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Procedure: Electrocardiogram
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Characteristics of Second-Line Investigations of Middle-Aged Athletes Who Failed Preparticipation Examinations
Conclusions:
The addition of an exercise test to the PPE of middle-aged athletes is of limited value. If exercise testing of older athletes is performed, arrhythmias are probably of higher significance than ST-T changes.
Source: Clinical Journal of Sport Medicine - July 1, 2022 Category: Sports Medicine Tags: Original Research Source Type: research
AMSSM Position Statement on Cardiovascular Preparticipation Screening in Athletes: Current Evidence, Knowledge Gaps, Recommendations, and Future Directions
ABSTRACT: Cardiovascular (CV) screening in young athletes is widely recommended and routinely performed before participation in competitive sports. While there is general agreement that early detection of cardiac conditions at risk for sudden cardiac arrest and death (SCA/D) is an important objective, the optimal strategy for CV screening in athletes remains an issue of considerable debate. At the center of the controversy is the addition of a resting electrocardiogram (ECG) to the standard preparticipation evaluation using history and physical examination. The American Medical Society for Sports Medicine (AMSSM) formed a ...
Source: Clinical Journal of Sport Medicine - September 1, 2016 Category: Sports Medicine Tags: Position Statement Source Type: research
The ECGs that will be read around the world--and save lives of sportspeople
‘Having a heart attack? There's an iPhone App for that!’ is a true story. We congratulate its inventor Dr David Albert. This issue of BJSM contains advances that are equally exciting and which deserve as much media attention. Sports cardiology is one defining element of the sport and exercise medicine specialty (http://bjsm.bmj.com/content/46/Suppl_1/i2.full). Every one of us has seen an athlete drop dead on film—if not in real life. Whose heart has not stopped on each such occasion? "There but for the grace of God go I" as physician, athlete, or parent. "Houston, we have buy in." Sports cardiology is a B...
Source: British Journal of Sports Medicine - January 9, 2013 Category: Sports Medicine Authors: Khan, K. M. Tags: Warm up Source Type: research
Assessing the Utility of Yearly Pre-Season Laboratory Screening for Athletes on a Major Professional Sports Team
ConclusionIn our study population, yearly pre-season laboratory screening of professional athletes did not yield substantial clinically significant outcomes and would not be warranted under normal clinical standards. Future best practice guidelines should combine research concerning effects of family medical history, race, gender, country of origin, and type of sport on athlete health when creating recommendations for which pre-season laboratory screenings may be pertinent even with evidence of little utility.
Source: Journal of Science and Medicine in Sport - November 7, 2018 Category: Sports Medicine Source Type: research
Current and Potential Applications of Wearables in Sports Cardiology
AbstractPurpose of the reviewCommercial wearable biosensors are commonly used among athletes and highly active individuals, although their value in sports cardiology is not well established. In this review, we discuss the evidence for the current applications of wearables and provide our outlook for promising future directions of this emerging field.Recent findingsThe integration of routine assessment of physiological parameters, activity data, and features such as electrocardiogram recording has generated excitement over a role for wearables to help diagnose and monitor cardiovascular disease. Presently, however, there ar...
Source: Current Treatment Options in Cardiovascular Medicine - October 14, 2021 Category: Cardiology Source Type: research
Screening for Sudden Cardiac Death Before Participation in High School and Collegiate Sports: American College of Preventive Medicine Position Statement on Preventive Practice
The American College of Preventive Medicine (ACPM) supports an evaluation prior to participating in high school and collegiate sports using a standardized history and physical (H&P) (i.e., using standardized items as developed by the American Heart Association [AHA] to ensure uniformity and consistency in risk factor assessment; ). ACPM recommends against routine screening for potential sudden cardiac death (SCD) with electrocardiogram (ECG), echocardiography, and genetic testing in individuals without personal risk factors. The recommendations by ACPM address only mass screening approaches to detecting SCD and are not tar...
Source: American Journal of Preventive Medicine - June 26, 2013 Category: Global & Universal Authors: Shamail Mahmood, Lionel Lim, Yasir Akram, Samantha Alford-Morales, Kevin Sherin, ACPM Prevention Practice Committee Tags: From APTR & ACPM Source Type: research
Relationships between biochemical and physiological changes induced by exercise in postmyocardial infarction patients.
Conclusion: Since the rise in serum enzymes during submaximal exercise is primarily attributed to changes in membrane permeability in fatigued muscle, these relationships provide useful guidance to health professionals obtaining biochemical information about muscle fatigue.
PMID: 24247190 [PubMed - in process]
Source: Medical Physics - November 23, 2013 Category: Physics Authors: Liu X, Tan SJ, Chen YP, Liu J, Liang XL, Li CM, Shi XM, Zhao NN Tags: J Sports Med Phys Fitness Source Type: research
Early Screening for Cardiovascular Abnormalities With Preparticipation Echocardiography: Utility of Focused Physician-Operated Echocardiography in Preparticipation Screening of Athletes
Conclusions—
This study provides evidence that focused physician-operated echocardiography can improve false-positive rates and broaden the spectrum of disease that is detectable through preparticipation screening of athletes.
Source: Journal of Ultrasound in Medicine - January 21, 2014 Category: Radiology Authors: Yim, E. S., Basilico, F., Corrado, G. Tags: Original Research Source Type: research
The psychological impact of electrocardiogram screening in national collegiate athletic association athletes
Conclusions
False-positive results from ECG screening do not cause excessive anxiety in NCAA athletes. Further understanding of athlete experiences could better prepare the practicing physician on ways to counsel athletes with an abnormal ECG in order to address additional concerns.
Source: British Journal of Sports Medicine - January 31, 2017 Category: Sports Medicine Authors: Asif, I., Annett, S., Ewing, A., Abdelfattah, R., Rothmier, J., Harmon, K., Drezner, J. Tags: Monaco abstracts Source Type: research
Effect of External Counterpulsation on Exercise Recovery in Team Sport Athletes
This study examined the effects of an ECP session upon neuromuscular function (vertical jump and torque/velocity characteristics), biochemical responses (creatine kinase, cortisol, testosterone, alpha-amylase and immunoglobulin-A), and muscle soreness (visual analogue scale) following high-intensity exercise. Twenty-one male team sport athletes (age: 21.6±3.4 yrs; height: 182.7±7.3 cm; body mass: 82.7±9.3 kg) recovered from the fatiguing exercise using either ECP or rest. Data collection was conducted at three separate time points: upon arrival (Pre), post-recovery (Post), and 24 h post-recovery (24hPost). Signifi...
Source: International Journal of Sports Medicine - July 8, 2019 Category: Sports Medicine Authors: Collins, Ruben McGrath, Denise Horner, Katy Eusebi, Silvia Ditroilo, Massimiliano Tags: Training & Testing Source Type: research
Comparison of Omegawave Device and an Ambulatory ECG for RR Interval
Measurement at rest
Int J Sports Med DOI: 10.1055/a-1157-9220The aim of this study was to validate the measurements of the beat intervals
taken at rest by the Omegawave® device by comparing them to
an ambulatory electrocardiogram system. For this purpose, the electrocardiogram
was digitally processed, time-aligned, and scrutinized for its suitable use as
gold-standard. Rest measurements were made for 10 minutes on 5 different days to
10 men and 3 women (24.8±5.05 years; 71.82±11.02 kg;
174.35±9.13 cm). RR intervals were simultaneously recorded using
the Omegawave device and a Holter electrocardiogram...
Source: International Journal of Sports Medicine - August 24, 2020 Category: Sports Medicine Authors: Naranjo-Orellana, Jos é Ruso- Álvarez, José Francisco Rojo- Álvarez, José Luis Tags: Training – Testing Source Type: research
Cardiovascular screening in ncaa athletes: findings from a multicenter ecg-inclusive program
Conclusions
The current AHA strategy for pre-participation screening generates a high number of false-positive responses in college athletes. ECG screening using modern standards for interpretation provides a low and acceptable rate of abnormal findings and greatly increases the identification of serious cardiac disorders in US collegiate athletes.
Source: British Journal of Sports Medicine - March 11, 2014 Category: Sports Medicine Authors: Asif, I., Hadley, D., Harmon, K., Owens, D., Prutkin, J., Salerno, J., Drezner, J. Tags: Abstracts from the IOC World Conference on Prevention of Injury & amp; Illness in Sport, Monaco 2014 Source Type: research
Cardiac Screening of Young Athletes Prior to Participation in Sports Difficulties in Detecting the Fatally Flawed Among the Fabulously Fit
Deaths of young athletes from cardiac disease are uncommon but receive considerable media attention and intermittently galvanize debates about cardiac screening prior to participation in sports. Both the American Heart Association (AHA) and European Society of Cardiology (ESC) endorse preparticipation screening in athletes; however, there is disagreement about the best approach. The AHA recommends history and physical examination; this approach is pragmatic and relatively inexpensive but has poor sensitivity because most athletes are asymptomatic and physical examination identifies only a minority of those at risk of sudde...
Source: JAMA Internal Medicine - November 10, 2014 Category: Internal Medicine Source Type: research
12-lead Holter monitoring in diving and water sports: a preliminary investigation.
CONCLUSION: Continuous 12-lead Holter monitoring underwater can produce good quality tracings. Further studies are necessary to assess its usefulness in divers at risk for or with known coronary artery disease, and its comparison with other forms of cardiac stress tests.
PMID: 25596833 [PubMed - indexed for MEDLINE]
Source: Diving and Hyperbaric Medicine - December 11, 2015 Category: Sports Medicine Tags: Diving Hyperb Med Source Type: research
