Electrocardiography-inclusive screening strategies for detection of cardiovascular abnormalities in high school athletes

Modern standards of ECG interpretation in young athletes: Yield and effectiveness

“…Each athlete received the traditional history and physical exam, followed by an ECG (interpreted using adapted 2010 ESC Criteria) and two-dimensional echocardiography [33]. The study found a remarkably low false positive rate for the ECG of only 2.8% and a high negative predictive value for cardiomyopathy of 100% [33]. Similarly, when the Seattle Criteria were applied to the ECGs of 330 elite international rowers, the total positive rate was only 4% [36].…”

“…Application of modern standards of ECG interpretation in athletes demonstrates a reduction in false positive rates to b 5% in several large-scale studies (a comprehensive review of studies to date using athlete-specific ECG interpretation criteria, the populations studied, total and false positive rates, pathologic findings, and conclusions is provided in online Supplementary material 2 or per request from the lead author) [15,16,23,[25][26][27][28][29][30][31][32][33][34][35][36][37][38][39]. For instance, a recent investigation examined the use of an ECG in a cohort of 2017 high school athletes from 18 high schools, representing diverse racial and socioeconomic backgrounds [33].…”

“…For instance, a recent investigation examined the use of an ECG in a cohort of 2017 high school athletes from 18 high schools, representing diverse racial and socioeconomic backgrounds [33]. Each athlete received the traditional history and physical exam, followed by an ECG (interpreted using adapted 2010 ESC Criteria) and two-dimensional echocardiography [33]. The study found a remarkably low false positive rate for the ECG of only 2.8% and a high negative predictive value for cardiomyopathy of 100% [33].…”

Best practices for ECG screening in children

“…North Carolina High School Athletes: in a screening of 2017 high school athletes with H&P, ECG, and echocardiogram, H&P was abnormal in 14.7% compared to 3.1% abnormal ECGs using "modern criteria." H&P had a false-positive rate of 14.5% with ECG, 2.8% [38,39]. Chicago: ECG screening of 32,561 high school students by Young Hearts for Life identified 2.5% as needing further testing.…”

Risk Of Sudden Death In Athletes: Electrocardiographic Criteria

“…Під впливом значних фізичних навантажень у кожного спортсмена можуть фіксуватися відхи-лення показників інструментального обстеження поза нормальні величини. Аналіз смертельних ви-падків внаслідок гострого фізичного навантаження, як серед спортсменів, так і серед осіб, які не зай-мались спортом вказує, що основною причиною смерті є захворювання серця, які були до фізично-го навантаження і які виникли внаслідок фізичного перенапруження [1, 10,18]. Щорічно від раптової серцевої смерті (РСС) помирає 1 з 200 тис юних спортсменів, однак лише 20% випадків реєстру-ються під час тренувань.…”