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Procedure: Electrocardiogram
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The ECG of high-level junior soccer players: comparing the ESC vs. the Seattle criteria.
CONCLUSION: The Seattle ECG criteria seem very promising for decreasing false-positive screening results for high-level junior soccer players.
PMID: 25208724 [PubMed - as supplied by publisher]
Source: British Journal of Sports Medicine - September 10, 2014 Category: Sports Medicine Authors: Bessem B, de Bruijn MC, Nieuwland W Tags: Br J Sports Med Source Type: research
Advancing the Preparticipation Physical Evaluation (PPE): An ACSM and FIMS Joint Consensus Statement
While the preparticipation physical evaluation (PPE) is widely accepted, its usage and content are not standardized. Implementation is affected by cost, access, level of participation, participant age/sex, and local/regional/national mandate. PPE screening costs are generally borne by the athlete, family, or club. Screening involves generally agreed-upon questions based on expert opinion and tested over decades of use. No large-scale prospective controlled tracking programs have examined PPE outcomes. While the panel did not reach consensus on electrocardiogram screening as a routine part of PPE, all agreed that a history ...
Source: Current Sports Medicine Reports - November 1, 2014 Category: Sports Medicine Tags: Special Communication Source Type: research
Electrocardiographic abnormalities in elite high school athletes: comparison to adolescent hypertrophic cardiomyopathy.
CONCLUSIONS: Over 50% of elite high school athletes with echocardiographically confirmed normal hearts satisfied standard voltage criteria for ventricular hypertrophy. Pathological Q-waves, T-wave inversion or ST-segment depression were most helpful in distinguishing adolescents with HCM from normals. Both ESC and Seattle criteria successfully stratified the student-athlete and HCM cohorts, however each had a false-negative rate >10% for the HCM cohort. The Seattle criteria demonstrated a significantly lower false-positive rate (1%) than the ESC criteria (24%).
PMID: 26729893 [PubMed - in process]
Source: British Journal of Sports Medicine - January 1, 2016 Category: Sports Medicine Authors: Thompson AJ, Cannon BC, Wackel PL, Horner JM, Ackerman MJ, O'Leary PW, Eidem BW, Johnson JN Tags: Br J Sports Med Source Type: research
The Evidence Against Cardiac Screening Using Electrocardiogram in Athletes.
Abstract
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...
Source: Current Sports Medicine Reports - March 1, 2016 Category: Sports Medicine Authors: Asplund CA, O'Connor FG Tags: Curr Sports Med Rep Source Type: research
Prevalence of Cardiovascular Disorders Among Iranian Elite Athletes
Conclusions: PPE provides very important information of athletes’ health. This study has shown that there was not any significant relation between current examination and electrocardiogram changes but regarding the ECG changes we recommend it as a routine part of PPE.,Results: Among 388 athletes, 80 (20.6%) were female and 308 (79.4%) male with mean age of 23.2 + 8 years. Nine athletes (2.3%) were smokers, 28 of them (7.2%) experienced chest pain and discomfort, 45 of them (13.3%) had palpitations and 28 (7.2%) had history of anemia. Study of their electrocardiograms showed that long Q-T interval was not seen for anyone,...
Source: Asian Journal of Sports Medicine - May 10, 2016 Category: Sports Medicine Source Type: research
The prevention of sudden cardiac death in athletes: cardiovascular screening practices in united states national governing bodies and paralympic committees
Conclusion
The US NGBs and NPCs are a heterogeneous collection of athletic teams that have varying approaches to cardiovascular screening. Lack of infrastructure appears to be the biggest barrier to implementing advanced screening protocols. Results from this investigation can be used to support efforts to provide consistent cardiovascular screening practices to NGB and NPC athletes with the goal of preventing tragedy from sudden cardiac death.
Source: British Journal of Sports Medicine - January 31, 2017 Category: Sports Medicine Authors: Toresdahl, B., Chang, C., Confino, J., Asif, I. Tags: Monaco abstracts Source Type: research
The Use of Echocardiograms in Preparticipation Examinations
This article provides an overview of the etiology of SCD and reviews literature relating to preparticipation echocardiography, with a focus on its evolution, utility, and effectiveness. The limited echocardiogram is a potentially viable screening option yet to be thoroughly explored by experts and policymakers in the sports medicine community.
Source: Current Sports Medicine Reports - March 1, 2017 Category: Sports Medicine Tags: Chest and Abdominal Conditions: Section Articles Source Type: research
Cardiovascular incidents in male professional football players with negative preparticipation cardiac screening results: an 8-year follow-up.
CONCLUSIONS: A comprehensive preparticipation cardiac screening did not identify a subset of 6 of 595 players who experienced subsequent cardiovascular incidents as being at risk. It is important to remind athletes that a normal cardiac screening exam does not protect against all cardiac diseases. Timely reporting of symptoms is essential.
PMID: 30442719 [PubMed - as supplied by publisher]
Source: British Journal of Sports Medicine - November 15, 2018 Category: Sports Medicine Authors: Berge HM, Andersen TE, Bahr R Tags: Br J Sports Med Source Type: research
Accuracy of the 2017 international recommendations for clinicians who interpret adolescent athletes' ECGs: a cohort study of 11 168 British white and black soccer players.
CONCLUSIONS: The 2017 international recommendations for ECG interpretation in young athletes can be applied to adolescent athletes to detect serious cardiac disease. These recommendations perform more effectively than previous ECG criteria in both white and black adolescent soccer players.
PMID: 31278087 [PubMed - as supplied by publisher]
Source: British Journal of Sports Medicine - July 4, 2019 Category: Sports Medicine Authors: Malhotra A, Dhutia H, Yeo TJ, Finocchiaro G, Gati S, Bulleros P, Fanton Z, Papatheodorou E, Miles C, Keteepe-Arachi T, Basu J, Parry-Williams G, Prakash K, Gray B, D'Silva A, Ensam B, Behr E, Tome M, Papadakis M, Sharma S Tags: Br J Sports Med Source Type: research
The Cardiovascular risk in the scubadiver.
CONCLUSIONS: Our data confirm that non linear analysis is characterized by a statistically significant variation of the neurovegetative tone mainly linked to an increased parasympathetic activity ((Fig. 3 and Fig. 4)). However, further studies are necessary to elucidate these preliminary findings.
PMID: 31311237 [PubMed - as supplied by publisher]
Source: Journal of Sports Medicine and Physical Fitness - July 19, 2019 Category: Sports Medicine Tags: J Sports Med Phys Fitness Source Type: research
Accuracy of smartphone application to monitor heart rate.
CONCLUSIONS: The applications chosen for both platforms to monitor heart rate were found to be fairly accurate, especially at rest. There are small user adaptations for monitoring heart rate, but heart rate applications provide a low-cost and efficient method for non-medical heart rate tracking. Future research should investigate the difference in accuracy for skin tone, ethnicity, race, hand size, and callosity of fingertips.
PMID: 31373188 [PubMed - in process]
Source: Journal of Sports Medicine and Physical Fitness - August 4, 2019 Category: Sports Medicine Tags: J Sports Med Phys Fitness Source Type: research
The accuracy of fitness watches for the measurement of heart rate and energy expenditure during moderate intensity exercise.
CONCLUSIONS: Fitness watches relying on optical measures of HR underestimate HR compared to criterion measures during moderate intensity exercise. Despite providing a more accurate measure of HR, a chest-worn monitor does not provide a more accurate estimate of EE compared to fitness watches. The Fitbit provided the most accurate measure of EE when compared to the Polar Ignite watch and chest-worn device.
PMID: 32734757 [PubMed - as supplied by publisher]
Source: Journal of Sports Medicine and Physical Fitness - August 1, 2020 Category: Sports Medicine Tags: J Sports Med Phys Fitness Source Type: research
Acute carnosine and β-alanine supplementation increases the compensated part of the ventilation vs work rate relationship during a ramp incremental cycle test in physically active men.
CONCLUSIONS: These findings demonstrate a positive effect of acute Carn-ßA supplementation on the compensated part of the exercise. This should be taken into account by nutritionists and athletes searching for nutritional supplements, when a quick effect based on an acute dose is required.
PMID: 33092320 [PubMed - as supplied by publisher]
Source: Journal of Sports Medicine and Physical Fitness - October 25, 2020 Category: Sports Medicine Tags: J Sports Med Phys Fitness Source Type: research
Comparative study of cardiorespiratory adaptations in elite basketball players of different age groups.
CONCLUSIONS: The increased LVM is attributed to concentric hypertrophy. This is further supported by the finding that there was no relationship between V̇ O2max and echo parameters. The results of the present study indicate that the cardiorespiratory adaptations caused by basketball training are mainly formed in the early age stages without further increase throughout the years of action.
PMID: 33269884 [PubMed - as supplied by publisher]
Source: Journal of Sports Medicine and Physical Fitness - December 5, 2020 Category: Sports Medicine Tags: J Sports Med Phys Fitness Source Type: research
Tackling an unmet need in sports cardiology: understanding exercise-induced cardiac remodelling and its clinical consequences
The field of sports cardiology has surpassed many hurdles over the past decades. From initial findings of cardiac enlargement by clinical examinations and chest radiographs, through the better phenotyping of exercise-induced cardiac remodelling (EICR) on electrocardiography, echocardiography and cardiac MRI, our understanding of the spectrum of the athlete’s heart has greatly advanced. The limits of research on EICR Prior scientific endeavours have largely focused on describing EICR in healthy athletes and contrasting this with pathological mimics. For example, early studies contrasted the ‘physiological’...
Source: British Journal of Sports Medicine - June 30, 2022 Category: Sports Medicine Authors: De Bosscher, R., Heidbuchel, H., Claessen, G., La Gerche, A., Pro at Heart Consortium, Dausin, Janssens, Bogaert, Elliott, Ghekiere, M. Van De Heyning, Sanders, Kalman, Fatkin, Herbots, Willems, Soest, Hespel, Claus, Claeys, Goetschalckx, Dymarkowski, Dre Tags: BJSM Editorial Source Type: research
