Navigation Links
Few doctors follow sudden cardiac death screening guidelines for athletes
Date:11/13/2011

According to a state survey, fewer than 6 percent of doctors fully follow national guidelines for assessing sudden cardiac death risk during high school sports physicals, researchers said at the American Heart Association's Scientific Sessions 2011.

The study was based on responses of 1,113 pediatricians and family doctors and 317 high school athletic directors in Washington state.

Less than half of the doctors and only 6 percent of the athletic directors reported that they were even aware of the guidelines. None of the athletic directors said their schools required physicals to comply with all guidelines.

In sudden cardiac arrest, the heart suddenly and unexpectedly stops beating due to an irregular heart rhythm. Without treatment, death occurs within minutes.

"A young person at the peak of physical prowess, dying without any warning it's a shocking, tragic and potentially preventable death," said Nicolas Madsen, M.D., M.P.H., lead researcher and pediatric cardiology fellow at Seattle Children's Hospital and the University of Washington School of Medicine.

Recent studies suggest that among the more than 7 million U.S. high school athletes, one out of every 30,000 to 50,000 dies annually from out-of-hospital sudden cardiac arrest.

The American Heart Association published 12-point sudden cardiac death screening guidelines for athletes in 1996 and re-affirmed them in 2007. They consist of eight medical history questions and four physical exam elements, including listening to the heart and checking blood pressure.

Researchers sent 2,190 survey questionnaires by mail and email to pediatricians, family doctors and athletic directors over two months. The unusually high response rate 56 percent to 75 percent suggests a compelling interest in the issue, Madsen said.

Physicians were asked questions about pre-sports physicals. Athletic directors were asked about their school's requirements for physicals.

Researchers then used regression analysis and other techniques to determine the level of compliance with national guidelines.

Doctors reported missing several critical questions during screenings:

  • 28 percent didn't always ask about chest pain during exercise;
  • 22 percent didn't always ask about unexplained fainting;
  • 26 percent didn't always ask about a family history of early death;
  • 67 percent didn't always ask about a family history of heart disease.

Study results didn't change with the doctor's specialty, level of experience, location or the athletes' school size. Screening frequency and familiarity with the guidelines were linked to greater compliance.

"We need new directions to educate providers and improve policy requirements so patients can actually benefit from these national recommendations," Madsen said.

The doctors and athletic directors unanimously supported adopting a statewide form incorporating national screening guidelines. Parents should ask doctors and schools if a standardized form is being used, Madsen said.


'/>"/>

Contact: AHA News Media Office
214-706-1396
American Heart Association
Source:Eurekalert

Related medicine news :

1. Law barring doctors talking to patients about gun ownership undermines public health issue
2. Doctors Might Miss Some Cases of Child Abuse
3. Doctors named top in reproductive endocrinology
4. Life challenges prevent those with lupus from keeping doctors appointments
5. Could Listening to Mozart Help Doctors Spot Colon Polyps?
6. Doctors own alcohol consumption colors advice to patients
7. Parents, Doctors Often Differ on Chemo for Incurable Kids
8. Imaging technology might help doctors determine best treatment for Crohns disease patients
9. Parents who go online for pediatric health information are open to doctors website recommendations
10. Researchers track number of doctors disciplined and why
11. Mine-hunting software helping doctors to identify rare cells in human cancer
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:12/9/2016)... NY (PRWEB) , ... December 09, 2016 , ... ... and Drug Dependence, Inc. (NCADD) is recommending the film Whispering Spirits ... and the District of Columbia as an education tool in the war against teen ...
(Date:12/9/2016)... ... December 09, 2016 , ... ... Pierre Hotel in New York, NY, on December 3rd, to benefit Holy Name ... attended the annual event, which raised over $1 million - the largest event ...
(Date:12/8/2016)... ... December 08, 2016 , ... ... Quality Insights beginning January 1, 2017. The name change aligns the entire ... measuring and improving health care quality. , “We are very proud of the ...
(Date:12/8/2016)... (PRWEB) , ... December 08, 2016 , ... ... pleased to announce that “Natural Language Processing–Enabled and Conventional Data Capture Methods for ... JMIR Medical Informatics . , Results of the comparative usability study demonstrate ...
(Date:12/8/2016)... ... ... With the increasing demand for dental implants, the National Association of Dental ... dentists and patients about the safety issues related to dental restorations. According to the ... is projected to reach $6.4 billion in 2018 with more than 30 million Americans ...
Breaking Medicine News(10 mins):
(Date:12/9/2016)... DIEGO , Dec. 9, 2016 aTyr Pharma, Inc. ... discovery and development of Physiocrine-based therapeutics to address severe, rare diseases, ... at the upcoming BMO Prescriptions for Success Healthcare Conference at the ... on Wednesday, December 14, 2016, at 4:20 p.m. ET. ... ...
(Date:12/9/2016)... , Dec. 9, 2016  Axovant Sciences Ltd. ... biopharmaceutical company focused on the treatment of dementia, ... from a Phase 2b trial evaluating treatment with ... compared with donepezil plus placebo in people with ... addition of intepirdine to treatment was associated with ...
(Date:12/8/2016)... , Dec. 8, 2016 Australia Glaucoma ... GlobalData,s new report, "Australia Glaucoma Surgery Devices ... on the Australia Glaucoma Surgery Devices market. The ... volume (in units) and average prices (USD) within ... report also provides company shares and distribution shares ...
Breaking Medicine Technology: