Cardiac screening of young athletes prior to participation in sports: Difficulties in detecting the fatally flawed among the fabulously fit

JAMA Internal Medicine

Volumn 175, Issue 1, 2015, Pages 125-127

  Sharma, Sanjay ^a   Merghani, Ahmed ^a   Gati, Sabiha ^a  

^a ST GEORGE'S UNIVERSITY OF LONDON   (United Kingdom)

Author keywords

[No Author keywords available]

Indexed keywords

AFRICAN; AFRICAN CARIBBEAN; ATHLETE; ATHLETE PREPARTICIPATION CARDIAC SCREENING; CARDIOVASCULAR SYSTEM EXAMINATION; CLINICAL EFFECTIVENESS; CONGENITAL HEART DISEASE; CONGESTIVE CARDIOMYOPATHY; ECG ABNORMALITY; ELECTROCARDIOGRAPHY; ENDURANCE SPORT; FALSE POSITIVE RESULT; HEART DISEASE; HEART EJECTION FRACTION; HEART LEFT VENTRICLE HYPERTROPHY; HEART LEFT VENTRICLE WALL; HEART RIGHT VENTRICLE DYSPLASIA; HUMAN; HYPERTROPHIC CARDIOMYOPATHY; ISRAEL; PHYSICAL EXAMINATION; PREDICTIVE VALUE; RACE DIFFERENCE; REVIEW; RISK ASSESSMENT; SCREENING; SPORT; SPORT INJURY; SPORTS MEDICINE; SUDDEN CARDIAC DEATH; THROMBOEMBOLISM; UNITED STATES; VENTRICULAR NONCOMPACTION; ANAMNESIS; CARDIOVASCULAR DISEASES; DEATH, SUDDEN, CARDIAC; MASS SCREENING; PROCEDURES;

ATHLETES; CARDIOVASCULAR DISEASES; DEATH, SUDDEN, CARDIAC; ELECTROCARDIOGRAPHY; HUMANS; MASS SCREENING; MEDICAL HISTORY TAKING; PHYSICAL EXAMINATION; SPORTS; UNITED STATES;

EID: 84920608219     PISSN: 21686106     EISSN: None     Source Type: Journal    
DOI: 10.1001/jamainternmed.2014.6023     Document Type: Review

References (21)

1. Corrado D, Basso C, Pavei A,Michieli P, Schiavon M, Thiene G. Trends in sudden cardiovascular death in young competitive athletes after implementation of a preparticipation screening program. JAMA. 2006;296(13):1593-1601.
2. RobertsWO, Stovitz SD. Incidence of sudden cardiac death inMinnesota high school athletes 1993-2012 screened with a standardized pre-participation evaluation. J AmColl Cardiol. 2013;62(14):1298-1301.
3. Sheikh N, PapadakisM, Ghani S, et al. Comparison of electrocardiographic criteria for the detection of cardiac abnormalities in elite black and white athletes. Circulation. 2014;129(16):1637-1649.
4. Maron BJ, Thompson PD, Ackerman MJ, et al; American Heart Association Council on Nutrition, Physical Activity, and Metabolism. 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. 2007;115(12):1643-1655.
5. Corrado D, Pelliccia A, Heidbuchel H, et al; Section of Sports Cardiology, European Association of Cardiovascular Prevention and Rehabilitation. Recommendations for interpretation of 12-lead electrocardiogram in the athlete. Eur Heart J. 2010; 31(2):243-259.
6. Maron BJ, Haas TS, Doerer JJ, Thompson PD, Hodges JS. Comparison of US and Italian experiences with sudden cardiac deaths in young competitive athletes and implications for preparticipation screening strategies. Am J Cardiol. 2009;104(2):276-280.
7. Steinvil A, Chundadze T, Zeltser D, et al. Mandatory electrocardiographic screening of athletes to reduce their risk for sudden death proven fact or wishful thinking? J AmColl Cardiol. 2011;57(11):1291-1296.
8. Drezner JA, Harmon KG, Marek JC. Incidence of sudden cardiac arrest in Minnesota high school student athletes: the limitations of catastrophic insurance claims. J AmColl Cardiol. 2014;63(14): 1455-1456.
9. Baggish AL, Hutter AMJr,Wang F, et al. Cardiovascular screening in college athletes with and without electrocardiography: a cross-sectional study. Ann Intern Med. 2010;152(5):269-275.
10. Chandra N, Bastiaenen R, PapadakisM, et al. Prevalence of electrocardiographic anomalies in young individuals: relevance to a nationwide cardiac screening program. J AmColl Cardiol. 2014; 63(19):2028-2034.
11. Magalski A, McCoyM, Zabel M, et al. Cardiovascular screening with electrocardiography and echocardiography in collegiate athletes. Am J Med. 2011;124(6):511-518.
12. Zaidi A, Ghani S, Sharma R, et al. Physiological right ventricular adaptation in elite athletes of African and Afro-Caribbean origin. Circulation. 2013;127(17):1783-1792.
13. Marcus FI, McKennaWJ, Sherrill D, et al. Diagnosis of arrhythmogenic right ventricular cardiomyopathy/dysplasia: proposed modification of the task force criteria. Circulation. 2010;121(13): 1533-1541.
14. Sheikh N, Sharma S. Impact of ethnicity on cardiac adaptation to exercise. Nat Rev Cardiol. 2014;11(4):198-217.
15. Gati S, Chandra N, Bennett RL, et al. Increased left ventricular trabeculation in highly trained athletes: do we need more stringent criteria for the diagnosis of left ventricular non-compaction in athletes? Heart. 2013;99(6):401-408.
16. Thavendiranathan P, Dahiya A, Phelan D, Desai MY, TangWHW. Isolated left ventricular non-compaction controversies in diagnostic criteria, adverse outcomes and management. Heart. 2013;99(10):681-689.
17. Peritz DC, Vaughn A, Ciocca M, Chung EH. Hypertrabeculation vs left ventricular noncompaction on echocardiogram: a reason to restrict athletic participation? JAMA Intern Med. 2014;174(8):1379-1382.
18. Asif IM, Johnson S, Schmieg J, et al. The psychological impact of cardiovascular screening: the athlete's perspective. Br J Sports Med. 2014;48 (15):1162-1166.
19. Corrado D, Basso C, Pavei A,Michieli P, Schiavon M, Thiene G. Trends in sudden cardiovascular death in young competitive athletes after implementation of a preparticipation screening program. JAMA. 2006;296(13):1593-1601.
20. Vetter VL, Dugan NP. A discussion of electrocardiographic screening and sudden cardiac death prevention: evidence and consensus. Curr Opin Cardiol. 2013;28(2):139-151.
21. Wilson MG, Basavarajaiah S,Whyte GP, Cox S, LoosemoreM, Sharma S. Efficacy of personal symptom and family history questionnaires when screening for inherited cardiac pathologies: the role of electrocardiography. Br J Sports Med. 2008;42 (3):207-211.