Can we prevent sudden cardiac death in young athletes: The debate about preparticipation sports screening
ABSTRACT All high school athletes in the United States require a preparticipation screening examination. The American Heart Association recommends a focused history and physical examination. The European Society of Cardiology recommends that all examinations include an electrocardiogram (ECG). We review the risks and costs of screening, discuss legal ramifications and analyse the ethical implications of these considerations. There are too many unknown about ECG screening to require it as routine testing for all high school athletes. Conclusion: Doctors must inform young athletes and their parents about the option of ECG screening and about the debate over its efficacy. Patients and parents may then choose to have an ECG or not. Mandatory universal screening is not warranted at this time.
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ABSTRACT: We aimed to review the literature to explore the magnitude of sudden cardiac death (SCD) in young athletes. Although SCD in athletes is not a common event, it represents a tragedy of the apparently fit young population. SCD varies according to countries, age groups, and sex. In addition, it varies in the underlying causes and the screening tool. Therefore, we are in need for further research efforts. Guidelines, public and physician awareness, and education regarding the warning signs are integral part in the strategy to reduce SCD tragedy. However, all these requirements raise concern for cost-effectiveness in some countries for proper implementation.Critical pathways in cardiology 09/2013; 12(3):161-9. DOI:10.1097/HPC.0b013e318299cbfd
- Circulation 09/2014; 130(5). DOI:10.1161/CIR.0000000000000025 · 14.95 Impact Factor
- Journal of the American College of Cardiology 10/2014; DOI:10.1016/j.jacc.2014.08.027 · 15.34 Impact Factor