnormalities in high school athletes, while maintaining a similarly high specificity. Novelty: ClaimNovelty.CONTRADICTORY. Consensus alignment: ConsensusAlignment.CHALLENGES_CONSENSUS.

September 1, 1997Medicine & Science in Sports & Exercise

Prospective screening of 5,615 high school athletes for risk of sudden cardiac death

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Why the study?

Does adding an ECG to usual preparticipation screening improve the detection of serious cardiovascular abnormalities in high school athletes?

Population

5,615 male and female high school athletes from 30 different high schools in northern Nevada

Comparison

Electrocardiogram added to usual… vs Usual preparticipation screening alone

Design

Cohort

Authors

CFColin M. Fuller CMCANDACE M. McNULTY DSDonald A. Spring

Discussion

Member takes

Overview

ECG may aid detection in high school athletes; challenges low-specificity consensus but remains hypothesis-generating and should not yet change practice.

Structured PICO

Does adding an ECG to usual preparticipation screening improve the detection of serious cardiovascular abnormalities in high school athletes?

Population

5,615 male and female high school athletes from 30 different high schools in northern Nevada

Intervention

Electrocardiogram (ECG) added to usual preparticipation screening, followed by echocardiogram if screening was abnormal

Comparator

Usual preparticipation screening alone (abbreviated cardiac history, auscultation/inspection, and blood pressure measurement)

Outcome

Detection of serious or potentially serious cardiovascular abnormalities defined by the 16th Bethesda Conference (abnormalities precluding sports participation or requiring further testing)surrogate

Adding an ECG to standard preparticipation screening in high school athletes is highly specific and significantly more effective at detecting serious cardiovascular abnormalities than history and physical examination alone.

Cite This Study

Fuller et al. (1997) studied this question.

synapsesocial.com/papers/6a14070b32782f38666272e3 https://doi.org/10.1097/00005768-199709000-00003

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September 1, 1997Medicine & Science in Sports & Exercise

Prospective screening of 5,615 high school athletes for risk of sudden cardiac death

View Full Paper

Ask AI

Bookmark

Why the study?

Does adding an ECG to usual preparticipation screening improve the detection of serious cardiovascular abnormalities in high school athletes?

Population

5,615 male and female high school athletes from 30 different high schools in northern Nevada

Comparison

Electrocardiogram added to usual… vs Usual preparticipation screening alone

Design

Cohort

Authors

CFColin M. Fuller CMCANDACE M. McNULTY DSDonald A. Spring

Discussion

Member takes

Overview

ECG may aid detection in high school athletes; challenges low-specificity consensus but remains hypothesis-generating and should not yet change practice.

Structured PICO

Does adding an ECG to usual preparticipation screening improve the detection of serious cardiovascular abnormalities in high school athletes?

Population

5,615 male and female high school athletes from 30 different high schools in northern Nevada

Intervention

Electrocardiogram (ECG) added to usual preparticipation screening, followed by echocardiogram if screening was abnormal

Comparator

Usual preparticipation screening alone (abbreviated cardiac history, auscultation/inspection, and blood pressure measurement)

Outcome

Detection of serious or potentially serious cardiovascular abnormalities defined by the 16th Bethesda Conference (abnormalities precluding sports participation or requiring further testing)surrogate

Cite This Study

Fuller et al. (1997) studied this question.

synapsesocial.com/papers/6a14070b32782f38666272e3 https://doi.org/10.1097/00005768-199709000-00003

Also Consider

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

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