The cardiac preparticipation sports evaluation
Denis J Donovan1, Joanna E Nelson, Michael A Monaco
1Division of Pediatric Cardiology, Department of Pediatrics, Columbia University Vagelos College of Physicians and Surgeons, NewYork-Presbyterian Morgan Stanley Children's Hospital, New York, New York, USA.
Current Opinion in Pediatrics
|August 9, 2023
Summary
Sudden cardiac death (SCD) in young athletes is a critical concern. Current screening focuses on history and physical exams, with ECG
Area of Science:
- Cardiology
- Sports Medicine
- Preventive Cardiology
Background:
- Sudden cardiac death (SCD) is a leading cause of mortality in young athletes during sports.
- Preparticipation cardiovascular screening is crucial for identifying athletes at risk of SCD.
- Underlying cardiac disease is the primary cause of SCD in this population.
Approach:
- This review examines the background of SCD in young athletes.
- It discusses various screening recommendations from major medical societies.
- Recent evidence and current practices in preparticipation screening are reviewed.
Key Points:
- Studies on electrocardiogram (ECG) inclusion in screening show mixed results regarding sensitivity and specificity.
- Some research indicates no significant benefit of ECG over history and physical examination alone.
- Extensive screening protocols in some countries have not demonstrated a decrease in SCD rates.
Conclusions:
- Current US guidelines recommend universal preparticipation evaluation via history and physical examination.
- Cardiology referral is advised for athletes with identified abnormalities.
- The goal of screening is to reduce SCD rates by identifying at-risk youth.
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