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

  title={National Electrocardiography Screening for Competitive Athletes: Feasible in the United States?},
  author={Barry J Maron},
  journal={Annals of Internal Medicine},
  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... 
Cardiovascular Screening of Athletes: Focused Exam, Electrocardiograms, and Limited Echocardiograms
It is postulated that intense exercise predisposes the competitive athlete with previously undetected cardiac disease to lethal rhythm disturbances, and that the risk can be diminished if the athlete is withheld from sports participation.
Can we prevent sudden cardiac death in young athletes: the debate about preparticipation sports screening
There are too many unknown about ECG screening to require it as routine testing for all high school athletes, and the risks and costs of screening are reviewed, legal ramifications and ethical implications are analysed.
Is the cost the reason for missing the ECG advantages?
  • A. Pelliccia
  • Medicine, Education
    Journal of the American College of Cardiology
  • 2012
Cardiovascular screening in asymptomatic adults: lessons for the diving world.
  • P. Douglas
  • Medicine
    Undersea & hyperbaric medicine : journal of the Undersea and Hyperbaric Medical Society, Inc
  • 2011
A summary of the estimated relative value of the components of a screening program for both younger and older athletes is provided.
Screening electrocardiograms in psychiatric research: implications for physicians and healthy volunteers
This work aimed to examine the prevalence and clinical significance of ECG abnormalities and their impact on eligibility for studies and the use of screening ECGs in psychiatric research.
Practical Recommendations and Perspectives on Cardiac Screening for Healthy Pediatric Athletes
Cardiac conditions associated with sudden death are reviewed, pertinent findings on history and physical are discussed, and clinically relevant information is provided for practitioners who are deciding which patients to refer for detailed cardiac evaluation.
Accuracy of ECG-inclusive preparticipation screening in athletes: more work to be done
The contemporary PPS debate most commonly focuses on the value of adding noninvasive testing, specifically 12-lead ECG, to the universally recommended medical/family history and focused physical examination, which includes the controversial role of ECG during PPS.
Cardiovascular screening in Olympic athletes: time to achieve a uniform standard
The chief medical officers present in Rio completed an online survey about the CV screening conducted in their countries for athletes selected to participate in the 2016 Olympic Games, providing a reliable picture of current CV screening practices in Olympic athletes.
Youth and Athletic Screening: Rationale, Methods and Outcome
New, athlete-specific ECG criteria may decrease the false positive rate, but the sensitivity and specificity of these criteria have not yet been established.


An Electrocardiogram Should Not Be Included in Routine Preparticipation Screening of Young Athletes
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
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
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.
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.
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
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
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.