National Electrocardiography Screening for Competitive Athletes: Feasible in the United States?

@article{Maron2010NationalES,
  title={National Electrocardiography Screening for Competitive Athletes: Feasible in the United States?},
  author={Barry J Maron},
  journal={Annals of Internal Medicine},
  year={2010},
  volume={152},
  pages={324 - 326}
}
  • B. Maron
  • Published 2 March 2010
  • Medicine, Education
  • Annals of Internal Medicine
Two articles in this issue offer much-needed data on presport screening with ECG. In a study of 510 college student–athletes, Baggish and colleagues report that screening with ECG enhanced sensitiv... 
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References

SHOWING 1-10 OF 28 REFERENCES
An Electrocardiogram Should Not Be Included in Routine Preparticipation Screening of Young Athletes
TLDR
The 12- Element AHA Recommendations for Preparticipation Cardiovascular Screening of Competitive Athletes remain unchanged and do not include universal 12-lead ECG recordings as part of every preparticipation history and physical examination, unless, of course, the athlete fails the 12-point examination.
Pre-participation screening of young competitive athletes for prevention of sudden cardiac death.
Cost-Effectiveness of Preparticipation Screening for Prevention of Sudden Cardiac Death in Young Athletes
TLDR
Screening young athletes with 12-lead ECG plus cardiovascular-focused history and physical examination may be cost-effective and sensitive to the relative risk reduction associated with nonparticipation and the cost of initial screening.
Electrocardiograms Should Be Included in Preparticipation Screening of Athletes
TLDR
A reasoned alternative approach is provided to the AHA recommendation that ECG screening is not warranted as a component of preparticipation evaluations unless specific observations in the history or physical examination exist that trigger a more extensive cardiovascular evaluation.
Evidence for efficacy of the Italian national pre-participation screening programme for identification of hypertrophic cardiomyopathy in competitive athletes.
TLDR
The Italian national pre-participation screening programme including 12-lead ECG appears to be efficient in identifying young athletes with HCM, leading to their timely disqualification from competitive sports, and data suggest that routine echocardiography is not an obligatory component of broad-based screening programmes designed to identify young athleteswith HCM.
Results of screening a large group of intercollegiate competitive athletes for cardiovascular disease.
Preparticipation cardiovascular screening for US collegiate student-athletes.
TLDR
The preparticipation screening process used by many US colleges and universities may have limited potential to detect (or raise the suspicion of) cardiovascular abnormalities capable of causing sudden death in competitive student-athletes.
Cardiovascular pre-participation screening of young competitive athletes for prevention of sudden death: proposal for a common European protocol.
  • C. Wren
  • Medicine
    European heart journal
  • 2005
TLDR
The main purpose of the consensus document is to reinforce the principle of the need for pre-participation medical clearance of all young athletes involved in organized sports programmes on the basis of the proven efficacy of systematic screening by 12-lead ECG to identify hypertrophic cardiomyopathy and to prevent athletic field fatalities.
Sudden cardiac death in athletes: the Lausanne Recommendations
  • K. Bille, David Figueiras, E. Meijboom
  • Medicine, Education
    European journal of cardiovascular prevention and rehabilitation : official journal of the European Society of Cardiology, Working Groups on Epidemiology & Prevention and Cardiac Rehabilitation and Exercise Physiology
  • 2006
TLDR
Sudden cardiac death occurs more frequently in young athletes, even those under the age of 18 years, than expected and is predominantly caused by pre-existing congenital cardiac abnormalities.
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