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:12/9/2016)... ... December 09, 2016 , ... ... the Pennsylvania Cable Network (PCN) during the summer of 2016. The program was ... provided by the United States Department of Health and Human Services Administration. ...
(Date:12/8/2016)... ... December 08, 2016 , ... After enjoying record-breaking attendance ... today for its 33rd Annual Issues & Research Conference, March 2-3, 2017, ... of the conference is “Persistent Challenges and New Opportunities: Using Research to Accelerate ...
(Date:12/8/2016)... and JENNERSVILLE, Pa. (PRWEB) , ... December 08, ... ... that Penn Medicine Southern Chester County, a Property owned by an affiliate of ... million, 72,000 square foot Penn Medicine Southern Chester County ambulatory care center (ACC) ...
(Date:12/8/2016)... ... ... With the increasing demand for dental implants, the National Association of Dental Laboratories ( ... patients about the safety issues related to dental restorations. According to the American Academy ... to reach $6.4 billion in 2018 with more than 30 million Americans missing all ...
(Date:12/8/2016)... ... December 08, 2016 , ... ... access for customers and employees that are both engaging and easy to use. ... Smart Technology, the software company revealed today its plans to roll out new ...
Breaking Medicine News(10 mins):
(Date:12/8/2016)... IRIDEX Corporation (NASDAQ: IRIX ) today ... common stock, $0.01 par value (the "Offering" with such shares ... final terms of the Offering will depend on market and ... be no assurance as to whether or when the Offering ... net proceeds it will receive from this offering for working ...
(Date:12/8/2016)... , Dec. 8, 2016 KEY ... ... reducing loss of blood during surgeries, lowering the risks of ... decreasing risks of SSIs. The patient warming systems can be ... warming systems.These benefits in turn reduce the stay at hospitals ...
(Date:12/8/2016)... -- KEY FINDINGS The global medical lifting ... reasons for growth of the medical lifting sling market ... diseases, high recovery cost of injuries and government initiatives ... sling refers to an assistive device that helps caregiver ... to the lift and hold the patient. It is ...
Breaking Medicine Technology: