Early Screening for Cardiovascular Abnormalities With Preparticipation Echocardiography

Yim, Eugene S.; Basilico, F; Corrado, Gianmichel D.

doi:10.7863/ultra.33.2.307

Cited by 35 publications

(16 citation statements)

References 28 publications

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“…The ESCAPE protocol produced promising accuracy and reliability results: 65 National Collegiate Athletic Association (NCAA) Division 1 collegiate athletes received preparticipation physical examinations on the 2007 12-element AHA recommendations, a 12-lead ECG (2010 European Society of Cardiology criteria), and a limited echocardiogram performed by a physician and a cardiologist to assess for HCM and aortic root dilatation. 61 There was no statistically significant difference between the echocardiographic measurements obtained by the physician and those obtained by the cardiologist, indicating a high degree of interrater reliability. The limited ECG would have reduced the referral rate to cardiology by 33% when compared with the combination of H&P and ECG.…”

Section: Limited Echocardiographic Assessment For Structural Cardiac mentioning

confidence: 80%

“…63 Preliminary studies 61-63 sought to determine the accuracy of limited echocardiograms performed by physicians compared with experienced echocardiographers. Four end-diastolic measurements were obtained: interventricular septal thickness (IVSd), left ventricular internal diameter (LVIDd), left ventricular posterior wall thickness (LVPWd), 61,62 and aortic root diameter. 61,63 These studies established that physicians could reliably obtain these echocardiographic measurements.…”

Section: Limited Echocardiographic Assessment For Structural Cardiac mentioning

confidence: 99%

“…Four end-diastolic measurements were obtained: interventricular septal thickness (IVSd), left ventricular internal diameter (LVIDd), left ventricular posterior wall thickness (LVPWd), 61,62 and aortic root diameter. 61,63 These studies established that physicians could reliably obtain these echocardiographic measurements. The ESCAPE protocol produced promising accuracy and reliability results: 65 National Collegiate Athletic Association (NCAA) Division 1 collegiate athletes received preparticipation physical examinations on the 2007 12-element AHA recommendations, a 12-lead ECG (2010 European Society of Cardiology criteria), and a limited echocardiogram performed by a physician and a cardiologist to assess for HCM and aortic root dilatation.…”

Section: Limited Echocardiographic Assessment For Structural Cardiac mentioning

confidence: 99%

“…The ESCAPE protocol can reduce the false-positive rates associated with H&P and ECG and may broaden the spectrum of diseases that can be detected during the preparticipation physical examination. 61 …”

Section: Limited Echocardiographic Assessment For Structural Cardiac mentioning

confidence: 99%

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Sports Ultrasound

Finnoff

Ray

Corrado

et al. 2016

Sports Health: A Multidisciplinary Approach

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Background:Traditionally, ultrasound has been used to evaluate musculoskeletal injuries in athletes; however, ultrasound applications extend well beyond musculoskeletal conditions, many of which are pertinent to athletes.Evidence Acquisition:Articles were identified in PubMed using the search terms ultrasound, echocardiogram, preparticipation physical examination, glycogen, focused assessment with sonography of trauma, optic nerve, and vocal cord dysfunction. No date restrictions were placed on the literature search.Study Design:Clinical review.Level of Evidence:Level 4.Results:Several potential applications of nonmusculoskeletal ultrasound in sports medicine are presented, including extended Focused Assessment with Sonography for Trauma (eFAST), limited echocardiographic screening during preparticipation physical examinations, assessment of muscle glycogen stores, optic nerve sheath diameter measurements in athletes with increased intracranial pressure, and assessment of vocal cord dysfunction in athletes.Conclusion:Ultrasound can potentially be used to assist athletes with monitoring their muscle glycogen stores and the diagnosis of multiple nonmusculoskeletal conditions within sports medicine.

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Section: Limited Echocardiographic Assessment For Structural Cardiac mentioning

confidence: 80%

Section: Limited Echocardiographic Assessment For Structural Cardiac mentioning

confidence: 99%

Section: Limited Echocardiographic Assessment For Structural Cardiac mentioning

confidence: 99%

Section: Limited Echocardiographic Assessment For Structural Cardiac mentioning

confidence: 99%

See 2 more Smart Citations

Sports Ultrasound

Finnoff

Ray

Corrado

et al. 2016

Sports Health: A Multidisciplinary Approach

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“…Abnormal ECG findings in different cardiomyopathies range from 90% to 100% [18]. On the other hand, the most commonly raised problem is the number of false positive findings and therefore low specificity [19].…”

Section: Discussionmentioning

confidence: 99%

The differences in electrocardiogram interpretation in top-level athletes

et al. 2017

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A b s t r a c tBackground: The Ministry of Health in Poland recommends electrocardiogram (ECG)-based cardiovascular screening in athletes, but so far there has been a lack of guidelines on preparticipation assessment. We compared different criteria of ECG screening assessment in a group of top-level athletes. Aim:The aims were to evaluate the prevalence of ECG changes in athletes that necessitate further cardiological work-up according to three criteria in various age groups as well as to identify factors determining the occurrence of changes related and unrelated to the training.Methods: 262 high-dynamic, high-static Polish athletes (rowers, cyclists, canoeists) were divided into two age categories: young (≤ 18 years of age; n = 177, mean age 16.9 ± 0.8; 15-18 years) and elite (> 18 years of age; n = 85, mean age 22.9 ± 3.4; 19-34 years). All sports persons had a 12-lead ECG performed and evaluated according to 2010 European Society of Cardiology (ESC) recommendations, 2012 Seattle criteria, and 2014 Refined criteria. Results:The Refined criteria reduced (p < 0.001) the number of training-unrelated ECG findings to 8.0% vs. 12.6% (Seattle criteria) and 30.5% (ESC recommendations). All three criteria revealed more training-related changes in the group of older athletes (76.5% vs. 55.9%, p = 0.001). Predictors that significantly (p < 0.005) affected the occurrence of adaptive changes were the age of the athlete, training duration (in years), and male gender.Conclusions: 1. The ESC criteria identified a group of athletes that was unacceptably large, as for the screening test, requiring verification with other methods (every fourth athlete). 2. The use of the Refined criteria helps to significantly reduce the frequency and necessity for additional tests. 3. The dependence of adaptive changes on training duration and athletes' age confirms the benign nature of those ECG findings.

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