Electrocardiography-inclusive screening strategies for detection of cardiovascular abnormalities in high school athletes

Heart Rhythm

Volumn 11, Issue 3, 2014, Pages 442-449

  Price, David E ^a   McWilliams, Andrew ^a   Asif, Irfan M ^b   Martin, Anthony ^a   Elliott, Spencer D ^c   Dulin, Michael ^a   Drezner, Jonathan A ^d  

^a LEVINE CANCER INSTITUTE   (United States)

^b UNIVERSITY OF TENNESSEE   (United States)

^c Novant Health ^*  (United States)

^d UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE   (United States)

Author keywords

Athlete; Echocardiogram; Electrocardiogram; Preparticipation screening; Sudden cardiac death

Indexed keywords

ATHLETE; ECHOCARDIOGRAM; ELECTROCARDIOGRAM; PREPARTICIPATION SCREENING; SUDDEN CARDIAC DEATH;

ADOLESCENT; ATHLETES; DEATH, SUDDEN, CARDIAC; ECHOCARDIOGRAPHY; ELECTROCARDIOGRAPHY; FEMALE; HUMANS; MALE; MASS SCREENING; MEDICAL HISTORY TAKING; PHYSICAL EXAMINATION; PROSPECTIVE STUDIES;

EID: 84894561083     PISSN: 15475271     EISSN: 15563871     Source Type: Journal    
DOI: 10.1016/j.hrthm.2013.12.002     Document Type: Article

References (53)

1. B.J. Maron, T.E. Gohman, and D. Aeppli Prevalence of sudden cardiac death during competitive sports activities in Minnesota high school athletes J Am Coll Cardiol 32 1998 1881 1884
2. B.J. Maron, J. Shirani, and L.C. Poliac et al. Sudden death in young athletes N Engl J Med 349 2003 1064 1075
3. B.J. Maron, W.-K. Shen, and M.S. Link et al. How should we screen competitive athletes for cardiovascular disease? Eur Heart J 26 2005 428 430
4. B.J. Maron, J. Shirani, and L.C. Poliac et al. Sudden death in young competitive athletes: clinical, demographic, and pathological profiles JAMA 276 1996 199 204
5. S.P. Van Camp, C.M. Bloor, and F.O. Mueller et al. Nontraumatic sports death in high school and college athletes Med Sci Sports Exerc 27 1995 641 647
6. B.J. Maron Cardiovascular risks to young persons on the athletic field Ann Intern Med 129 1998 379 386
7. B.J. Maron, P.D. Thompson, and M.J. Ackerman et al. Recommendations and considerations related to preparticipation screening for cardiovascular abnormalities in competitive athletes: 2007 update: a scientific statement from the American Heart Association Council on Nutrition, Physical Activity, and Metabolism: endorsed by the American College of Cardiology Foundation Circulation 115 2007 1643-1455
8. D. Corrado, A. Pelliccia, and H.H. Bjarnstad et al. Cardiovascular pre-participation screening of young competitive athletes for prevention of sudden death: proposal for a common European protocol. Consensus Statement of the Study Group of Sport Cardiology of the Working Group of Cardiac Rehabilitation and Exercise Physiology and the Working Group of Myocardial and Pericardial Diseases of the European Society of Cardiology Eur Heart J 26 2005 516 524
9. Sudden Cardiac Arrest Association Saving Lives in Schools and Sports 2008 Sudden Cardiac Arrest Association Washington, DC
10. B.J. Maron, J.J. Doerer, and T.S. Haas et al. Sudden deaths in young competitive athletes: analysis of 1866 deaths in the United States, 1980-2006 Circulation 119 2009 1085 1092
11. K. Helliker, and K. Kranhold Doctors miss signs of heart defects in young athletes The Wall Street Journal 2005
12. J.A. Drezner, J.S. Chun, and K.G. Karmon et al. Preparing for sudden cardiac arrest: the essential role of automated external defibrillators in athletic medicine: a critical review BJSM 43 2009 702 707
13. K.G. Harmon, I.M. Asif, and D. Klossner et al. Incidence of sudden cardiac death in National Collegiate Athletic Association athletes Circulation 123 2011 1594 1600
14. M.G. Wilson, J.C. Chatard, and F. Carre et al. Prevalence of electrocardiographic abnormalities in West-Asian and African male athletes Br J Sports Med 46 2011 341 372
15. B. Bessem, F.P. Groot, and W. Nieuwland et al. The Lausanne recommendations: a Dutch experience Br J Sports Med 43 2009 708 715
16. R. Malhotra, J.J. West, and J. Dent et al. Cost and yield of adding electrocardiography to history and physical in screening Division I intercollegiate athletes: a 5-year experience Heart Rhythm 8 2011 721 727
17. A.L. Baggish, A.M. Hutter, and F. Wang et al. Cardiovascular screening in college athletes with and without electrocardiography: a cross sectional study Ann Intern Med 152 2010 269 275
18. C.M. Fuller, C.M. McNulty, and D.A. Spring et al. Prospective screening of 5,615 high school athletes for risk of sudden cardiac death Med Sci Sports Exerc 29 1997 1131 1138
19. D. Corrado, C. Basso, and A. Pavei et al. Trends in sudden cardiovascular death in young competitive athletes after implementation of a preparticipation screening program JAMA 296 2006 1593 1601
20. A. Steinvil, T. Chundadze, and D. Zeltser et al. Mandatory electrocardiographic screening of athletes to reduce their risk for sudden death. Proven fact or wishful thinking? J Am Coll Cardiol 57 2011 1291 1296
21. M. Rizzo, A. Spataro, and C. Cecchetelli et al. Structural cardiac disease diagnosed by echocardiography in asymptomatic young male soccer players: implications for pre-participation screening Br J Sports Med 46 2011 371 373
22. E.J. Weidenbener, M.D. Krauss, and B.F. Waller et al. Incorporation of screening echocardiography in the preparticipation exam Clin J Sport Med 5 1995 86 89
23. E.A. Shry, C.J. Leding, and B.J. Rubal et al. The role of limited echocardiography and electrocardiography in screening physicals for amateur athletes Mil Med 167 2002 831 834
24. R.A. Wyman, R.Y. Chiu, and P.S. Rahko The 5-minute screening echocardiogram for athletes J Am Soc Echocardiogr 21 2008 786 788
25. L. Stefani, G. Galanti, and L. Toncelli et al. Bicuspid aortic valve in competitive athletes Br J Sports Med 42 2008 31 35
26. A. Ljungqvist, P.J. Jenoure, and L. Engebretsen et al. The International Olympic Committee (IOC) consensus statement on periodic health evaluation of elite athletes Clin J Sport Med 19 2009 347 365
27. J. Dvorak, K. Grimm, C. Schmied, and A. Junge Development and implementation of a standardized precompetition medical assessment of international elite football players - 2006 FIFA World Cup Germany Clin J Sport Med 19 2009 316 321
28. I.M. Asif, and J.A. Drezner Sudden cardiac death and preparticipation screening: the debate continues-in support of electrocardiogram-inclusive preparticipation screening Prog Cardiovasc Dis 54 2012 445 450
29. J.A. Drezner, and D. Corrado Is there evidence for recommending electrocardiogram as part of the pre-participation examination? Clin J Sport Med 21 2011 18 24
30. S. Sharma Point/Mandatory ECG screening of young competitve athletes Heart Rhythm 9 2012 1896
31. B.J. Maron Counterpoint/mandatory ECG screening of young competitive athletes Heart Rhythm 9 2012 1897
32. B. Hamilton, B.D. Levine, and P.D. Thompson et al. Debate: challenges in sports cardiology; US versus European approaches Br J Sports Med 46 Suppl 1 2012 i9 14
33. A. Pelliccia, D.P. Zipes, and B.J. Maron et al. Bethesda Conference #36 and the European Society of Cardiology Consensus Recommendations revisited: a comparison of U.S. and European criteria for eligibility and disqualification of competitive athletes with cardiovascular abnormalities J Am Coll Cardiol 52 2008 1990 1996
34. National High Blood Pressure Education Program Working Group on High Blood Pressure in Children and Adolescents. The fourth report on the diagnosis, evaluation, and treatment of high blood pressure in children and adolescents. Pediatrics 2004;114:555-576.
35. D. Corrado, A. Pelliccia, and H. Heidbuchel et al. Recommendation for interpretation of 12 lead ECG in the athlete Eur Heart J 31 2010 243 259
36. J. Drezner, I. Asif, and D. Owens et al. Accuracy of ECG interpretation in competitive athletes: the impact of using standardized ECG criteria Br J Sports Med 46 2012 335 340
37. B.J. Maron Distinguishing hypertrophic cardiomyopathy from athlete's heart physiological remodeling: clinical significance, diagnostic strategies and implications for preparticipation screening Br J Sports Med 43 2009 649 656
38. J. Marek, V. Bufalino, and J. Davis et al. Feasibility and findings of large-scale electrocardiographic screening in young adults: data from 32,561 subjects Heart Rhythm 8 2011 1555 1559
39. V. Menashe Heart murmurs Pediatr Rev 28 2007 e19 e22
40. B.J. Maron, J.H. Moller, and C.E. Seidman et al. Hypertrophic cardiomyopathy Lancet 350 1997 127 133
41. M.G. Wilson, S. Basavarajaiah, and G.P. Whyte et al. Efficacy of personal symptom and family history questionnaires when screening for inherited cardiac pathologies: the role of electrocardiography Br J Sports Med 42 2008 207 211
42. A.C. Hevia, M.M. Fernandez, and J.M. Palacio et al. ECG as a part of the preparticipation screening programme: an old and still present international dilemma Br J Sports Med 42 3 2008 207 211
43. A. Pelliccia, F.M. Di Paolo, and D. Corrado et al. Evidence for the efficacy of the Italian national pre-participation screening programme for identification of hypertrophic cardiomyopathy in competitive athletes Eur Heart J 27 2006 2196 2200
44. J.A. Drezner, M.J. Ackerman, and J. Anderson et al. Electrocardiographic interpretation in athletes: the "Seattle Criteria." Br J Sports Med 47 2013 122 124
45. J.A. Drezner, M.J. Ackerman, and B.C. Cannon et al. Abnormal electrocardiographic findings in athletes: recognizing changes suggestive of primary electrical disease Br J Sports Med 47 2013 153 167
46. J.A. Drezner, E. Ashley, and A.L. Baggish et al. Abnormal electrocardiographic findings in athletes: recognizing changes suggestive of cardiomyopathy Br J Sports Med 47 2013 137 152
47. J.A. Drezner, P. Fischbach, and V. Froelicher et al. Normal electrocardiographic findings: recognizing physiologic adaptations in athletes Br J Sports Med 47 2013 125 136
48. M. Papadakis, F. Carre, and G. Kervio et al. The prevalence, distribution, and clinical outcomes of electrocardiographic repolarization patterns in male athletes of African/Afro-Caribbean origin Eur Heart J 32 2011 2304 2313
49. F.M. Di Paolo, C. Schmied, and Y.A. Zerguini et al. The athlete's heart in adolescent Africans: an electrocardiographic and echocardiographic study J Am Coll Cardiol 59 2012 1029 1036
50. B.J. Maron, J.M. Gardin, and J.M. Flack et al. Prevalence of hypertrophic cardiomyopathy in a general population of young adults Circulation 92 1995 785 789
51. E.J. Rowin, B.J. Maron, and E. Appelbaum et al. Significance of false negative electrocardiograms in preparticipation screening of athletes for hypertrophic cardiomyopathy Am J Cardiol 110 2012 1027 1032
52. S. Basavarajaiah, M. Wilson, and G. Whyte et al. Prevalence of hypertrophic cardiomyopathy in highly trained athletes. Relevance to preparticipation screening J Am Coll Cardiol 51 2008 1033 1039
53. K.H. Averill, and L.E. Lamb Electrocardiographic findings in 67,375 asymptomatic subjects: incidence of abnormalities Am J Cardiol 6 1960 76 83