ECG Study
A recent study suggests physicians interpreting screening ECGs of young athletes should be trained appropriately.
Wednesday, February 22, 2012
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SCOPE OF PROBLEM
- Epidemiology and outcomes from out-of-hospital cardiac arrest in children. The resuscitation outcomes consortium epistry-cardiac arrest:
- Atkins et al; Circulation 2009; 119: 1481-1491. PDF
- Sudden death in young competitive athletes. Clinical demographic & pathological profiles:
- Maron et al; JAMA 1996; 276: 199-204. Link
(demonstrates the failure of current methods of screening). - Sudden deaths in young competitive athletes. Analysis of 1866 deaths in the United States, 1980-2006:
- Maron et al; Circulation 2009; 119: 1085-1092. Link
- Incidence of sudden cardiac death in national collegiate athletic association athletes:
- Harmon et al; Circulation 2011; 123: 1594-1600. PDF
RATIONALE FOR SCREENING
- Electrocardiographic screening in athletes: The time is now for universal screening:
- Papadakis et al; British Journal of Sports Medicine 2009; 43: 663-668. PDF
- Pre-participation screening of young competitive athletes for the prevention of sudden cardiac death:
- Corrado et al; J. Am. Coll. Cardiol. 2008; 52: 1981-1989. Link
- Strategies for the prevention of sudden cardiac death during sports:
- Corrado et al; European Journal of Cardiovascular Prevention & Rehabilitation 2011; 18: 197. PDF
- Clinical Review: Pre-participation screening for cardiovascular abnormalities in young competitive athletes:
- Papadakis et al; British Medical Journal 2008; 337: al596. Link
COST EFFECTIVENESS
- Cost-effectiveness of pre-participation screening for prevention of sudden cardiac death in young athletes:
- Wheeler et al; Annals of Internal Medicine 2010; 152: 276-286. PDF
- Cost and yield of adding electrocardiography to history and physical in screening Division I intercollegiate athletes: A 5-year experience:
- Malhotra et al; Heart Rhythm 2010; 8: 721-727. PDF
- ECG screening of young adults: A low cost model:
- Marek et al; ACC 2011; A1096 E143. PDF
OUTCOMES OF SCREENING
- Trends in sudden cardiovascular death in young competitive athletes after implementation of a pre participation screening program:
- Corrado et al; Journal of American Medical Association 2006; 296: 1593-1601. PDF
- Cardiovascular screening in college athletes with and without electrocardiography:
- Baggish et al; Annals of Internal Medicine 2010; 152: 269-275. PDF
- A pilot study of the feasibility of heart screening for sudden cardiac arrest in healthy children:
- Vetter et al; American Heart Journal 2011; 10: 1-7.e3. PDF
EVALUATION OF THE ATHLETE
- 36th Bethesda Conference: eligibility recommendations for competitive athletes with cardiovascular abnormalities:
- Maron et al; J. Am. Coll. Cardiol. 2005; 45:2-63. PDF
- Recommendations for competitive sports participation in athletes with cardiovascular disease. A consensus document from the Study Group of Sports Cardiology of the Working Group of Cardiac Rehabilitation and Exercise Physiology, and the Working Group of Myocardial and pericardial disease of the European Society of Cardiology:
- Pelliccia et al; Eur. Heart J. 2005; 26:1422-45. PDF
ECG IN THE YOUNG ADULT ATHLETE
- Can computer generated ECG interpretations be relied upon when performing large scale ECG screening of young adult athletes?
- Marek et al; ACC 2011; A9108.E381. PDF
THE DEBATE
- National electrocardiography screening for competitive athletes: Feasible in the United States?
- Maron et al; Annals of Internal Med. 2010; 152: 324-326. (Editorial)
- Electrocardiography and preparticipation screening of competitive high school athletes:
- Marek; Annals of Internal Med. 2010; 153:131-132 (Letter)
- Electrocardiography and preparticipation screening of competitive high school athletes:
- Pelliccia et al; Annals of Internal Med. 2010; 153:132 (Letter)
- Electrocardiography and preparticipation screening of competitive high school athletes:
- Maron; Annals of Internal Med. 2010; 153:132-133 (Response)
- Is there evidence for recommending electrocardiogram as part of the pre-participation examination?
- Drezner et al; Clin J Sport Med 2011;21:18–24 PDF
- Preventing sudden cardiac death in athletes: finding the needle in the haystack or closing the barn door?
- Mosterd et al; European Journal of Cardiovascular Prevention & Rehabilitation 2011 18: 194. Link to Abstract
- Mandatory electrocardiographic screening of athletes to reduce their risk for sudden death: Proven fact or wishful thinking?
- Steinvil et al; J Am Coll Cardiol. 2011; 57:1291-1296. PDF
- Editorial Commentary-ECG screening for athletes: Letting evidence and reason advance the debate:
- Estes; Heart Rhythm 2011; 8: 728-730. PDF
METHODS OF SCREENING
- Efficacy of personal symptom and family history questionnaires when screening for inherited cardiac pathologies: the role of electrocardiography:
- Wilson et al; British J. Sports Medicine 2008; 42: 207-211. PDF
- A novel approach to screening for sudden cardiac death in young adults utilizing a stratified method with ECG and ECHO:
- Marek et al; J. Am. Coll. Cardiol. 2010; 55; A197.E1850. PDF
- ECG screening criteria for LVH does not correlate with diagnosis of hypertrophic cardiomyopathy:
- Sathanandam et al; Circulation 2009; 120: A2484.S647. Link