Hostname: page-component-586b7cd67f-dlnhk Total loading time: 0 Render date: 2024-11-30T20:18:12.043Z Has data issue: false hasContentIssue false
  • English
  • Français

Feasibility and diagnostic performance of including point-of-care ultrasound (POCUS) in preparticipation screening of young competitive athletes

Part of: Atrial Septal Defect (ASD) Echocardiography

Published online by Cambridge University Press:  30 September 2020

Óscar Fabregat-Andrés Open the ORCID record for Óscar Fabregat-Andrés [Opens in a new window] ,
Santiago Pina-Buded  and
Alfonso Amador Valverde-Navarro
Óscar Fabregat-Andrés*
Affiliation:
Cardiology Department, Hospital IMED, Valencia, Spain Anatomy Department, Universitat de Valencia, Valencia, Spain
Santiago Pina-Buded
Affiliation:
Rehabilitation and Physical Medicine Department, General Hospital, Castellón, Spain Medical Department, Villarreal CF, Castellón, Spain
Alfonso Amador Valverde-Navarro
Affiliation:
Anatomy Department, Universitat de Valencia, Valencia, Spain
*
Author for correspondence: Óscar Fabregat Andrés, MD, PhD. Chief of Cardiology, Hospital IMED Valencia, Avenida de la Ilustración, 1, 46100 Burjassot, Valencia, Spain. Tel: +34 963003000; Fax: +34 963864173. E-mail: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

Optimal pre-participative screening in young athletes is still controversial. We sought to evaluate the strategy of including point-of-care ultrasound to electrocardiogram. In total, 1188 young competitive athletes were screened in different sports institutions. This proved to be a useful strategy by improving diagnostic performance primarily with respect to detect structural abnormalities and also by minimising positive false cases of electrocardiogram alone.

Keywords

Cardiac screeningyoung athleteselectrocardiogrampoint-of-care ultrasound
Type
Brief Report
Information
Cardiology in the Young , Volume 30 , Issue 12 , December 2020 , pp. 1970 - 1972
Check for updates
Copyright
© The Author(s), 2020. Published by Cambridge University Press

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Mont, L, Pelliccia, A, Sharma, S, Biffi, A, et al. Pre-participation cardiovascular evaluation for athletic participants to prevent sudden death: position paper from the EHRA and the EACPR, branches of the ESC. Eur J Prev Cardiol 2017; 24: 41–69.CrossRefGoogle ScholarPubMed
Harmon, KG, Zigman, M, Drezner, JA. The effectiveness of screening history, physical exam, and ECG to detect potentially lethal cardiac disorders in athletes: a systematic review/meta-analysis. J Electrocardiol 2015; 48: 329–338.CrossRefGoogle ScholarPubMed
Maron, BJ, Friedman, RA, Kligfield, P, et al. Assessment of the 12-lead ECG as a screening test for detection of cardio-vascular disease in healthy general populations of young people (12–25 years of age): a scientific statement from the AHA and the ACC. Circulation 2014; 130: 1303–1334.CrossRefGoogle Scholar
Cassels, M, Moulson, N, Regan, J, et al. Point-of-care ultrasound as a component of preparticipation screening of athletes: a systematic review. J Ultrasound Med 2019; 38: 3123–3130.CrossRefGoogle ScholarPubMed
Moulson, N, Jaff, Z, Wiltshire, V, et al. Feasibility and reliability of nonexpert POCUS for cardiovascular preparticipation screening of varsity athletes: the SHARP protocol. Can J Cardiol 2019; 35: 35–41.CrossRefGoogle ScholarPubMed
Drezner, JA, Sharma, S, Baggish, A, et al. International criteria for electrocardiographic interpretation in athletes: consensus statement. Br J Sports Med 2017; 51: 704–731.CrossRefGoogle ScholarPubMed
Lang, RM, Badano, LP, Mor-Avi, V, et al. Recommendations for cardiac chamber quantification by echocardiography in adults: an update from the American Society of Echocardiography and the European Association of Cardiovascular Imaging. J Am Soc Echocardiogr 2015; 28: 1–39.CrossRefGoogle ScholarPubMed
Maron, BJ, Levine, BD, Washington, RL, Baggish, AL, Kovacs, RJ, Maron, MS. Eligibility and disqualification recommendations for competitive athletes with cardiovascular abnormalities: task force 2: preparticipation screening for cardiovascular disease in competitive athletes: a scientific statement from the American Heart Association and American College of Cardiology. J Am Coll Cardiol 2015; 66: 2356–2361.CrossRefGoogle ScholarPubMed
Williams, EA, Pelto, HF, Toresdahl, BG, et al. Performance of the American Heart Association (AHA) 14-point evaluation versus electrocardiography for the cardiovascular screening of high school athletes: a prospective study. J Am Heart Assoc 2019; 8: e012235.CrossRefGoogle ScholarPubMed
Calo, L, Martino, A, Tranchita, E, et al. Electrocardiographic and echocardiographic evaluation of a large cohort of peri-pubertal soccer players during pre-participation screening. Eur J Prev Cardiol 2019; 26: 1444–1455.CrossRefGoogle ScholarPubMed