Current Use of Adequate Preparticipation History Forms for Heart Disease Screening of High School Athletes

Cardiovascular Monitoring of Children and Adolescents With Heart Disease Receiving Medications for Attention Deficit/Hyperactivity Disorder

“…Studies using these standards from the 1996 statement have shown that 17% of those surveyed included all of the elements in their preparticipation screening. 77 The European Society of Cardiology and International Olympic Committee model is noted in this AHA statement to be "a benevolent and admirable proposal deserving of serious consideration" but "impractical and not applicable" to the American system because of the financial resources, manpower, and logistics required for a national screening program. It is stated that "the panel does not arbitrarily oppose volunteer-based athlete screening programs with noninvasive testing performed selectively on a smaller scale in local communities, if well designed and prudently implemented.…”

An Electrocardiogram Should Not Be Included in Routine Preparticipation Screening of Young Athletes

“…Only 17% included all of the required elements, 24,25 and reviews of high school and college preparticipation screening programs indicate that only 26% of college forms met even 75% of the AHA guideline components. 25,26 A more recent evaluation in 2005 suggested that Ͼ80% were adequate. 27 Furthermore, concerns have been raised over the low sensitivity and cost-effectiveness of the preparticipation history and physical examination.…”

Assessment of the 12-Lead ECG as a Screening Test for Detection of Cardiovascular Disease in Healthy General Populations of Young People (12–25 Years of Age)

“…3,20,22,114,176,177 Indeed, certain standardized and comprehensive questionnaire forms developed specifically to assist primary healthcare providers in performing these examinations have been grossly underused, specifically the AHA recommendations 3,105,112,114 and the Preparticipation Physical Evaluation monograph/form, which is the work of several different societies. 115,176 It has been an important aspiration to enhance the quality of the history-taking and physical examination process (including the expertise of examiners) in accordance with the specific 14-point recommendations of the AHA 3,105 ( Table 1), given that many states have examination questionnaires judged inadequate to reliably raise suspicion of cardiovascular disease in high school student-athletes. 20,22 In 1998, Glover and Maron 22 critiqued the completeness of the screening questionnaire process in each state for high school student-athletes, measuring compliance with the recommended AHA items that serve as a guide to examiners.…”