Navigation Links
ECG screening for competitive athletes would not prevent sudden death
Date:3/10/2013

The risk of cardiovascular sudden death was very small and only about 30% of the incidence were due to diseases that could be reliably detected by pre-participation screening, even with 12-lead ECGs, according to research in a U.S. high school athlete population presented March 10 at the American College of Cardiology (ACC) Scientific Sessions.

Sudden death in young competitive athletes due to cardiovascular disease is an important community issue, which could impact the design of population-based screening initiatives. The frequency with which these tragic events occur impacts considerations for selecting the most appropriate screening strategy. Currently, athletes are assessed through a healthcare professional performing a physical exam and reviewing the individual's clinical history.

"Screening initiatives for high school-aged athletes has the potential to impact 10-15 million young adults in the U.S.," says the study's lead author, Barry J. Maron, MD, director of the Hypertrophic Cardiomyopathy Center at the Minneapolis Heart Institute Foundation in Minneapolis. "This is a controversial issue because some are suggesting that all young competitive athletes should be screened with a 12-lead ECG screening, which would be a massive and costly undertaking. Also, we do not have any evidence to show whether this is clinically necessary."

To assess this need, Maron and his colleagues interrogated the forensic case records of the U.S. National Registry of Sudden Death in Athletes over a 26-year period (1986-2011) to identify those events judged to be cardiovascular in origin occurring in organized competitive interscholastic sports participants in Minnesota. There were more than 4.44 million sports participations, including 1,930,504 individual participants among 24 sports.

There were 13 incidence of sudden deaths in high school student-athletes related to physical exertion during competition (7) or at practice (6). The ages were 12 to18 and each was a white male. Most common sports involved were basketball, wrestling or cross-country running. Sudden deaths occurred in 1 out of 150,000 participants.

Autopsy examination documented cardiac causes in 7 of the 13 deaths. In only 4 athletes (31%) could the responsible cardiovascular diseases be reliably detected by history, physical exam or 12-lead ECG, which is equivalent to 1 in 1 million participants.

"This very low event rate does not warrant changing the current national screening strategy, especially because only one-third of the deaths would have been detectable through additional screening," says Maron. "These findings demonstrate that these tragic events are rare. In addition to these data, no evidence in the medical literature has shown that ECGs reduce mortality in a broad-based screening effort."


'/>"/>

Contact: Steve Goodyear
sgoodyear@mhif.org
612-863-1658
Minneapolis Heart Institute Foundation
Source:Eurekalert

Related medicine news :

1. New Comprehensive Chromosome Screening Program at Pacific Fertility Center Refines Embryo Selection, Improves Pregnancy Rates
2. Colonoscopy screening reduces risk of advanced colorectal cancer
3. Vitamin deficiency screening needed for refugees
4. Colon cancer screening doubles with new e-health record use
5. Screening could avert 12,000 lung cancer deaths each year in the United States
6. New Guidelines Issued for Genetic Screening in Newborns, Children
7. Researchers at St. Michaels Hospital test tool for screening cancer patients for malnutrition
8. Prostate-specific antigen screening: Values and techniques shape decisions
9. Combining plasma screening methods better identifies diagnostic and therapeutic targets
10. New criteria for automated preschool vision screening
11. Phone and mailed interventions significantly increase colorectal cancer screening rates
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:6/23/2017)... (PRWEB) , ... June 23, 2017 , ... Ulster University, ... June, 2017 from 9 am to 3 pm to present to graduate students exciting ... is an original curriculum project led by The Health Improvement Service of the ...
(Date:6/23/2017)... ... June 23, 2017 , ... ... financial planning services to communities in the greater Chicago metropolitan area, is embarking ... assistance to underprivileged youth in Chicago. , Founded in 1897, Hephzibah Children’s Association ...
(Date:6/23/2017)... ... June 23, 2017 , ... Radabaugh ... planning to families and business owners in North Central West Virginia, is embarking ... services to differently abled residents in the region. , The Stepping Stones organization ...
(Date:6/22/2017)... ... 2017 , ... Branches, Inc. has been partnering with The Miami Foundation for ... its programs focused on providing opportunity to low-income families and breaking the cycle of ... of $15,000 to support its , Climb to College & Career initiative which focuses ...
(Date:6/22/2017)... (PRWEB) , ... June 22, 2017 , ... ... advisory organization, is pleased to welcome Whipple & Company as its newest Partner ... clear purpose of balancing their clients’ risk while tailoring optimized benefit packages that ...
Breaking Medicine News(10 mins):
(Date:6/16/2017)... June 16, 2017 Datascope Corp. is voluntarily performing a worldwide ... a potential electrical test failure code.     ... PART NUMBER ... CS300 IABP 0998-UC-0446HXX; 0998-UC-0479HXX ... This field correction ...
(Date:6/13/2017)... , June 13, 2017 Zimmer Biomet Holdings, ... healthcare, today announced that the U.S. Food and Drug Administration ... June 3, 2015 relating to its Zhejiang, China ... "The successful clearance of the Warning ... manufacturing facility is a measure of the progress we ...
(Date:6/9/2017)... INDIANAPOLIS , June 9, 2017 ... In a further effort to help spread lessons learned ... condition, the International Diabetes Federation (IDF) and Eli Lilly ... together for the second phase of the Bringing Research ... 2), reaffirming their commitment to helping people with diabetes ...
Breaking Medicine Technology: