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 Vol. 19 No. 6, June 2008
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AAP Grand Rounds 19:63-64 (2008)
© 2008 American Academy of Pediatrics

SPORTS MEDICINE

ECG Screening of Young Athletes for Cardiac Disease

Source: Wilson MG, Basavarajaiah S, Whyte GP, et al. 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; doi:10.1136/bjsm.2007.039420[Abstract/Free Full Text]

The first 20% of the full text of this article appears below.


PICO

Question: In children referred for pre-participation sports screening, does routine electrocardiogram aid in diagnosing underlying cardiac disease?

Question type: Diagnosis

Study design: Descriptive

 

Approximately 80% of non-traumatic sudden deaths in young athletes are caused by inherited or congenital structural and functional cardiovascular abnormalities. This study, from the UK, sought to confirm the efficacy of the resting 12-lead electrocardiogram (ECG) in addition to personal/ family history questionnaires and physical examination as collective screening tools in young elite athletes and physically active adolescents to identify diseases with potential to cause sudden death. All participants were screened using personal and family history questionnaires, physical examination, and resting 12-lead ECG. Athletes with symptoms and/or abnormalities on physical examination and/or ECG abnormalities underwent more detailed cardiac testing. Screening histories and ECGs were interpreted by cardiologists with expertise in sports-related and congenital cardiac disease.

In total, 1,074 national and international junior athletes (mean age 15.8 years, range 10–17 years) and 1,646 physically active adolescents (mean 16.1 years, range 14–20 years) were screened. Almost one-third of the elite . . . [Full Text of this Article]

David Bernhardt, MD, FAAP
Pediatrics, Orthopedics/Rehabilitation and Sports Medicine, University of Wisconsin Children’s Hospital and University of Wisconsin Sports Medicine, Madison, WI

 





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