TY - JOUR
T1 - The Evidence Against Cardiac Screening Using Electrocardiogram in Athletes
AU - Asplund, Chad A.
AU - O'Connor, Francis G.
N1 - Publisher Copyright:
Copyright © 2016 by the American College of Sports Medicine.
PY - 2016/3/1
Y1 - 2016/3/1
N2 - Sudden cardiac death (SCD) in young athletes is publicly remarkable and tragic because of the loss of a seemingly healthy young person. Because many of the potential etiologies may be identified with a preparticipation electrocardiogram (ECG), the possible use of an ECG as a screening tool has received much attention. A good screening test should be cost-effective and should influence a disease or health outcome that has a significant impact on public health. The reality is that the prevalence of SCD is low and no outcome-based data exist to determine whether early detection saves lives. Further, there is insufficient screening infrastructure, and the risk of screening and follow-up may be higher than that of the actual disease. Until outcomes data demonstrate a benefit with regard to SCD, universal screening cannot be recommended.
AB - Sudden cardiac death (SCD) in young athletes is publicly remarkable and tragic because of the loss of a seemingly healthy young person. Because many of the potential etiologies may be identified with a preparticipation electrocardiogram (ECG), the possible use of an ECG as a screening tool has received much attention. A good screening test should be cost-effective and should influence a disease or health outcome that has a significant impact on public health. The reality is that the prevalence of SCD is low and no outcome-based data exist to determine whether early detection saves lives. Further, there is insufficient screening infrastructure, and the risk of screening and follow-up may be higher than that of the actual disease. Until outcomes data demonstrate a benefit with regard to SCD, universal screening cannot be recommended.
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U2 - 10.1249/JSR.0000000000000237
DO - 10.1249/JSR.0000000000000237
M3 - Article
C2 - 26963014
AN - SCOPUS:84960384041
SN - 1537-890X
VL - 15
SP - 81
EP - 85
JO - Current Sports Medicine Reports
JF - Current Sports Medicine Reports
IS - 2
ER -