Cardiovascular screening practices in US National Governing Bodies and National Paralympic Committees

Toresdahl, Brett G; Chang, Cindy J.; Confino, Jamie; Asif, Irfan M.

doi:10.1136/bjsports-2017-098256

Cited by 4 publications

(4 citation statements)

References 5 publications

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“…In our preceding study, the US National Governing Bodies (NGBs) and National Paralympic Committees were found to have varying approaches to cardiovascular screening of athletes 24. The purpose of the current study is to evaluate the cardiovascular screening practices of countries participating in the Rio 2016 Olympic Games and the relationship of ECG screening with gross domestic product (GDP) per capita and size of athlete delegation.…”

Section: Introductionmentioning

confidence: 99%

Cardiovascular screening of Olympic athletes reported by chief medical officers of the Rio 2016 Olympic Games

et al. 2018

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Section: Introductionmentioning

confidence: 99%

Cardiovascular screening of Olympic athletes reported by chief medical officers of the Rio 2016 Olympic Games

et al. 2018

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“…The use of ECG as a fundamental part of screening in most sports that responded was comparable with previous surveys of Olympic sports (in most Western countries where it was considered affordable), 17,21 but in contrast to a similar survey of sports from the United States. 22 Most sports in the United States perform regular screening but use H&P but not always ECG. 22 Our survey shows that Australian sports sit very much in the position of routinely requiring ECG and H&P.…”

Section: Discussionmentioning

confidence: 99%

“…22 Most sports in the United States perform regular screening but use H&P but not always ECG. 22 Our survey shows that Australian sports sit very much in the position of routinely requiring ECG and H&P.…”

Section: Discussionmentioning

confidence: 99%

Cardiovascular Screening of Elite Athletes by Sporting Organizations in Australia: A Survey of Chief Medical Officers

Orchard

Toresdahl

Asif

et al. 2020

Clinical Journal of Sport Medicine

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Objective: To compare cardiovascular screening policies of Australian elite sporting organizations. Design: Online survey. Setting: Elite/professional sports in Australia. Participants: Chief medical officers (CMOs) of elite/professional sports in Australia, including rugby union and league, cricket, tennis, Australian football, and cycling. Assessment of Variables: Survey questions about each sport's cardiac screening policy: which screening components were included [eg, history and physical (H&P), resting 12-lead electrocardiogram (ECG)], whether screening was mandatory, whether the policy applied to elite junior and/or adult players, and which criteria were used to interpret ECGs. Main Outcome Measures: Which sports had a formal cardiac screening policy, which athletes the policy applied to, components of screening, ECG interpretation criteria used. Results: Chief medical officers for 22/31 (71%) sports responded, representing >5000 athletes. Of these, 19/22 (86%) perform regular screening (100% H&P; 89% included ECG) with international cyclists also having routine echocardiograms and stress testing. Thirty-three percent of CMOs used the 2017 International Criteria for athlete ECG interpretation. Screening was mandatory with enforcement (26%), mandatory without enforcement (48%), and opt-out (26%). All screened adult elite athletes, and 68% screened junior elite athletes. Forty-two percent indicated athletes were required to pay for screening tests, and 63% required athletes to pay for follow-up tests. Almost all (94%) sports with a sports physician as the CMO screened athletes. Conclusions: Most sports have a screening policy, with reasonable uniformity of components. All included H&P, and almost all included ECG. Only one sport included an echocardiogram and stress test as a standard (international players only). Promoting the latest ECG interpretation criteria may reduce false-positives and cost. Future work should explore cardiac emergency plans, screening infrastructure, cost, and long-term follow-up.

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“…Notably, the IOC recommended but did not mandate ECG screening. Today, in light of the present data, athletes participating in the Olympic Games are currently exposed, according to their country of origin, to a broad variety of medical care, from a sophisticated screening protocol routinely including CV imaging in Italian athletes,17 to history and physical examination alone for most Olympic-level teams in the USA,19 to no screening for athletes of some low/middle income countries.…”

Section: Is a Common Standard For CV Screening In Olympic Athletes Emmentioning

confidence: 99%

Cardiovascular screening in Olympic athletes: time to achieve a uniform standard

Pelliccia¹,

Drezner

2018

Br J Sports Med

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Cardiovascular screening practices in US National Governing Bodies and National Paralympic Committees

Cited by 4 publications

References 5 publications

Cardiovascular screening of Olympic athletes reported by chief medical officers of the Rio 2016 Olympic Games

Cardiovascular screening of Olympic athletes reported by chief medical officers of the Rio 2016 Olympic Games

Cardiovascular Screening of Elite Athletes by Sporting Organizations in Australia: A Survey of Chief Medical Officers

Cardiovascular screening in Olympic athletes: time to achieve a uniform standard

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