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EKG screening program for school athletes.

M A LaCorte1, R A Boxer, I B Gottesfeld

  • 1Department of Pediatrics, North Shore University Hospital, Manhasset, New York 11030.

Clinical Cardiology
|January 1, 1989
PubMed
Summary
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Electrocardiogram (EKG) screening in adolescent athletes identified few cases of hypertrophic cardiomyopathy. The program improved collaboration between schools and healthcare facilities.

Area of Science:

  • Cardiology
  • Sports Medicine
  • Public Health

Background:

  • Hypertrophic cardiomyopathy is a leading cause of sudden cardiac death in young athletes.
  • Electrocardiograms (EKGs) are often abnormal in affected individuals, suggesting screening potential.

Purpose of the Study:

  • To evaluate the role of EKG screening in identifying adolescent athletes at risk for sudden cardiac death.
  • To assess the prevalence of cardiac abnormalities in a high school athlete population.

Main Methods:

  • A training program was implemented for school nurses to perform EKGs.
  • A health screening questionnaire collected family and personal medical history.
  • 1,424 student athletes (ages 13-18) underwent 12-lead EKGs, interpreted by pediatric cardiologists.

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Main Results:

  • EKGs were normal in 88.8% of students.
  • 5.1% of students had EKG abnormalities, most commonly conduction disturbances and arrhythmias.
  • Ventricular hypertrophy was detected in 12 students, but subsequent echocardiograms and stress tests were normal; no hypertrophic cardiomyopathy was diagnosed.

Conclusions:

  • This EKG screening program did not identify any athletes with hypertrophic cardiomyopathy or restrict participation.
  • The screening initiative fostered improved relationships between school health services and a healthcare facility.