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Screening for cardiovascular disease in the young
1Division of Cardiology, Department of Pediatrics, University of Virginia Health System, Charlottesville, VA 22908-0386, USA. hpg@virginia.edu
Congenital Heart Disease
|March 23, 2011
Summary
Cardiovascular disorder screening in youth has evolved from rheumatic heart disease to congenital heart disease and sudden cardiac death prevention. Future programs require careful consideration of effectiveness, cost, and safety.
Area of Science:
- Pediatric Cardiology
- Public Health Screening
Background:
- Youth cardiovascular disorder screening has a century-long history.
- Focus has shifted from rheumatic heart disease to congenital heart disease and sudden cardiac death prevention.
Purpose of the Study:
- To review the evolution of cardiovascular disorder screening in American youth.
- To highlight key considerations for proposed screening programs.
Main Methods:
- Historical review of screening efforts.
- Analysis of shifting diagnostic and preventive focuses.
Main Results:
- Screening evolved from rheumatic heart disease in schoolchildren to congenital heart disease in neonates.
- Current focus includes preventing sudden cardiac death in athletes.
Conclusions:
- Screening programs must balance sensitivity, specificity, cost, and resources.
- Potential adverse effects of screening require careful evaluation.
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